Request edit access
HES Financial Hardship Assistance Request (HES)
This form may be used to request financial assistance in order for your child to participate in a school field trip or activity. It is our goal that all students be able to participate and we have partners who can provide scholarship funds if needed.

This form will be reviewed by building administration, who will work to ensure discretion and confidentiality regarding your request. Student names will not be shared with any outside group. Once reviewed, you will be contacted by the school to confirm. We make every effort to protect student confidentiality in this matter. In support of this, you may choose to send an envelop containing a note or blank paper in leu of payment so that your child is not aware of any difference.

If you have any questions, please contact Rebecca Katsh-Singer at  rkatsh-singer@psharvard.org or 978-456-4145.

If your student attends Bromfield, please use this form: 

Sign in to Google to save your progress. Learn more
Email *
Parent Phone
Student Requesting Assistance
Grade Level
Clear selection
Trip Title
Trip Date
MM
/
DD
/
YYYY
Cost of Trip
Assistance Requested
Please indicate if your request is for the full cost of the trip/event or put the amount requested under "other".
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Harvard Public Schools. Report Abuse