Financial Aid Eligibility Form

Financial Aid Eligibility Form

JR HAIR ACADEMY
Name

First NameLast Name
Date of Birth (MM/DD/YYYY):

MonthDayYear
Date
Social Security Number or ITIN (if applicable)
000-00-0000
Citizenship / Residency Status (check one):
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Program You’re Applying For (check one):
Marital Status:
Do you have children or other dependents who receive more than half of their supportfrom you?
Are you currently on active duty or a veteran of the U.S. Armed Forces?
Were you ever in foster care, a ward of the court, or legally emancipated before age 18?
Household Size (include yourself):
Number of Household Members in College (including yourself) for the upcoming year:
Did you file a federal tax return?
Adjusted Gross Income (AGI):
Total Wages, Salaries, Tips (W‑2 Box 1 total):
Other Taxable Income (e.g., interest, unemployment, business income):
Untaxed Income (e.g., child support received, disability, housing allowance):
Cash, Savings & Checking Balance (today):
Investments & Real Estate Equity (exclude primary residence):
Parent Tax‑Filer Status:
Parent Adjusted Gross Income:
Parent Wages & Salaries:
Other Parent Taxable Income:
Parent Untaxed Income:
Parent Cash, Savings & Checking Balance:
Parent Investments & Real Estate Equity:
Did your household experience a significant change since the last tax year?
Briefly explain any circumstance you’d like us to consider:
If you do not qualify for grant aid, would you like information on the in‑house payment plan?
Certification & Signature
I certify that the information provided is true and complete to the best of my knowledge. I understand it will be used solely to determine my eligibility for JR Hair Academy financial assistance.

Required Documentation (upload or attach)
‑ Most recent 1040 tax return OR non‑filer statement
‑ W‑2s or recent pay stubs (last two months)
‑ Any documents supporting special circumstances (e.g., layoff notice, medical bills)
Date

MonthDayYear
Date
Signature
Should be Empty: