Financial Aid Request

indicates a required answer

Thank you for completing our Financial Aid Request form. Please allow 30 days for processing.

*All financial aid recipients are required to submit up to 8 volunteer hours each month.
*On-site volunteers require a full background check

Family Information
1. *

First and Last Name:
2. *

Email Address:
3. *

Phone Number:
4. *

List the name of each enrolling student and their upcoming grade level:
5. *

Total Annual Membership Fees:
6. *

Total Financial Aid Requested (please note, we do not offer full scholarships):

Financial Information

Please provide financial information for 2024 and current 2025.
7. *

Total Yearly Income and Assets
8. *

Income from other sources:
9. *

Child Support:
10. *

Educational Subsidies from Goverment Agencies (ie: Opportunity Scholarship):
11. *

Number of Dependants: 
12. *

Signature:
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
13. *

Date:
14. 

Supporting Financial Documents (Tax Return or Pay Stubs): 

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