Washington Academy Financial Aid Form
Please email, fax or mail a copy of the parents 2016(and 2017 if available) tax return(s) once this application is submitted.

Washington Academy
114 East 3rd Street
Greenville, NC 27858

admissions@washingtonacademync.com
Fax: 888.380.8149

Full name (First) (Middle) (Last)
Your answer
Permanent Street Address
Your answer
City (and country if not in US)
Your answer
Date of Birth
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Telephone Number
Your answer
Email Address
Your answer
Your driver’s license number (If you have one)
Your answer
Student Citizenship Status (check one of the following)
What is your state of legal residence?
Your answer
Were you born before January 1, 1992?
As of today, are you married? (Also answer “Yes” if you are separated but not divorced.)
Have you been convicted for the possession or sale of illegal drugs for an offense that occurred while you were receiving federal student aid (such as grants, loans or work-study)? Answer “No” if you have never received federal student aid or if you have never had a drug conviction for an offense that occurred while receiving federal student aid. If you have a drug conviction for an offense that occurred while you were receiving federal student aid, answer “Yes,” but complete and submit this application, and we will mail you a worksheet to help you determine if your conviction affects your eligibility for aid.
What is the name of the high school where you received or will receive your high school diploma? Enter the complete high school name, and the city and state where the high school is located.
Your answer
Student Marital Status (check one of the following)
Do you now have or will you have children who will receive more than half of their support from you between July 1, 2017 and June 30, 2018?
At any time since you turned age 13, were both your parents deceased, were you in foster care or were you a dependent or ward of the court?
Did you file or will you file a 2017 income tax return?
How much did you earn from working in 2017?
Your answer
Who is considered a parent? ”Parent” refers to a biological or adoptive parent or a person determined by the state to be a parent (for example, if the parent is listed on the birth certificate). Grandparents, foster parents, legal guardians, older siblings, and uncles or aunts are not considered parents on this form unless they have legally adopted you. If your legal parents are living and married to each other, answer the questions about both of them. If your legal parents are not married and live together, answer the questions about both of them. In case of divorce or separation, give information about the parent you lived with most in the last 12 months. If you did not live with one parent more than the other, give information about the parent who provided you the most financial support during the last 12 months or during the most recent year you received support. If your divorced or widowed parent has remarried, also provide information about your stepparent.
Your answer
As of today, what is the marital status of your legal parents?
Month and year they were married, remarried, separated, divorced or widowed.
MM
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DD
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What is your parents’ state of legal residence?
Your answer
How many people are in your parents’ household? Include: • yourself, even if you don’t live with your parents, • your parents, • your parents’ other children if (a) your parents will provide more than half of their support between July 1, 2016 and June 30, 2017, or (b) the children could answer “No” to every question in Step Three on page 5 of this form, and • other people if they now live with your parents, your parents provide more than half of their support and your parents will continue to provide more than half of their support between July 1, 2015 and June 30, 2016.
How many people in your parents’ household will be college students between July 1, 2017 and June 30, 2018? Always count yourself as a college student. Do not include your parents. Do not include siblings who are in U.S. military service academies. You may include others only if they will attend, at least half-time in 2017-2018, a program that leads to a college degree or certificate.
What is the highest school parent 1 completed?
What is the highest school parent 2 completed?
Providing parent 1 information? You will need: Parent 1 (father/mother/stepparent) Social Security Number Parent 1 (father/mother/stepparent) name Parent 1 (father/mother/stepparent) date of birth
Providing parent 2 information? You will need: Parent 2 (father/mother/stepparent) Social Security Number Parent 2 (father/mother/stepparent) name Parent 2 (father/mother/stepparent) date of birth
Did your parents file or will they file a 2016 income tax return?
What was your parents’ adjusted gross income for 2017?
Skip this question if your parents did not file taxes. Adjusted gross income is on IRS Form 1040
Your answer
The following questions ask about earnings (wages, salaries, tips, etc.) in 2017. Answer the questions whether or not a tax return was filed. This information may be on the W-2 forms, or on the IRS Form 1040—Line 7 + 12 + 18 + Box 14 (Code A) of IRS Schedule K-1 (Form 1065); 1040A—line 7; or 1040EZ—line
1. How much did parent 1 (father/mother/stepparent) earn from working in 2014?
Your answer
The following questions ask about earnings (wages, salaries, tips, etc.) in 2017. Answer the questions whether or not a tax return was filed. This information may be on the W-2 forms, or on the IRS Form 1040—Line 7 + 12 + 18 + Box 14 (Code A) of IRS Schedule K-1 (Form 1065); 1040A—line 7; or 1040EZ—line
2. How much did parent 2 (father/mother/stepparent) earn from working in 2014?
Your answer
In 2016 or 2017, did anyone in your parents’ household receive: (Check all that apply.)
As of today, what is your parents’ total current balance of cash, savings and checking accounts?
Your answer
As of today, what is the net worth of your parents’ investments, including real estate? Don’t include the home in which your parents live. Net worth means current value minus debt.
Your answer
As of today, what is the net worth of your parents’ current businesses and/or investment farms? Don’t include a family farm or family business with 100 or fewer full-time or full-time equivalent employees.
Your answer
What amount can the Family afford to pay of the 22,600 Tuition? Payment plans are posted on website and must be paid in full. *
Your answer
Who will be paying for tuition? (Select All that apply) *
Required
Do you certify that you answered all the questions above correctly?
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