* Parent First Name:

* Parent Second Name:

* RISE Grammar or RISE Prep:

GrammarPrep

* Scholars First Name:

* Scholars Last Name:

* Grade:

Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade

* Foster Child:

Yes

No

* Reduced Meals Program:

Yes

No

* Free Meals Program:

Yes

No

Grade:

Kindergarten1st Grade2nd Grade3rd Grade4th Grade

Foster Child:

Yes

No

Reduced Meals Program:

Yes

No

Free Meals Program:

Yes

No

Grade:

Kindergarten1st Grade2nd Grade3rd Grade4th Grade

Foster Child:

Yes

No

Reduced Meals Program:

Yes

No

Free Meals Program:

Yes

No

Grade:

Kindergarten1st Grade2nd Grade3rd Grade4th Grade

Foster Child:

Yes

No

Reduced Meals Program:

Yes

No

Free Meals Program:

Yes

No

* Please explain why you are applying for the Hardship Assistance Program:

* Indicates required field.