Living Wisdom High School
14618 Tyler Foote Rd Nevada city, CA 95959; (530) 478-7640
Tuition Adjustment Application 2018-2019
Please complete all questions, date and sign the form, and and enclose your 2017 Federal Income Tax return, or if you live outside of the U.S.A., include information that verifies your income from the past year.
Parent Name(s) _______________________________________________________________________
Address ______________________________________________________________________________
City/State/ZIP ______________________________________________________ Country __________
Phone (Day & Evening) _______________________________________ Email ___________________
Children enrolled (or to be enrolled)
Name__________________________________________________________ Grade________
Name__________________________________________________________ Grade________
Please describe your marital status, family composition, and number of dependents.
_______________________________________________________________________________________
_______________________________________________________________________________________
Please describe your employment situation and other sources of financial support.
_______________________________________________________________________________________
_______________________________________________________________________________________
Please list your significant assets and include the amounts (savings, stocks, real estate, etc.).
_______________________________________________________________________________________
_______________________________________________________________________________________
Based on the schools tuition rates (see this link), how much assistance are you seeking?
______________________________________________________________________________________
The information submitted above, which is true and complete to the best of my/our knowledge, is in support of my/our application to Ananda Living Wisdom School for tuition adjustment. We understand that the school will treat the information we have supplied confidentially, and I / we agree to hold confidential the exact details of any tuition adjustment agreed upon.
Signature (1) _______________________________________Date _________________
Signature (2) _______________________________________Date _________________