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)
Your answer
Relationship to Students
Your answer
Employer / Occupation
Your answer
Name 2 (First, Middle, Last)
Your answer
Relationship to Students
Your answer
Employer / Occupation
Your answer
Primary Address (Street, City, State, Zip Code)
Your answer
Primary Phone (xxx) xxx-xxxx
Your answer
Secondary Phone (xxx) xxx-xxxx
Your answer
E-mail Address
Your answer
E-mail Address (Alternate)
Your answer
Employment Status (Disabled, Full Time, Part Time, Retired, Self Employed, Stay at Home, Student, Unemployed, etc.)
Your answer
Total Income (Total Adjusted Income from Federal Tax Returns)
Your answer
STUDENTS
Name(s) (First, Middle, Last)
Your answer
School(s) your child(ren) would like to attend
Your answer
Grade(s) your child(ren) will be in
Your answer
Tuition - Cost at each school
Your answer
Tuition - Total cost for all children
Your answer
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.
Your answer
List any grants, scholarships, or other tuition assistance your child has received in the past year (Source, Amount)
Your answer
List any grants, scholarships, or other tuition assistance your child expects to receive in the coming year (Source, Amount)
Your answer
PARISH QUESTIONS
Are you a registered Parishioner of Saint Bernadette?
Are you an active Parishioner of Saint Bernadette?
List any activities you participate in at Saint Bernadette.
Your answer
Describe any further information or extenuating circumstances you would like to be considered.
Your answer
The Pastor may contact you for further information.
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