Financial Aid Application

Child Information

Child's Name*

First Last

Child's Date of Birth*

Name*

First Last

Relationship to Child*

Address*

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

Email*

Phone

Hope Lutheran Church Status*

Others Living In Your Home*

Please list name, age, relationship to child, and employment status

What is the combined yearly income of the adults living in your home?*

What is your total monthly child support, alimony, or other income.*

What is your total monthly debt, including credit card, auto loans, medical bills, and any other loan payments?*

What is your rent or house payment?*

Comments

Please describe any additional information Hope Academy needs to know to better understand your financial need.

CAPTCHA