Faith Development Tuition Assistance Form

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St. John Nepomucene Catholic Community
School Year 2021-2022

In order to receive tuition assistance from St. John Nepomucene Catholic Community, please fill out the following information. You will need to submit this along with your registration.

No family will be denied enrollment in the Faith Development program because of inability to pay.

The parish will take reasonable care to see that the following information will be held in confidence.

Please note: If any questions are left unanswered, it may lessen or disqualify you receiving tuition assistance.

Parent/Guardian's Last Name *

Parent/Guardian's First Name *

Parent/Guardian's Email *

Parent/Guardian's Phone Number *

Parent/Guardian's Home Address *

Are you a member of St. John Nepomucene Catholic Community? *

Yes

How many children will you enroll in the Faith Development Program this year? *

Based on the $135 tuition per student, with a $400 family cap, how much will you be able to pay? *

Why are you requesting assistance? Please list any medical, financial or other reasons that may have relevance. Give us as much information as possible to aid us in our determination. *

I hereby warrant that to the best of my knowledge that the information I have provided is true to the best of my knowledge. *

Electronic Parent/Guardian Signature

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