Financial Aid Application

Financial Aid Application

2025-2026
Directions:

Please complete the Financial Aid Application, and submit it online. Other documentation required for the application needs to be submitted to our school office or emailed to Admissions@hcablazers.org: (A) copy of a state issued identification (driver's license); AND (B) copy of proof of income (1040 or W-9). Once all documentation required is submitted, you will be notified of the status of your financial aid application within five business days.
Parent/Guardian Information
Parent/Guardian Name #1*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Work Phone Number*
Please enter a valid phone number.
Place of Employment*
Parent/Guardian #1- Marital Status*

SingleMarriedDivorcedWidowedSeparated
Parent/Guardian Name #2

First NameLast Name
Home Address:

Same as aboveAddress below
Home Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Place of Employment
Parent/Guardian #2- Marital Status

SingleMarriedDivorcedWidowedSeparated
Family Information

Please submit all information for financial consideration.
Number of children:*
Number of children who are currently your dependents:*
Number of children who live with you fulltime:*
Number of children who attend HCA:*
Church currently attending:*
Why do you want your child to attend HCA?*
Other Circumstances

In the space below, please describe any other reasons or circumstances (past, present, or future) that you feel increase your qualification and/or need for financial assistance. (e.g., family circumstances, academic standing, ministry or other responsibilities; etc.).
Reason or Circumstance:*
Student Information
Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Number of years child has been at HCA (enter number or type "New" in the blank):*
Is this financial aid application for multiple children?*

YesNo
If yes, please list other children, first and last name, and their incoming grade level:*
EXAMPLE: Jane Doe (6th), John Doe (1st). This should only be done if school application already submitted.
GENERAL FINANCIAL INFORMATION: INCOME

Fill out the corresponding sections that best describes your situation.
Gross Wages of Parent/Guardian #1*
Type "N/A" if does not apply. Specify if amount is monthly or annually.
Gross Wages of Parent/Guardian #2*
Type "N/A" if does not apply. Specify if amount is monthly or annually.
Rental Income of Parent #1*
Type "N/A" if does not apply.
Rental Income of Parent #2*
Type "N/A" if does not apply.
Pension income of Parent #1*
Type "N/A if does not apply.
Pension income of Parent #2*
Type "N/A if does not apply.
Government Assistance of Parent #1*
Type "N/A if does not apply.
Government Assistance of Parent #2*
Type "N/A if does not apply.
Child Support Income of Parent #1*
Type "N/A if does not apply.
Child Support Income of Parent #2*
Type "N/A if does not apply.
Do you receive income from any other source(s), (alimony, trusts)?*

YesNo
What is the total of support/other income you receive per month?*
Do you have any other income sources: interests, dividends, scholarships, grants, other?*

YesNo
What is the total of support/other income you receive per month?*
Do you have anyone else living on your premises who provides money to pay expenses to the household?*

YesNo
If answered "Yes", please provide name and amount contributed (person 1):*
EXAMPLE: John Doe- $250.00 monthly or "N/A" if does not apply)
If answered "Yes", please provide name and amount contributed (person 2):*
EXAMPLE: John Doe- $250.00 monthly or "N/A" if does not apply)
EXPENSES

Please complete all information for financial aid consideration. Fill in the monthly amount that you pay for each bill listed.
Do you own or rent your home?*

OWNRENT
Monthly rent or mortgage amount:*
Type "N/A" if does not apply.
Car Note:*
Type "N/A" if does not apply.
Electricity & Gas*
Type "N/A" if does not apply.
Water & Sewage*
Type "N/A" if does not apply.
Car Insurance*
Type "N/A" if does not apply.
Health Insurance*
Type "N/A" if does not apply.
Child Support*
Type "N/A" if does not apply.
Phone Service (cell, landline, etc)*
Type "N/A" if does not apply.
Cable or Satellite Provider*
Type "N/A" if does not apply.
HCA tuition (monthly amount without financial assistance):*
Type "N/A" if does not apply.
Childcare for infants and toddlers in the home:*
Type "N/A" if does not apply.
Credit card(s):*
If more than one card balance, please enter the sum of all cards (EX: Card A - $45, Card B- $60, please enter $105 in the space above). Type "N/A" if does not apply.
Loan(s):*
If more than one loan please enter the sum of all cards (EX: LOAN A - $45, LOAN B- $60, please enter $105 in the space above). Type "N/A" if does not apply.
Conditions Upon Acceptance
You must provide the following documentation to the school, Hosanna Christian Academy, for consideration of this application:
- Copy of state-issued identification (driver's license)
- Proof of income (1040 or W-9)
This information can be emailed to Admissions@hcablazers.org OR turned into our school office during normal business hours. Please note that summer business hours (June and July) may impact office hours.
Signatures

All applicants (if both guardians are listed), should sign this application for consideration.
I affirm that the information in this form is true and accurate according to my knowledge.
Guardian/Parent(s) Signature

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Financial Aid Application

Directions:

Parent/Guardian Information

Family Information

Other Circumstances

Student Information

GENERAL FINANCIAL INFORMATION: INCOME

EXPENSES

Conditions Upon Acceptance

Signatures