Freistatt Missouri

Trinity Lutheran School

218 North Main Street, Freistatt, MO 65654   Phone:  417-235-5931  email:  tls@mo-net.com  

Application for Tuition Assistance “ Return by June 1, 2014 or December 1, 2014

 

TO APPLY:                                                                   WHEN ACCEPTED:

 

 Fill out this form completely.  If you have questions, please contact the school principal.

 You may be requested to submit additional information.

 

 When you are notified of the Scholarship Committee's decision, the offer will be valid for 10 days.  

 Complete and return a revised Financial Contract signifying your acceptance of the offer.

 

 

STUDENT INFORMATION

 

_______________________________      ____________________________        _____________________________

Student's Legal Surname                                                           First Name                                                                         Middle

 

YOUR INFORMATION

Name(s)   _______________________________________________________________________________________

Address _________________________________________________________________________________________

City ___________________________  State _______________  Zip ___________  Phone______________________

Employment _________________________________________ Position ____________________________________

Church Membership_______________________________________________________________________________

Relationship to Student:     Parent                    Step-Parent            Grandparent           Guardian               Other

 

REASON FOR ATTENDANCE

Briefly state the reason(s) why you wish your child to attend Trinity Lutheran.

________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

 

REASON FOR ASSISTANCE

Indicate any unusual or extenuating circumstance that illustrates your need for tuition assistance.

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________

REFERENCES

List the names and phone numbers of at least two people who can verify your need for tuition assistance.

Name #1__________________________________________          Phone __________________________

Name #2__________________________________________          Phone __________________________

 

TAX RECORDS

Attach a signed copy of your most recent IRS Form 1040.

 

POLICY OF NON-DISCRIMINATION

 

Trinity Lutheran School admits students of any race, color, sex, or national/ethnic origin to all the rights, privileges, programs and activities accorded or made available to students at the school. It does not discriminate on the basis of race, color, sex, and national/ethnic origin in administration of its educational policies and other school programs. 9/19/2

 

 

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