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Thank you for your interest in Wisteria Montessori School. Before you fill out this form, please submit the “Application for All Applicants” first. This application is only used for families that need the income-based scholarship provided by Wisteria. The scholarship is limited. Thus applicants with low-income are not guaranteed to receive the scholarship.

To be eligible for the scholarship, the applicant needs to apply to a full week program (M-F, half day, full day or extended day programs) and commit to a full year. The applicant also needs to provide proof of income for consideration.

☐ 2020-21
☐ 2021 Summer
☐ Extended Day (8 hrs)
☐ Full Day (6 hrs)
☐ Half Day (3.5 hrs)

Financial Information

Please provide pay stubs for the past 2 months for verification.
Please provide tax return for the previous year for verification.
Is one or more member in your household receiving any of the following services?

Please send a copy of the above documents to Wisteria Montessori located at 76 Merrimack St, Ste 4, Haverhill, MA at your earliest convenience.

I certify that all of the financial information I submitted above is true and correct and that all income is reported. I understand that this information is for the sole purpose of determining eligibility for a tuition assistance, is confidential, and that deliberate misrepresentation will disqualify me from consideration of reduced tuition.