Fields marked with a * are required

Please answer the following questions:

1. Please indicate the school(s) and grade(s) (Jr. Pre-K through Secondary V) in which your child(ren) will be enrolled for the 2024-2025 school year.

2. What is the gross income for each parent as reflected on line 199 of your Revenu Quebec 2022 Notice of Assessment?

NOTE: Eligibility will be confirmed based on your 2022 Notice of Assessment from Revenu Quebec.

For any inquiries, please contact: flexable@ssamontreal.org

*Please ensure that you do NOT use a comma and that the total is accurate before proceeding.

3. Are you a shareholder in a privately held company (ies)?

A privately held company is a business company which does not offer or trade its company stock (shares) to the general public on the stock market exchanges, but rather the company's stock is offered, owned and traded or exchanged privately.

3.1. How much income (benefits or actual income) do you receive from that company in addition to the income on line 199 of your Revenu Quebec 2022 Notice of Assessment?

4. Parent contact information

Parent 1

Parent 2