• Application for Subsidized Monthly Fee (A+ program)

    This application is ONLY for the subsidy portion of the A+ registration. Please complete the A+ registration if you have not registered your child for A+.

  • Families who participate in the A+ Program may also qualify for financial assistance through the Department of Human Services( DHS) A+ Subsidy. To qualify, families must meet income eligibility requirements. DHS provides the A+ Programs with an Income Eligibility Table to assist families with qualifying for the subsidy.

     

    Note: Application for each household if there is joint custody

    If you are currently receiving financial assistance from Department of Human Services (FTW) Program, you must provide the A+ Program with Form DHS 728 from the FTW Program office.

    • Income Eligibility Table 
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    • The Income Eligibility Table for the 2026 to 2027 school year is still being finalized, and the table provided here may be used as a reference for families at this time.

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    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
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    • List of Acceptable Income Documentation  
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    • The information on this form and the attached documentation may be used to assist the determination of eligibility for the After-School Plus (A+) Program’s subsidized monthly fee. A+ Program staff may verify all the information on this form and the attached documentation. I give up my rights to confidentiality for this purpose only. I certify that I am the parent/legal guardian of the child(ren) for whom application is being made. I also certify that all of the above information is true and correct and all income is reported. I understand that deliberate misrepresentation of the information may subject me to prosecution under applicable state and federal laws. If any information has been falsified, I understand that this may result in a loss or reduction of benefits, legal claims, and dismissal of my child(ren) from the After-School Plus (A+) Program.

  • IMPORTANT: This application is ONLY for the subsidy portion of the A+ registration.

    Additonal documents may be required, please make sure you check your email for any emails from us. If any required document is missing or insufficent, it will delay your registration. 

    Please click on the green submit button when you are ready to submit.

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