Family Emergency Relief Fund Request Form

St. Luke’s School Family Emergency Relief Fund

These are uncertain times, and St. Luke’s School is committed to supporting our families in every way we can. To that end, our Board has established the St. Luke’s School Family Emergency Relief Fund and has increased funding for financial assistance.

These funds are available to support your family’s material needs to the extent we are able. If you are currently enrolled and have suffered a financial setback during these times, please contact Susan Harriot, Director of Admissions and Financial Aid. Funds may be used to support material as well as educational expenses.

If you want to apply for tuition financial assistance for the 2020-21 school year, please follow the directions on our website (www.stlukeschool.org) and contact Susan Harriot (sharriot@stlukeschool.org).

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Phone Number (xxx-xxx-xxxx)

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* 5. Family Emergency Fund - Please select a reason for the request

Decrease in income

Loss of job

Increase in medical costs

Other (please specify)

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* 6. Please indicate the amount of aid needed

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* 7. Please select one of the following

I have been granted financial aid for the 2020-2021 school year and need additional funds.

I have not been granted financial aid for the 2020-2021 school and would like to request funds.