Tuition Assistance Application English
To apply for tuition assistance from Our Lady Star of the Sea Regional School, please
provide the following information:
1. Completed scholarship/assistance application. (Only ONE per family – attached)
2. Copies of tax returns for 2014 and 2015 if applicable. If self-employed also
Include copies of business tax returns for 2013 and 2014.
3. A copy of a recent paystub from each job held in the household.
Assistance filling out the application or making copies of the necessary documents is available by appointment.Every family must be registered with FACTS in order to qualify for tuition assistance funds and once granted all assistance received must be kept confidential or assistance
will be revoked.
NOTE: This takes the place of the FACTS assistance application. All determinations will take place in-house in order to allow families to understand their financial obligation
before the school year begins.
Our Lady Star of the Sea Regional School is committed to making Catholic Education available and affordable to all who desire this opportunity and rely on each family to match this commitment and submit information that is accurate.
|Our Lady Star of the Sea Regional School|
|2016-2017 Tuition Assistance Application|
|Application Deadline: May 2, 2016|
|Size of Household:||Adults||Children|
|Father's Name||Mother's Name|
|Mailing Address||Mailing Address|
|Email Address||Email Address|
|Home Phone||Cell Phone||Work Phone||Home Phone||Cell Phone||Work Phone|
|How do you prefer we contact you? (circle one) Home Phone - Father's cell - Father's Work - Mother's cell - Mother's Work|
|Employer/Position Held||How Long||Mo. Income||Employer/Position Held||How Long||Mo. Income|
|Second Job||How Long||Mo. Income||Second Job||How Long||Mo. Income|
|Other income (Social Security, Child Support, Alimoney, Rental||Other income (Social Security, Child Support, Alimoney, Rental|
|Income, Food Stamps, Welfare Assistance, Etc.||Income, Food Stamps, Welfare Assistance, Etc.|
|We (circle one) Own Rent our home. Monthly Pymt $||How much can you afford to pay?|
|Ethnicity: (to be filled in by parent)|
|Race: African-American Asian Native American Pacific Islands Caucasian Multi-racial|
|Assets / Liabilities|
|Cash/Savings||$||Real Estate Loans||$||$|
|Retirement Funds||$||Student Loans||$||$|
|Real Estate||$||Credit Cards||$||$|
|TOTAL ASSETS||$||TOTAL LIABILITIES||$||$|
|Please provide any other information you would like the Scholarship Committee to consider:|