Little Acorns Nature Preschool Scholarship Application

Parent/Guardian Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Secondary Phone (Optional)

Email*

Number of Children You Plan to Enroll*

Child Name*

2nd Child Name

Are you, your spouse, or your children related to anyone on the Dahlem Center's staff or board of directors?*

Yes
No

How many children do you have besides the one(s) you are enrolling?*

Have you volunteered at Dahlem before?*

Yes
No

If yes, please explain:*

Please provide your gross income as listed on your 2022 Federal Tax Return*

Please provide the pages 1 & 2 of your 2022 1040 Federal Tax Return*

Please make sure you provide proof of 2022 gross income

Max. file size: 2 MB.

Please describe any personal circumstances that would make you eligible for a scholarship toward your child(ren)'s participation in the Little Acorns program:*

Would you be capable of paying a portion of your child(ren)'s monthly fees?*

Yes
No

If yes, what dollar amount per month?

Thank you for your application. If you have any additional questions, please contact our Lead Preschool Teacher and Preschool Program Director, Kayla Sipe at 517-782-3453 ext. 107 or ksipe@dahlemcenter.org

Little Acorns Nature Preschool Scholarship Application

Contact Dahlem

Visit Dahlem