LA 43 Program Financial Assistance Request Form

Selection to the Leadership Asheville Program is made without regard to financial circumstances. Requests for financial assistance are confidential and have no bearing on the selection process. A request is considered only after the Leadership Asheville participant selection process is complete and will not influence consideration of your application.

Financial assistance is provided to those candidates who are accepted into the program and demonstrate financial need that would otherwise prevent participation. If you work for a company or an organization that employs 25 or more people and they are contributing money to your tuition, you are not eligible for financial assistance.

When granted, financial assistance award amounts are based on need, the number of requests received, and the amount of funds available each year. The average assistance given is $750. Priority for financial assistance is given to participants who are from underrepresented communities, those employed by small nonprofit organizations or are self-employed.

To be considered for financial assistance, you must complete this form and submit it in addition to Program Application and Commitment Statement. Requests are confidential and have no bearing on the selection process.

Last Name *

First Name *

Email Address *

Please provide a BRIEF statement of your financial assistance need. We do not need specific financial information, we simply want to make sure the limited funds we have available are allocated equitably to those requesting assistance.

1. Amount you are willing to contribute toward tuition

2. Amount your employer is willing to contribute toward tuition (if applicable)

3. Amount of assistance requested *

Payment Plan Request

Leadership Asheville will also consider accepting monthly payments. Please indicate if you would like to be considered for a monthly payment plan, based on your circumstances.

I request being considered for a payment plan: *

Yes

If you answered yes to the above, what length of time do you need to complete payment?

Three months

Six months

I can afford a maximum monthly payment of: