Request for rate reduction based on financial need

At Test Prep for Success, we are educators first and business people second.  It is our passion to help students succeed on the SAT, ACT, and in school.  Our prices for these services have been set based on business necessity, but we understand not all families can afford them.  This form is available for families and students who would not be able to come to TP4S without some form of assistance.

All students who receive half or free lunch at their schools will automatically receive half price SAT and ACT classes at TP4S.  There may also be assistance available for services other than classes and for families who do not qualify for reduced lunch.  Decisions on rate reductions will be based on your answers on this form.

Any rate reductions are not subsidized by a third party or other agency, but funded entirely by the owner of TP4S.  As such, the owner has complete discretion in this matter, and no rate reductions should be seen as guarantees.  SAT/ACT students who qualify for reduced rates are expected to complete at least two hours of homework per hour of tutoring or class in order to maintain the lower rate.

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* 1. Name of person filling out form 

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* 2. Relationship to student

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* 3. Name of student

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* 4. At what email address would you like to be contacted?

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* 5. What is your phone number?

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* 6. School district of student

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* 7. Does the student receive free or reduced price lunch at school?

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* 8. Your total family income last year was:

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* 9. Is there anything else you would like us to know?

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* 10. Describe the services would you like from TP4S.

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