Community Youth Scholarship Student Participation 2023/2024 and Survey Community Youth Scholarship 2023/2024 Renewal and SurveyStudent Name* First Last Does your student plan to attend PBT in the 23/24 school year? Please select one of the following:* Yes No Not sure Parent / Guardian Name* First Last Parent / Guardian Email Address* Enter Email Confirm Email If your student is not continuing with PBT, please let us know any reasons they may have.If you're not sure if your student will return to PBT, please explain.Income EligibilityThe CYS scholarship is based on income level / financial need. Our income threshold is 135% of the income level eligibility for free and reduced-price meals, plus $5,000, through the National School Lunch Program. We ask that families provide documents verifying income eligibility each year. Copy and paste this link into your browser to see income guidelines for returning CYS families: https://docs.google.com/document/d/10ae8jZIEwSb8L1uKijil5E9nyKcIDeAaP5R3xlxK7rE/edit?usp=sharing Income Documentation*Please indicate below which document you will provide to confirm your eligibility. If possible, please upload your document using the File Upload tab below. Please be sure to black out private information such as social security numbers. Please email lauel@pittsburghballet.org with any questions or to email your documentation. First 2 pages of 2022 federal income tax return (form 1040) Non PPS students only: Free and reduced price meals eligibility letter from student's school. Current unemployment eligibility documentation. CHIP, WIC or SNAP benefits eligibility documentation. Section 8 Housing or Foster Care Medical or Cash Assistance from PA Assistance from LIHEAP 1 or 2 Refugee/immigrant/domestic violence assistance programs Please upload your documentation here.Max. file size: 256 MB.Parent / Guardian Survey (optional)We would love to have your feedback to help us improve the student and family experience with PBT and the scholarship program. Please let us know your general thoughts about and experience at PBT.Please let us know of any challenges your student has faced at PBT and how we can better assist in resolving those challenges.How can we improve the CYS program to work better with the needs of your family? Δ
