2021-2022 Financial Aid Application All sections of the application must be completed including all financial information for both custodial and non-custodial parents or guardians to be considered for financial aid. Incomplete applications will be returned to the applicant. Step 1 of 4 25% Student Applicant InformationStudent AName:* First Middle Last Gender:*MaleFemaleBirthday:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000Social Security Number*Grade Applying For*3/4 Year Old RoomJunior KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeAdd a second student?*YesNoStudent BName:* First Middle Last Gender:*MaleFemaleBirthday:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000Social Security Number*Grade Applying For*3/4 Year Old RoomJunior KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeAdd a third student?*YesNoStudent CName:* First Middle Last Gender:*MaleFemaleBirthday:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000Social Security Number*Grade Applying For*3/4 Year Old RoomJunior KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade Parent or Guardian InformationParent or Guardian AName* First Last Email* Gender:*MaleFemaleCustodial Parent?*YesNoHome Address:* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone Number:Cell Phone:Social Security Number*Occupation*Employer*Years with Employer:*Type of Employment:*Full-timePart-timeRelationship to student:*ParentGrandparentLegal Guardian/Foster Parent (Please provide proof of guardianship)Step ParentOther Dependents Not Listed Above?*YesNoName of Dependent AAge of Dependent AName of Dependent BAge of Dependent BAdd another parent or guardian?*YesNoParent or Guardian BName* First Last Gender:*MaleFemaleCustodial Parent?*YesNoAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone Number:Cell Phone:Social Security Number*Occupation*Employer*Years with Employer:*Type of Employment:*Full-timePart-timeRelationship to student:*ParentGrandparentLegal Guardian/Foster Parent (Please provide proof of guardianship)Step ParentOther Dependents Not Listed Above:*YesNoDependent A NameDependent A AgeDependent B NameDependent B Age Monthly IncomeA copy of the 2018 federal income return and 2017 W-2 forms for both parents or guardians are required for consideration for financial aid and must be submitted with the application.Upload your 2019 federal income returns and 2020 W-2 forms for both parents or guardians. Drop files here or If you provide support for monthly income for only one parent, please provide explanation regarding the absence of the second parent:Do you receive financial assistance from the state?*YesNoPlease list any additional sources of funds that will be available to pay tuition:Monthly ExpensesParent AMonthly ExpensesRent Monthly Payment Mortgage Monthly PaymentMortgage Total Amount Owed Child Support Monthly Payment Tuition Monthly Payment (excluding City Academy)Tuition Total Amount Owed (excluding City Academy) Utilities Monthly Payment (gas, electric, water, sewer) Phone Bill Monthly Payment Insurance Monthly Payment Other Expenses:Monthly PaymentsAmount Owed Total Monthly Expenses (please add all monthly payments)Total Monthly Amount Owed (please add all total amounts owed)Are there monthly expenses for a second parent or guardian?*YesNoParent bMonthly ExpensesRent Monthly Payment Mortgage Monthly PaymentMortgage Total Amount Owed Child Support Monthly Payment Tuition Monthly Payment (excluding City Academy)Tuition Total Amount Owed (excluding City Academy) Utilities Monthly Payment (gas, electric, water, sewer) Phone Bill Monthly Payment Insurance Monthly Payment Other Expenses:Monthly PaymentsAmount Owed Total Monthly Expenses (please add all monthly payments)Total Monthly Amount Owed (please add all total amounts owed) Utilities Monthly Payment (gas, electric, water, sewer) AssetsDo you own or lease an automobile?*YesNoOwn or Lease?*OwnLeaseAutomobile A*Make and YearEstimated ValueLoan BalancePayment Amount Do you own or lease a second automobile?*YesNoOwn or Lease?*OwnLeaseAutomobile B*Make and YearEstimated ValueLoan BalancePayment Amount Do you own or lease a third automobile?*YesNoOwn or Lease?*OwnLeaseAutomobile C*Make and YearEstimated ValueLoan BalancePayment Amount Do you own real estate?*YesNoList*Property addressMarket valueMortgage balanceSecond mortgage balanceTotal mortgage paymentRental income Do you own other real estate?*YesNoList*Property addressMarket valueMortgage balanceSecond mortgage balanceTotal mortgage paymentRental income Do you own other real estate?*YesNoList*Property addressMarket valueMortgage balanceSecond mortgage balanceTotal mortgage paymentRental income Please list any other assets you own and describe them in detail:By marking the checkbox below, I hereby certify that the information on this form is true, correct and complete. I understand that if the information contained herein subsequently proves to be not true, correct or complete, it may cause financial aid granted to my child to be completely or partially revoked. Your Name* First Last CommentsThis field is for validation purposes and should be left unchanged.