Financial Aid Application Form

Financial Aid Application Form

UMMUL QURA ISLAMIC SCHOOL (UQIS) | 6005 CHAPMAN RD BUILDING B, WATAUGA, TX 76148
Applicant's Personal Information:

Please fill out this section completely.
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
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
General Financial Information

Fill out the corresponding sections that best describes your situation.
Type of residence*

OwnRent
Lease agreement or mortgage statement*

Cancelof
How many immediate family members are living with you? (e.g. spouse, children, parents)*
Total income before taxes (Yearly)*
Tax return file 2023*

Cancelof
Last six paystubs*

Cancelof
What is the approximate total of your monthly expenses (rent/mortgage, food, transportation, etc.)?*
How much cash, savings and cheques do you have?*
Last six months bank statement*

Cancelof
Are you currently investing anywhere?*

YesNo
How much are you investing?*
Do you have any assets (property, land etc) in USA or anywhere else?*

YesNo
Do you receive benefits from any other source(s)? (e.g. EBT, food stamps, other help etc.)*

YesNo
How much support/other income do you receive every month?*
Do you pay Zakat?*

YesNo
Are you eligible to receive Zakat?*

YesNo
How many children did you admit to UQIS? *
Student Name: 1*

First NameLast Name
Date of Birth*

MonthDayYear
Which program of UQIS are he/she enrolled in?*
Student Name: 2*

First NameLast Name
Date of Birth*

MonthDayYear
Which program of UQIS are he/she enrolled in?*
Student Name: 3*

First NameLast Name
Date of Birth*

MonthDayYear
Which program of UQIS are he/she enrolled in?*
Student Name: 4*

First NameLast Name
Date of Birth*

MonthDayYear
Which program of UQIS are he/she enrolled in?*
Student Name: 5*

First NameLast Name
Date of Birth*

MonthDayYear
Which program of UQIS are he/she enrolled in?*
Student Name: 6*

First NameLast Name
Date of Birth*

MonthDayYear
Which program of UQIS are he/she enrolled in?*
Student Name: 7*

First NameLast Name
Date of Birth*

MonthDayYear
Which program of UQIS are he/she enrolled in?*
Are you able to pay the some portions of the fees?

YesNo
How much of the fees of each child will you be able to cover every month?*

80%70%60%50%None of above
How much of the fees of each child will you be able to cover every month?*

70%60%50%40%None of above
How much of the fees of each child will you be able to cover every month?*

60%50%40%30%None of above
How much of the fees of each child will you be able to cover every month?*

50%40%30%25%None of above
Please write the amount.*
Total monthly.
If you are not able to pay the any amount of money, you need to contact with the principal.
Signature
I affirm that the information in this form is true and accurate according to my knowledge.
Signature
Date

DayMonthYear
Should be Empty:

Financial Aid Application Form

Applicant's Personal Information:

General Financial Information

Signature