Little Cypress Christian Academy Scholarship Application
Please complete the following application form and provide all necessary documents. Incomplete applications may not be considered. The information provided will be kept confidential and used solely for scholarship evaluation purposes.
Student's Full Name:
*
First Name
Last Name
Grade Level Applying For:
*
Date of Birth:
*
-
Month
-
Day
Year
Date
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/ Guardian's Name:
*
First Name
Last Name
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Is the student a returning student or a new applicant? (select one)
*
Returning Student
New Student
Family and Financial Information
Number of Dependents in Household
*
Total Household Income (annual)
*
Parent/ Guardian 1:
Employer
*
Job Title
*
Monthly Income
*
Parent/ Guardian 2:
Employer
Job Title
Monthly Income
Additional Sources of Income (e.g., alimony, social security)
Have you applied for or received any other financial assistance for education this year?
*
Yes
No
If yes, please specify:
Heading
Please attach the following doucments:
Most recent tax returns
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Proof of income (e.g., pay stubs)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Any additional supporting documents related to financial need
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Essay Questions:
1. Describe why you would like your child to attend Little Cypress Christian Academy and how you believe it will impact them spiritually and academically.
*
2. Explain your current financial circumstances and why receiving a scholarship is essential for your family.
*
3. In what ways do you and your family demonstrate Christian values and actively participate in your faith?
*
Additional Information:
4. Has the student received any awards, honors, or recognitions?
*
Yes
No
If yes, please list and describe briefly:
How much can your family afford to pay yearly for private education?
Is there anything else you would like us to know regarding your family's financial situation or your child's educational needs?
Certification and Signature
By signing below, I certify that all the information provided in this application is true and accurate to the best of my knowledge. I understand that false information may disqualify my child from scholarship consideration.
Parent/Guardian Signature:
*
Date:
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: