Financial Aid Application Families interested in receiving Financial Aid for the 2022-23 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 Name First Name M.I. Child Three - Last Name First Name M.I. Child One - Grade* Child Two - Grade Child Three - Grade Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Student resides with* Father and Mother Father only Mother only Father/Stepmother Mother/Stepfather Guardians Section 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* Employed Unemployed Self Employed Retired Student Homemaker Disabled Section 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* Employed Unemployed Self Employed Retired Student Homemaker Disabled Section 4 - Divorced, Separated, or Remarried Parents (If Applicable)Year of Separation Year of Divorce When will support for the student end How much does the other parent plan to contribute to the student’s education for the 2021-22 school year Is there an agreement specifying this contribution for the student's education?* Yes No Section 5 - School Information for SiblingsName Age School or College Grade 2021-22 Tuition Paid 2022-23 Tuition (est.) Section 6 - Parents' 2021 IncomeComplete all applicable items (include stepparent if parent has remarried).Adjusted gross income for 2021. PLEASE INCLUDE (BELOW) EXPLANATION OF ANY SIGNIFICANT CHANGE IN INCOME FOR THE CURRENT YEAR OR FROM THE PRIOR YEAR* Income tax for 2021* Amount earned from working in 2021. Please answer this question whether or not a tax return was filed for 2021 (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* Tax exempt dividend income* Social Security payments that were not taxed* Workers compensation, disability, unemployment, etc* Section 7 - Parents' 2021 ExpensesComplete all applicable items (include stepparent if parent has remarried).Monthly home mortgage or rental payment. If none, please explain* Monthly home equity payment Monthly child support and or alimony paid Average monthly home energy costs (gas, electric, oil, etc.) Annual amount of medical and dental expenses not covered by insurance Section 8 - Parents' 2022 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, etc Current value of balance in pension/retirement account Current net worth of business (business value minus business debt)~ business value includes the market value of land, buildings, machinery, equipment and inventory Information for property owned HomePurchase price* Market value* Amount owed* Second ResidencePurchase price Market value Amount owed Vacation PropertyPurchase price Market value Amount owed Rental PropertyPurchase price Market value Amount owed OptionalPlease 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* CommentsThis field is for validation purposes and should be left unchanged.
