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Financial Aid
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Scholarship Application Form
ST. AGNES SCHOOL
205 E. 23RD St.
Scottsbluff, NE 69361
(308) 632-6918
INSTRUCTIONS FOR COMPLETING YOUR TUITION ASSISTANCE FORM
1. Applications that are incomplete cannot be processed. Therefore, be sure to complete all information. Do not leave any items blank.
2. Dependent Information: List the name and age of all children living in your household, including any who may be attending college. List the grade each child will be enrolled in beginning next school term (Fall 2020) and the school they plan to attend.
3. Household Income: List your income from all sources for calendar year 2019. A copy of your 2019 Federal Income Tax return must be included with your completed application.
4. Use the last page of the application to give a detailed explanation regarding your need for financial assistance, including information about expenses or circumstances that might be considered unusual or extraordinary.
5. Application Deadline: Return the completed application form as soon as possible but no later the last day of school of the current year to the address below:
Please return to: Budget and Finance Committee
St. Agnes School
205 E. 23rd St.
Scottsbluff, NE 69361
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