Financial Aid Application Families interested in receiving Financial Aid for the 2021-22 School Year at St. Mary's High School must fill out this Financial Aid Application. Financial Aid Application Section 1 - Student InformationChild One - Last Name*First Name*M.I.Child Two - Last NameFirst NameM.I.Child Three - Last NameFirst NameM.I.Child One - Grade*Child Two - GradeChild Three - GradePhone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Student resides with*Father and MotherFather onlyMother onlyFather/StepmotherMother/StepfatherGuardiansSection 2 - Father/Stepfather InformationLast Name*First Name*M.I.Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employer*Occupation*Email* Work Status*EmployedUnemployedSelf EmployedRetiredStudentHomemakerDisabledSection 3 - Mother/Stepmother InformationLast Name*First Name*M.I.Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employer*Occupation*Email Work Status*EmployedUnemployedSelf EmployedRetiredStudentHomemakerDisabledSection 4 - Divorced, Separated, or Remarried Parents (If Applicable)Year of SeparationYear of DivorceWhen will support for the student endHow much does the other parent plan to contribute to the student’s education for the 2019-20 school yearIs there an agreement specifying this contribution for the student's education?*YesNoSection 5 - School Information for SiblingsName Age School or College Grade 2019-20 Tuition Paid 2020-21 Tuition (est.) Section 6 - Parents' 2019 IncomeComplete all applicable items (include stepparent if parent has remarried).Adjusted gross income for 2019 (found on IRS Form 1040-line 37) PLEASE INCLUDE (BELOW) EXPLANATION OF ANY SIGNIFICANT CHANGE IN INCOME FOR THE CURRENT YEAR OR FROM THE PRIOR YEAR*Income tax for 2019 (found on IRS Form 1040-line 63)*Amount earned from working in 2019. Please answer this question whether or not a tax return was filed for 2019 (found on W-2 Forms)*Payments to tax-deferred pension and savings plans (paid directly or withheld from earnings) as reported on the W-2 Form. Include untaxed portions of 401(k) and 403(b) plans.*Child support received for all children*Welfare benefits such as food stamps, rent subsidy, etc*Tax exempt interest income (found on IRS Form 1040-line 8b)*Tax exempt dividend income (found on IRS Form 1040-line 9b)*Social Security payments that were not taxed*Workers compensation, disability, unemployment, etc*Section 7 - Parents' 2019 ExpensesComplete all applicable items (include stepparent if parent has remarried).Monthly home mortgage or rental payment. If none, please explain*Monthly home equity paymentMonthly child support and or alimony paidAverage monthly home energy costs (gas, electric, oil, etc.)Annual amount of medical and dental expenses not covered by insuranceSection 8 - Parents' 2020 Expected IncomeIncome to be earned from father, stepfather*Income to be earned from mother, stepmother*Total of nontaxable income (social security, child support, welfare, etc.) to be received*Section 9 - Parents' and Students' Assets(include stepparent if parent has remarried).Total current balance of parent’s cash, savings, and checking accounts*Total current balance of student’s cash, savings, and checking accounts*Current net worth of investments (not including pension/retirement) ~ investment value includes market value of real estate (other than your house), trust funds, money market funds, mutual funds, certificates of deposit, stocks, bonds, other securities, commodities, etcCurrent value of balance in pension/retirement accountCurrent net worth of business (business value minus business debt)~ business value includes the market value of land, buildings, machinery, equipment and inventoryInformation for property owned HomePurchase price*Market value*Amount owed*Second ResidencePurchase priceMarket valueAmount owedVacation PropertyPurchase priceMarket valueAmount owedRental PropertyPurchase priceMarket valueAmount owedOptionalPlease include any additional information which further explains your financial situation I understand that this is an initial application for aid and that St. Mary's High School may contact me for additional information, including, but not limited to, corraborating documentation, and my application will not be considered complete until all documentation is received. I further understand that submitting this application does not guarantee an offer of admission or a financial aid award. Financial aid, if awarded, may be subject to requirements and limitations at the discretion of St. Mary's High School.Parent/Guardian Name*Date*EmailThis field is for validation purposes and should be left unchanged.
