Pathfinder Community Support Fund Application

We understand that you are not comfortable joining Pathfinder at the fee suggested by our sliding scale. Pathfinder is a membership organization that has a commitment to socioeconomic diversity. The main way that we fulfill that commitment is by offering the sliding scale, allowing families with different financial resources to attend our program. Please keep in mind that this form is to ask for an additional fee reduction--we already try to make Pathfinder accessible to all families with the sliding scale and discounts for part-time and sibling memberships.

Please fill out the application below in order to be reviewed for an additional reduction on monthly payments through our Pathfinder Community Support Fund (PCSF). Currently we cannot offer a discount on our $25/month/member site fee. Note that the PCSF is extremely limited, and we anticipate having to make difficult decisions to fairly distribute additional discounts, so we appreciate as much detail as you are willing and able to provide. We may not be able to offer any additional reduction—every dollar that we give in reductions is more fundraising that we are committing to in the next fiscal year.

Household Information
Primary Contact Name *
Primary Contact Name
Which of these best describes your family? *
Please include anyone who will be enrolled at least half time in a program that leads to an undergraduate degree and include an estimate of the tuition, room, and board that parents will pay for this student.
Tax and Income Information
Please use your 2018 taxes to fill out the following section. If you do not have your 2018 taxes completed yet, you may fill out this section based on your 2017 taxes and any information you have about how those numbers may change for 2018. However, you agree to contact Pathfinder at your earliest convenience to update any differences of greater than $1,000 between what is listed on this form and your final 2018 taxes as filed.
Adjusted Gross Income is on 2018 IRS Form 1040–line 7.
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See "Who Qualifies as Your Dependent," page 20 of the IRS 2018 Instructions for Form 1040.
This information may be included on W-2 forms, or on IRS 1040–lines 1 + lines 12 and 18 of schedule 1.
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This information may be included on W-2 forms, or on IRS 1040–lines 1 + lines 12 and 18 of schedule 1.
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Please write the source, amount, and frequency. Include actual amounts received in 2018, plus amounts anticipated in the 2019-20 school year. Examples include child support, gifts, Social Security benefits, SNAP benefits, untaxed unemployment income, wages or tips received in cash, railroad retirements benefits, etc. If you have no unreported income or support, write “NONE”.
(Such as grandparent, trust fund, agency, member, etc.).
Assets and Other Financial Information
Please fill out this section based on actual balances and amounts as of the date that you are filling out the form. You agree to contact Pathfinder at your earliest convenience if any of the answers to these questions change significantly.
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Investments include real estate (do not include the home you live in), trust funds, UGMA and UTMA accounts, money market funds, mutual funds, certificates of deposit, stocks, stock options, bonds, other securities, installment and land sale contracts (including mortgages held), commodities, etc. Investments also include qualified educational benefits or education savings accounts (e.g., Coverdell savings accounts, 529 college savings plans and the refund value of 529 prepaid tuition plans), including all accounts in the name of the member, or in the name of the parents for any member of the household. Investments do not include the home you live in, the value of life insurance, retirement plans (401[k] plans, pension funds, annuities, non-education IRAs, Keogh plans, etc.) or cash, savings, and checking accounts already reported.
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Business and/or investment farm value includes the market value of land, buildings, machinery, equipment, inventory, etc.
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Expenses and Other Financial Circumstances
If so, please explain here, including the amount of expenses and how long you intend to incur them. Expenses could include double housing costs due to moving or commuting from more than 50 miles away, gas and transportation costs, or other costs. If you do not have these expenses, please write "NONE."
If so, please explain here, including letting us know which family members have the expenses, what condition they have been diagnosed with, a detailed description of the various expenses, and the time over which you anticipate having to pay these expenses. Expenses may include diagnosis, appointments, treatment, surgeries, insurance, medical debt, modifications to one's home, etc. If you do not have these expenses, please write "NONE."
Providing as much detail as possible will help us.
Relationship with Pathfinder
When did your family first join Pathfinder? *
Examples include Fundraising subcommittee and parent's circle.
Do you regularly participate in the Thoughtful Parenting Group?
If you are not yet members, please say something about why you are drawn to Pathfinder.
This question is optional.
If you are not yet members, please describe how you hope to contribute to Pathfinder.
Offer and Submission
Please keep in mind that the pool of additional reudctions above and beyond the indexed fee amount is extremely limited. While we will do our best to accommodate all families, every dollar of discount that we give above the sliding scale must be raised through additional fundraising. We may not be able to offer any reduction at all.
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I declare that the information provided on this form and all attachments is correct and complete to the best of my knowledge and belief. I agree, if asked, to provide information that will verify the accuracy of the information provided on this form. *
I declare that the information provided on this form and all attachments is correct and complete to the best of my knowledge and belief. I agree, if asked, to provide information that will verify the accuracy of the information provided on this form.