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Academic Performance     

1.     6.
2.     7.
3.     8.
4.     9.
5.     10.

Future Academic Plans I will be attending:  

 Name of InstitutionIntended Major 

Family Information
 Full NameEmployer

Please indicate where your parents' adjusted gross income from the previous year's federal tax form would fall.

below $25,000     $25,000-$50,000     $50,000-$100,000    
$100,000-$150,000     $150,000 and

How many total family members will be attending college/technical college next year?

Explain any unusual circumstances or family hardships that indicate financial need:

How do you expect to finance your education? (Loans, grants, scholarships, savings, etc.)

Yes No

Authentication:  I certify that all information provided is correct.   Information found to be falsified will render this application void.

Student's SignatureDate


The Board is committed to providing an equal educational opportunity for all students in the District.

The Board does not discriminate on the basis of race, color, religion, national origin, ancestry, creed, pregnancy, marital status, parental status, sexual orientation, sex, (including transgender status, change of sex or gender identity), or physical, mental, emotional, or learning disability ("Protected Classes") in any of its student program and activities (including vocational/technical & career education programs). This policy is intended to support and promote nondiscriminatory practices in all District and school activities and equipment, access to such facilities and equipment, and related matters.