SVCS-FinancialAid

1
Your Contact Information* This field is required.
First and Last Name
Phone Number
Email Address
2
To get the best estimate the following information will be needed:

Tax returns and W-2 forms for the most recent year

If employed; paystubs for the last 60 days

Records of untaxed income and benefits received

Mortgage or rent statements

Bank statements (summary pages) for the last 60 days
3
Household Information (Adults)* This field is required.Fill out a row for each ADULT (18+) in your household.
First & Last Name
Financial Status
Marital Status
Birth Year
State of Residence
Adult #1
Row 0, Column 0
Employed
Unemployed
Retired or Disabled
Row 0, Column 1
Married
Separated
Divorced
Remarried
Widowed
Never Married
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Adult #2
Row 1, Column 0
Employed
Unemployed
Retired or Disabled
Row 1, Column 1
Married
Separated
Divorced
Remarried
Widowed
Never Married
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Adult #3
Row 2, Column 0
Employed
Unemployed
Retired or Disabled
Row 2, Column 1
Married
Separated
Divorced
Remarried
Widowed
Never Married
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Adult #4
Row 3, Column 0
Employed
Unemployed
Retired or Disabled
Row 3, Column 1
Married
Separated
Divorced
Remarried
Widowed
Never Married
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Adult #1
Adult #2
Adult #3
Adult #4
First & Last Name
Row 0, Column 0
Financial Status
Employed
Unemployed
Retired or Disabled
Row 0, Column 1
Marital Status
Married
Separated
Divorced
Remarried
Widowed
Never Married
Row 0, Column 2
Birth Year
Row 0, Column 3
State of Residence
Row 0, Column 4
First & Last Name
Row 1, Column 0
Financial Status
Employed
Unemployed
Retired or Disabled
Row 1, Column 1
Marital Status
Married
Separated
Divorced
Remarried
Widowed
Never Married
Row 1, Column 2
Birth Year
Row 1, Column 3
State of Residence
Row 1, Column 4
First & Last Name
Row 2, Column 0
Financial Status
Employed
Unemployed
Retired or Disabled
Row 2, Column 1
Marital Status
Married
Separated
Divorced
Remarried
Widowed
Never Married
Row 2, Column 2
Birth Year
Row 2, Column 3
State of Residence
Row 2, Column 4
First & Last Name
Row 3, Column 0
Financial Status
Employed
Unemployed
Retired or Disabled
Row 3, Column 1
Marital Status
Married
Separated
Divorced
Remarried
Widowed
Never Married
Row 3, Column 2
Birth Year
Row 3, Column 3
State of Residence
Row 3, Column 4
1 of 4
4
Household Information (Children)* This field is required.Fill out a row for each CHILD (17 and under) in your household.
First & Last Name
In School?
GPA (if a student)
Child #1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Child #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Child #3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Child #4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Child #5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Child #6
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Child #7
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Child #1
Child #2
Child #3
Child #4
Child #5
Child #6
Child #7
First & Last Name
Row 0, Column 0
In School?
Row 0, Column 1
GPA (if a student)
Row 0, Column 2
First & Last Name
Row 1, Column 0
In School?
Row 1, Column 1
GPA (if a student)
Row 1, Column 2
First & Last Name
Row 2, Column 0
In School?
Row 2, Column 1
GPA (if a student)
Row 2, Column 2
First & Last Name
Row 3, Column 0
In School?
Row 3, Column 1
GPA (if a student)
Row 3, Column 2
First & Last Name
Row 4, Column 0
In School?
Row 4, Column 1
GPA (if a student)
Row 4, Column 2
First & Last Name
Row 5, Column 0
In School?
Row 5, Column 1
GPA (if a student)
Row 5, Column 2
First & Last Name
Row 6, Column 0
In School?
Row 6, Column 1
GPA (if a student)
Row 6, Column 2
1 of 7
5
Parent/Guardian Taxed Income* This field is required.Enter "0" if question does not apply.
Combined Adjusted Gross Income (AGI)
Total Work Income (Parent #1)
Total Work Income (Parent #2)
Interest & Dividend Income
Educational Tax Credits
6
