FINANCIAL ASSISTANCE APPLICATION

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At Heritage Christian Academy we value every one of our students and families.  For that reason, we strive to provide financial assistance where special circumstances or unexpected financial difficulties arise.  However, we cannot guarantee that all applicants will receive the assistance requested in full or in part.  Assistance is reviewed on an annual basis.  Families requesting assistance will need to reapply each year and can only receive assistance for 3 years of their time at HCA.

 

We recognize that financial assistance is a personal matter and the information on this application is confidential. 

                                                                      

PART 1 - PERSONAL INFORMATION - Confidential
Father, Stepfather, or Male Guardian







Mother, Stepmother, or Female Guardian














Student Information 
Please complete the following information for all of your dependent children:
Name Age Grade Name of current school # of years enrolled
Child 1
Child 2
Child 3
Child 4
Child 5

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PART 2 - BOND ASSISTANCE

Prior to reviewing the various payment and assistance options provided in regard to our bond assistance program, please review the following information and answer the question below:









PART 3 - CHRISTIAN EDUCATION FEE ASSISTANCE
2.1  Indicate the total fees due (not including the bond) by your family from the Fee Agreement you signed when re-registering:


2.2 Our approach to this program is to partner with you to find the resources that will allow you to provide your child(ren) exceptional Christian education at HCA and this includes an expectation that each family will contribute a fair portion of the cost of education at our school.  Please indicate:



2.3 In order to maximize the number of families we are able to assist, we have added the following option for existing families that request assistance.  For those families able to answer “yes," please know you are greatly increasing the amount of assistance funds available for others.


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PART 4 - PERSONAL STATEMENT


PART 5 - FINANCIAL INFORMATION
CURRENT MONTHLY INCOME:
Amount
Dad - Gross employment income
Mom - Gross employment income
Dependant's Income
Social Assistance
Child Support
Alimony
Unemployment Insurance
Other Income
TOTAL CURRENT MONTHLY INCOME

Total Amount
Mortgage Payment
Credit Card Debt
Personal Loans
Car Payments
Taxes (income & property)
Overdue Bills
Other Debt
TOTAL DEBT AMOUNT
PART 6 - SUBMISSION INSTRUCTIONS
Last year’s income tax assessment is required and must be attached in order for this application to be processedIf you do not have a copy of your Notice of Assessment in can be obtained by calling 1-800-959-8281.  We also require 3 recent and consecutive pay stubs of all adults working in the home.  If you are unable to provide these documents you will not be considered for Financial Assistance as your application will be considered incomplete.  Other documentation you may provide is a letter from your employer confirming income or T4’s.  If you have been recently laid off a copy of your ROE can be submitted rather than income verification documents and copies of your employment insurance pay stubs if received yet.  

PART 7 - ATTACHMENTS



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