RTG SCHOLARSHIP REQUEST FORM 2016-2017

Please answer the questions below by the deadlines listed. Requests will be reviewed on the basis of need, merit, and available funds. Feel free to use an additional piece of paper. You will be notified of your scholarship award status before the beginning of each term:

Term / Application Deadlines /
Notification of Status
Fall / September 16th, 2016 / By September 19th, 2016
Winter / December 30th, 2016 / By January 6th, 2017
Spring / March 17th, 2017 / By March 24th, 2017

Once completed, please mail your request to:

Redmond Toddler Group

Attn: Treasurer

17725 NE 65th ST STE A100

Redmond, WA. 98052

Or email a completed form to Jane Lauckner at

Questions may also be directed to the treasurer via e-mail.

Adult Student Name: Child’s Name:

Class Letter: Class Day: Class Time:

Phone: Email:

For which quarter/s are you requesting scholarship consideration: ______

1.  Please describe your past and current involvement with the Redmond Toddler Group community. If you are new to the community, please tell us how you found out about the group and why you wish to attend.

2.  Please briefly describe the circumstance which leads you to request a scholarship.

3.  Please describe what non-monetary contributions you could make to the Redmond Toddler Group community. (e.g., Fall Garage Sale, Carnival, fundraising, other volunteer activities)

4.  What amount of scholarship is needed for you to be at Redmond Toddler Group? (The full tuition is $150/quarter (2 hour class) or $173/quarter (2.5 hour class) for a single child plus $50 per additional sibling and $100 for additional twin/multiples.)

5.  Would setting up a payment schedule help you contribute toward tuition payments? (e.g. a small amount on a monthly basis)

6.  Is there anything else we should know in considering your request?

Signed: ______Date: ______