Scholarship Application

Please complete all of the questions below. You will also need to send us your most recent Federal Income Tax return. If you live outside of the U.S.A., send information that shows your income from the past year.

Parent Name(s)

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Day Phone

Evening Phone

Children enrolled (or to be enrolled)

Name

Grade

Name

Grade

Please state your marital status, family composition, and number of dependents.

Please describe your employment situation and other sources of financial support.

Please list your significant assets and include the amounts (savings, stocks, real estate, etc.).

Based on the school’s tuition rates, how much assistance are you seeking?

The information submitted above, which is true and complete to the best of my/our knowledge, is in support of my/our application to the Living Wisdom School for tuition adjustment. We understand that the school will treat the information we have supplied confidentially, and I / we agree to hold confidential the exact details of any tuition adjustment agreed upon.

Signature (1)

Signature (2)

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