EITC Family Interest Form

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EITC Family Interest Form

Thank you for your interest in the Trying Together EITC Pre-K Scholarship. Please fill-out this preliminary form so that we may keep track of the families who are interested. Trying Together will follow-up as funds become available based on the number of eligible child applicants. Scholarship amounts are based on a sliding scale and family need as determined by Trying Together.

First Name (your own) *

Last Name *

Email *

Phone *

Zip Code *

If your child is currently attending an early learning program, please include it here:

When are you looking to have your child start pre-k? Please list the month and year.

How did you hear about the Trying Together EITC Pre-K scholarship program?

Trying Together

ELRC Region 5

Early learning program/director/teacher

Friend/family

Other

Data Privacy & Consent

SMS/MMS

For more information about Trying Together’s EITC Pre-k Scholarship program, please visit: https://tryingtogether.org/eitc-for-families/

If you have any questions or concerns, contact Maria Pisano, Director of Community Relations, at 412.421.3734 or email maria@tryingtogether.org.

Our professional ethics require that each Trying Together staff member maintain the highest degree of confidentiality when handling Trying Together matters. To maintain this professional confidence, no staff member will disclose any private information, including documentation of child applicant eligibility and family income, to friends or family members.

Selection for scholarship will be determined without regard to race, gender, sexual orientation, religion, or similar characteristics of the child applicant.

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