AFTER SCHOOL PROGRAM - Fayette County Schools

ASP Form R0103FAA
Date: _________________________
Dear __________________________:
(Family/Guardian)
Financial Assistance Status Form
________________’s application for financial assistance to cover After School Program
(Child’s name)
expenses has been processed. The financial assistance review committee has:
DENIED your application for ASP tuition financial assistance
Comments:
_____________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
APPROVED your application for Fayette County ASP tuition financial assistance for the
following:
Amount family/guardian must pay: $_____ per week*
Tuition amount waived by ASP: $_______ per week**
*This portion of the tuition amount must be received from the family/guardian by the
Friday before each week the child will attend.
**ASP agrees to cover this amount of the child’s tuition with the following stipulations:
• The family agrees to reserve space for the child in ASP by turning in a completed payment
envelope with the family/guardian portion of tuition enclosed by the preceding Friday of each
week.
• The family agrees to pick up the child by 6:00 each day (financial assistance will end after
two late pick-ups and excessive late pick-ups will result in dismissal from the program).
• The family understands that disruptive or abusive behavior or disrespect to authority may
result in dismissal from the program.
• Length of financial assistance is not guaranteed and may be terminated at the discretion of
the Fayette County ASP or lack of funding.
________________________ _________ ________________________ __________
(Family/Guardian Signature) (Date) (Director of ASP Signature) (Date)
It is the policy of the Fayette County Board of Education not to discriminate on the basis
of age, gender, race, color creed, religion, national origin or disability in educational
programs, activities and employment policies.