Tuition Assistance Form

Please fill out the secure form below. If you have any questions please contact us here.

** Be sure to drop off your Federal and State tax returns at St. Mary's Episcopal School after submitting this form.

Is this a new application or a renewal?(Required)

New Application

Renewal

Name of Student(Required)

First Last

Date of Birth(Required)

Which class is this for?(Required)

Student's Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Father's Name

First Last

Mother's Name

First Last

Do you have any other dependents?(Required)

Yes

If so, please list your other dependent children that are in school or college:

Name of Child	School or College	Amount of tuition paid by parent	Amount of aid received by parent	Actions

There are no Entries.

In the case of other dependents living outside your home, please indicate approximate amount of financial assistance you give each year.

Aside from your family obligations, do you have any commitments which should be considered in order to obtain a fair estimate of your financial situation (mortgage payments, for example)?(Required)

Yes

Please give details of these:

Father's Business, Firm or Employer(Required)

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Father's Earned Income(Required)

Father's Additional Annual Income (interest, etc.)

Mother's Business, Firm or Employer(Required)

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Mother's Earned Income(Required)

Mother's Additional Annual Income (interest, etc.)

Are there any other funds that might be applied to the candidate's education, such as legacies, gifts, educational insurance, aid from relatives, friends, or organizations?(Required)

Yes

Please give the details

In view of the financial circumstances outlined above, what is the minimum grant you need in order to meet all school charges?(Required)

List all personal property you own (include vehicles and real estate)

The school welcomes any further statement you may care to make which may aid it in determining the amount of financial assistance that is appropriate for the school to grant.

(If any of your answers to questions on this application form seem to you to be likely to give a false impression, feel free to clarify the situation).

Signature(Required)

Date(Required)