Saint Bernadette Application for Catholic School Financial Aid
This form should be completed by Saint Bernadette parishioners for consideration to receive financial aid for tuition costs in local Catholic grade schools and Catholic high schools.
APPLICANT (Parents)
Name 1 (First, Middle, Last)
Relationship to Students
Employer / Occupation
Name 2 (First, Middle, Last)
Relationship to Students
Employer / Occupation
Primary Address (Street, City, State, Zip Code)
Primary Phone (xxx) xxx-xxxx
Secondary Phone (xxx) xxx-xxxx
E-mail Address
E-mail Address (Alternate)
Employment Status (Disabled, Full Time, Part Time, Retired, Self Employed, Stay at Home, Student, Unemployed, etc.)
Total Income (Total Adjusted Income from Federal Tax Returns)
STUDENTS
Name(s) (First, Middle, Last)
School(s) your child(ren) would like to attend
Grade(s) your child(ren) will be in
Tuition - Cost at each school
Tuition - Total cost for all children
Annual tuition support from this child's non-custodial parent as a result of legal separation, divorce or paternity proceeding. Do not include child support payments.
List any grants, scholarships, or other tuition assistance your child has received in the past year (Source, Amount)
List any grants, scholarships, or other tuition assistance your child expects to receive in the coming year (Source, Amount)
PARISH QUESTIONS
Are you a registered Parishioner of Saint Bernadette?
Clear selection
Are you an active Parishioner of Saint Bernadette?
Clear selection
List any activities you participate in at Saint Bernadette.
Describe any further information or extenuating circumstances you would like to be considered.
The Pastor may contact you for further information.
Submit
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