Scholarship Application

Scholarship Application

2023-2024
Even though The Liberty School's tuition is far less than comparable programs in other parts of the country, The Liberty School Board of Directors has expended tremendous effort to make financial aid available for qualifying families. Their diverse efforts include planning fundraising events, robust grant-writing, personal contributions, and various other forms of solicitation. Our desire is that no child be denied the opportunity to attend The Liberty School because of a lack of funds.

Additionally, we are thrilled to have recently become a partner school with ACE Scholarships. While Liberty will continue to raise funds to offer our own scholarships, ACE has the potential to augment any support our families may receive. We are requiring our applicants to also apply for an ACE Scholarship if they would like to be considered for a Liberty Scholarship. As with our own scholarships, ACE makes determinations based on family income. The deadline for this year’s applications is April 18th. To apply, please click the following link www.acescholarships.org/become-a-scholar.

Liberty School Scholarship Policy and Procedure Summary
- Scholarship awards are contingent on reasonable attendance
- Families seeking a Board Scholarship should submit an application and a copy of their most recent IRS Form1040 and any other relevant financial information
- The school Scholarship Committee will review all applications and create an anonymous recommendation list of scholarship award recommendations for Board discussion, modification, and formal approval
- Recommendations are based both upon the funds available and the level of financial need by policy, scholarship awards cannot exceed 50% of total tuition
- With an eye toward sustainability, no more than 20% of projected gross tuition revenue shall be awarded as scholarships
The deadline to apply for a scholarship is April 28th, 2023. Scholarship notifications will be communicated on May 12th, 2023.

Student Information
Student Name*

First NameLast Name
Student lives with: (Check all that apply.)

MotherFatherStep-MotherStep-FatherOther
Number of Dependents*
Note: Dependents are either a qualifying child or qualifying relative of the taxpayer. The taxpayer's spouse cannot be claimed as a dependent. Some examples of dependents include a child, stepchild, brother,sister, or parent.

Parent/Guardian Information
Parent/Guardian #1*

First NameLast Name
Primary Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation*
Title*
Employer Name*
Business Phone Number*
Note: All parents must be represented on this application. The only time you would not fill out this section is in the event that absent parent who has legally lost his/her parental rights.
Parent/Guardian #2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation
Title
Employer Name
Business Phone Number

Parent/Guardian Financial Information
Total Taxable Household Income Before Deductions*
Total Taxable Household Income After Deductions*
Total Nontaxable Income*
Approximate Value of All Other Assets*
Total Yearly Expenses*
Parent/Guardian #2 Living Outside of Primary Household

(Please fill this section out in the event that both parents/guardians do not reside in the same household.)
Parent/Guardian #2 Living Outside of Primary Household

First NameLast Name
Total Taxable Income After Deductions
Total Nontaxable Income
Approximate Value of All Other Assets
Total Yearly Expenses
Total Amount of Educational Expenses, Including Applicant and Siblings

Scholarship Needs Information
Please Indicate the Amount of Scholarship Aid You Feel You Need in Order to Attend.*
Are There Other Resources You Can Approach to Help Pay Tuition, Such as Grandparents, Relatives, or Matching Grants?*
Write a Brief Statement Explaining Why You Are Applying for Scholarship Aid. Include Any Unique Circumstances You Feel Will Help the Scholarship Committee to Determine the Merit of Your Request.*

Signature(s)
Parent/Guardian Signature(s) I have agreed to submit this application by electronic means. By signing this application electronically, I certify unde penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
Parent/Guardian #1*

First NameLast Name
Parent/Guardian #1 Signature*

Clear
Date*

MonthDayYear
Parent/Guardian #2 Name (Both parent/guardians must sign application if income information is provided above.)

First NameLast Name
Parent/Guardian #2 Signature

Clear
Date

MonthDayYear

Document Uploads
Please upload your most recent IRS Return Form 1040, along with any other documents you'd like to share with us.

Note: Your forms are served across a protected, 256-bit Secure Sockets Layer (SSL) connection. Submissions are transferred and stored after being encrypted with the RSA-2048 key at the user's internet browser.

Alternatively, you can hand deliver your tax form and other documents to The Liberty School.

Failure to submit the required tax documentation by the application due date will disqualify you being considered for a scholarship.
Recent IRS Return 1040 Form & Other Documents Upload*

Cancelof
Should be Empty:

Scholarship Application

Student Information

Parent/Guardian Information

Parent/Guardian Financial Information

Parent/Guardian #2 Living Outside of Primary Household

Scholarship Needs Information

Signature(s)

Document Uploads