Mt. Erie Application for Need-Based Scholarships
Mt. Erie offers scholarships based on family financial need and availability of funds. Families must re-apply annually for financial assistance.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Program for the 2019-2020 School Year
Mailing Address *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Guardian's Email Address *
Your answer
How many children are enrolling in Mt. Erie Christian Academy? *
Your answer
List Additional Students Attending MECA *
Your answer
Financial Information
Father's Full Name
Your answer
Father's Occupation
Your answer
Approximate Annual Income (If no income, enter 0) *
Your answer
Mother's Full Name
Your answer
Mother's Occupation
Your answer
Approximate Annual Income (If no income, enter 0) *
Your answer
Number of Dependent children in household? *
Your answer
Number of Children Attending a fee based childcare or education program? *
Your answer
Total # of people in household? *
Your answer
Total Annual household income? *
Your answer
Maximum monthly able to contribute to the cost of the program? *
Your answer
Please provide a statement describing your financial situation, any special circumstances, and your reasons for applying for this financial assistance (i.e. any temporary financial difficulties, family expenses, military, major illnesses, desire to attend Christian school, etc.) *
Your answer
Ceritifcation *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service