2024 Financial Assistance Application Header Image

Financial Assistance Application

Program registration is not guaranteed until all information is reviewed and arrangements are made for the payment of any remaining program fees. You need only submit one Financial Assistance Application per household.  A new application must be submitted each year, including new supporting documents.  If you have any questions or concerns during the application process, please contact Carolyn Stoner, Director of Arts, at (260) 274-1412 or cstoner@honeywellarts.org.

Parent / Guardian Information


Parent / Guardian*
Address*

Qualifying Information

All questions must be completed by applicants for consideration of financial assistance.

Provide income information for each responsible adult living in the family home who financially supports the participants.*
Please list the total combined expected income for the household for the current year.
Does your family qualify for public assistance?*
Does your family qualify for school lunch assistance?*

Supporting Documents

Applicants are asked to submit the following documentation (as they apply) to verify household income. Keep in mind that not all documents are required. However, assistance may be denied if household income cannot be verified. All personal information will be kept confidential. Please black out all social security numbers before submitting documentation.


Required:
- Last year's federal tax return (first two pages only)


Not Required (but may be necessary to verify eligibility):
- State assistance approval letter(s) (SNAP, TANF, NSLP, etc) 
- Last two pay stubs
- Social Security or disability checks, or bank statements showing automatic monthly deposit
- Child support
- Unemployment check stubs
Supporting Documentation - One file
No File Chosen
File uploads may not work on some mobile devices.
Last Year's Federal Tax Return
No File Chosen
File uploads may not work on some mobile devices.
Last Two Pay Stubs
No File Chosen
File uploads may not work on some mobile devices.
Social Security or Disability Checks
No File Chosen
File uploads may not work on some mobile devices.
Child Support
No File Chosen
File uploads may not work on some mobile devices.
State Assistance Approval Letter(s)
No File Chosen
File uploads may not work on some mobile devices.
Unemployment Checks
No File Chosen
File uploads may not work on some mobile devices.
Other documentation
No File Chosen
File uploads may not work on some mobile devices.

Supporting documents can be submitted in a sealed envelope to:


The Honeywell Foundation

Attn: Financial Assistance

275 W. Market St.

Wabash, IN 46992

Student Information

Complete the section below based upon the program(s) you wish to have your child(ren) participate in. Please keep in mind, this information is used solely to determine anticipated program fees and does not guarantee registration.

Student Name*
Date of Birth*
For Current School Year
Program(s) Interested In:*
Student Name*
Date of Birth*
For Current School Year
Program(s) Interested In:*
Student Name*
Date of Birth*
For Current School Year
Program(s) Interested In:*
Student Name*
Date of Birth*
For Current School Year
Program(s) Interested In:*
Student Name*
Date of Birth*
For Current School Year
Program(s) Interested In:*

Acknowledgement

I acknowledge, by my signature, that all information on this form is accurate and complete, to the best of my knowledge. I understand that The Honeywell Foundation will provide financial assistance based on the information I give and that false information is grounds for forfeiting all financial assistance. The signing of this document implies agreement to, and the observance of the Financial Assistance Rules and Regulations set forth by The Honeywell Foundation.

For Office Use Only

Date Supporting Documentation Received
(use only if documentation was not uploaded when application was submitted)
$
Approved Date:
Date Award Notification Sent
Save and Resume Later
Progress
Cancel
Confirm