Please note: All tuition costs and financial assistance awards are based on the information provided on this form. Please complete and return this form with your School Readiness application (even though you may not qualify for financial assistance).

All information is confidential and for office use only

Check the column that reflects your household size and income
If you do not qualify, please check the bottom box
Sign and date
Return form and application to the address

You will be notified of your tuition costs by mail

Your signature verifies that the information you have provided us is true and correct. Further documentation may be requested.

If your income or personal situation should change at any time, please notify our office right away.

If you have any questions or special circumstances, please do not hesitate to call our office at 507-934-4211 at Ext. 2017