Parent/Guardian Untaxed Income* This field is required.The answer to this question is the total of the following items made or received: Deductible retirement payments made (IRS Form 1040 Schedule 1, lines 15 and 19) Payments made to tax-deferred pension plans Child support received for all children (not amounts paid) Untaxed portions of IRA distributions or pensions, excluding “rollovers” received (IRS Form 1040, lines 4a minus 4b, and 4c minus 4d) Tax-exempt interest income received (IRS Form 1040, line 2a) Health savings account (HSA) deduction (IRS Form 1040 Schedule 1, line 12) Housing, food, and other living allowances received, including on-base housing or basic military housing allowances Veterans non-education benefits such as Disability, Death pension, or DIC and VA Educational Work-Study allowances All other untaxed income not reported elsewhere in this calculator
Enter "0" if question does not apply.
7
Total Cash, Savings, and Checking * This field is required.Enter the amount you have in cash, savings, and checking accounts, as of today.
8
Do you own your home?* This field is required.
YESNO
9
Please provide the following:* This field is required.
Current Value of Home -Don't use assessed, insured, or tax value.
Amount Owed on Home - Don't include interest, escrow, insurance, fees, or taxes.
Original Purchase Price or Value of Home (when received, if inherited).
Year Home was Purchased or Inherited
10
Value of Investments* This field is required.Do not include your home, business(es), farm(s), or other real estate or property, or the value of your retirement plans (pension funds, annuities, IRAs, SEP plans, etc.). Include funds in 529 prepaid tuition or college savings plans or Coverdell education savings accounts. (If your children have a 529 plan as part of a Uniform Gift to Minors Act (UGMA) account or Uniform Transfer to Minors Act (UTMA) account, it is considered an asset of the UGMA/UTMA owner (your child's), and should not be reported here.) If your parents own these investments with someone else, give only their share of the investments.
11
Does a parent/guardian own a business?* This field is required.
YESNO
12
Please provide the following:* This field is required.
Please Select
Please Select
Yes
No
Does the business employ more than 100 full-time-equivalent employees?
Current Value (of your share) of the Business(es); including land, buildings, machinery, equipment, inventory, etc.
Debt Owed (your share) on Business(es). Include only the present mortgage & related debts for which the business(es) were used as collateral.
13
Does a parent/guardian own a farm?* This field is required.
YESNO
14
Please provide the following:* This field is required.
Please Select
Please Select
Yes
No
Does a parent/guardian live on the farm as their main residence and participate in the farm's operation?
Current Value (of your share) of the Farm(s); including land, buildings, machinery, equipment, livestock, inventory, etc.
Debt Owed (your share) on Farm(s) . Include only the present mortgage & related debts for which the farm(s) were used as collateral.
15
What amount can you commit towards tuition each month?* This field is required.
16
Student Sponsorships* This field is required.You will be provided with our Sponsorship Commitment Form to give to your family, friends, church, and/or others in addition to other resources to help you meet this requirement.
I understand and agree, that I will be required to obtain Sponsors to cover any remaining cost of tuition for my student(s) in order to qualify for financial aid.
I understand that I am ultimately responsible for the costs of tuition, fees, and/or other charges for my student(s).
17
I authorize Spring Vale Christian School and its representatives to discuss my financial information with others who may be willing to provide aid to satisfy my financial obligation to Spring Vale Christian School for my student(s).* This field is required.
18
Please upload copies of the following proofs/documentation for each parent/guardian or email to asandy@springvale.us* This field is required.-Tax returns and W-2 forms for the most recent year -If employed; paystubs for the last 60 days -Records of untaxed income and benefits received -Mortgage (most current) OR rent statements (last 60 days) -Bank statements (summary pages: showing name with beginning & ending balances) for the last 60 days
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