Our Lady of the Assumption School Application for Tuition Assistance ...
Our Lady of the Assumption School Application for Tuition Assistance 2017-2018 School Year This application must be completed in addition to going on to FACTS Management and filling out an application for tuition assistance on their site: www.factstuitionaid.com Date of Application:
FAMILY INFORMATION Father’s Name: Father’s Home Address: Father’s Home Phone:( Father’s Employer: Father’s Work Phone:(
)
Father’s Cell Phone:( Father’s Occupation: Father’s Email:
)
)
YES
Mother’s Name: Mother’s Home Address: Mother’s Home Phone:( Mother’s Employer: Mother’s Work Phone:(
) )
Mother’s Cell Phone:( Mother’s Occupation: Mother’s Email:
NO
)
What is your status? Single Parent Family Two Parent Family Please list below all of your children. If they are not in school please put N/A next to school. If they attend a preschool, school or college other than OLA, please indicate. Child Name:
Grade:
School:
Child Name:
Grade:
School:
Child Name:
Grade:
School:
Child Name:
Grade:
School:
1. Is your family officially registered at Our Lady of the Assumption Parish? YES
NO
YES
NO
2. Does your family attend Mass as a parishioner at OLA Church on a weekly basis? 3. If you currently have a child at OLA, have you fulfilled your service hour requirement for the 2016-2017 school year? Yes No
4. Do you have any overdue or unpaid tuition balances or fees currently for the 2016-2017 school year? Yes No If yes, please explain.
5. Will you have (or do you hope to have) any other child(ren) attending a tuition-charging school (independent, parochial, college, university, etc.) NOT including Our Lady of the Assumption School for the 2017-2018 school year? Yes No If so, please provide the following for each dependent: 1) Dependent Name and Grade (School Name) 2) Tuition liability your family has for this dependent for the current school year 3) Financial aid received for this dependent for the 2016-2017 school year. Please estimate if not known.
6. Please check off any special circumstances: Your household is expecting another child this year You are in the process of a divorce or separation. There has been a recent death in the household. A household member has been recently diagnosed as severely ill. A household member has a problem (addictions, mental illness, etc.) that is causing financial stress for the family. A parent/guardian is widowed. Other: If there are any special circumstances you would like to explain, please do so below.
7. Please list your previous year family trips and vacations (not business related) and cost:
FAMILY INFORMATION Father’s Name: Father’s Home Address: Father’s Home Phone:( Father’s Employer: Father’s Work Phone:(
)
Father’s Cell Phone:( Father’s Occupation: Father’s Email:
)
)
YES
Mother’s Name: Mother’s Home Address: Mother’s Home Phone:( Mother’s Employer: Mother’s Work Phone:(
) )
Mother’s Cell Phone:( Mother’s Occupation: Mother’s Email:
NO
)
What is your status? Single Parent Family Two Parent Family Please list below all of your children. If they are not in school please put N/A next to school. If they attend a preschool, school or college other than OLA, please indicate. Child Name:
Grade:
School:
Child Name:
Grade:
School:
Child Name:
Grade:
School:
Child Name:
Grade:
School:
1. Is your family officially registered at Our Lady of the Assumption Parish? YES
NO
YES
NO
2. Does your family attend Mass as a parishioner at OLA Church on a weekly basis? 3. If you currently have a child at OLA, have you fulfilled your service hour requirement for the 2016-2017 school year? Yes No
4. Do you have any overdue or unpaid tuition balances or fees currently for the 2016-2017 school year? Yes No If yes, please explain.
5. Will you have (or do you hope to have) any other child(ren) attending a tuition-charging school (independent, parochial, college, university, etc.) NOT including Our Lady of the Assumption School for the 2017-2018 school year? Yes No If so, please provide the following for each dependent: 1) Dependent Name and Grade (School Name) 2) Tuition liability your family has for this dependent for the current school year 3) Financial aid received for this dependent for the 2016-2017 school year. Please estimate if not known.
6. Please check off any special circumstances: Your household is expecting another child this year You are in the process of a divorce or separation. There has been a recent death in the household. A household member has been recently diagnosed as severely ill. A household member has a problem (addictions, mental illness, etc.) that is causing financial stress for the family. A parent/guardian is widowed. Other: If there are any special circumstances you would like to explain, please do so below.
7. Please list your previous year family trips and vacations (not business related) and cost:
