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Meraki Academy

Financial Aid Application

1. Application Instructions

• You must include copies of pages 1 and 2 of your 2022 federal income tax return (Form 1040) with this application. If you were not required to file a tax return for 2022, you must sign the non-filer affidavit in Section 8 and submit all Forms W-2 or 1099 received by members of your household.

• Submit this application directly to your school's financial aid office by July 1, 2023.

• The term "household" refers to all individuals who live in the same dwelling place, regardless of age, legal relationship, or dependency status.

• Because we never want finances to prevent a child from getting a world class education, we will do everything we can to match the amount entered in Section 6. This may include student work-study or parent volunteer hours.
Upload 2022 Federal Tax Return
Drop files here or

Accepted file types: pdf, jpg.
2. Household Members

• Starting with yourself, list the name and birth date of every person who lived in your home on December 31, 2022.

• Include everyone who lived with you, regardless of relationship, even children in college and those not in school.

• For each student (including those in college), enter their 2022-2023 school name and grade level.
Full Name
First Middle Last
Relationship to Applicant
Birth Date
Date Format: MM slash DD slash YYYY
For Students Only
Student Name
Grade
Add another household member?
- Yes
- No
Full Name
First Middle Last
Relationship to Applicant
Birth Date
Date Format: MM slash DD slash YYYY
For Students Only
Student Name
Grade
Add another household member?
- Yes
- No
Full Name
First Middle Last
Relationship to Applicant
Birth Date
Date Format: MM slash DD slash YYYY
For Students Only
Student Name
Grade
Add another household member?
- Yes
- No
Full Name
First Middle Last
Relationship to Applicant
Birth Date
Date Format: MM slash DD slash YYYY
For Students Only
Student Name
Grade
Add another household member?
- Yes
- No
Full Name
First Middle Last
Relationship to Applicant
Birth Date
Date Format: MM slash DD slash YYYY
For Students Only
Student Name
Grade
Add another household member?
- Yes
- No
Full Name
First Middle Last
Relationship to Applicant
Birth Date
Date Format: MM slash DD slash YYYY
For Students Only
Student Name
Grade
3. Household Address

• Enter the complete street address of your primary place of residence (your home) as of December 31, 2022.

• Include your apartment number, unit number, or lot number if applicable.

• Do not enter a post office box or the address of any property other than your primary residence.
Address
Street Address City State / Province / Region ZIP / Postal Code
4. Contact Information

• Your contact information is needed to help us resolve any errors or omissions on this application.

• Provide all phone numbers (including area code) at which you may be reached for additional information.

• Provide your primary email address. In the event we can't reach you by phone, we will send you an email.
Work Phone
Home Phone
Cell Phone
Email
5. Unreported Income

• Report below any income that your household received in 2022 and which is not included on a tax return.

• All household income, whether taxable or nontaxable and regardless of source, must be disclosed.

• Enter monthly or yearly amounts, whichever you prefer. If none, enter a zero; do not leave an item blank.
Child Support Received for All Children
Monthly Income $ Yearly Income $
Housing Assistance (HUD, Section 8)
Monthly Income $ Yearly Income $
Public Assistance (Foods Stamps, Welfare)
Monthly Income $ Yearly Income $
Social Security Benefits of Dependents
Monthly Income $ Yearly Income $
Supplemental Security Income (SSI, SSD)
Monthly Income $ Yearly Income $
Veterans Benefits and Combat Pay
Monthly Income $ Yearly Income $
Workers Comp and Disabilitiy Benefits
Monthly Income $ Yearly Income $
All Other Unreported Household Income
Monthly Income $ Yearly Income $
6. Affordable Tuition

• Enter the total amount of tuition that your household can afford to pay.

• This should be the total amount you can pay for all students in grades K-12.

• Enter a monthly or yearly amount, whichever you prefer. Do not leave blank.
Monthly
Yearly
7. Additional Information
Additional Information
8. Nonfiler Affidavit

• Skip this section if anyone in your household was required to file a federal income tax return for 2022.

• If no one in your household was required to file a tax return for 2022, you must sign the following affidavit.

• If you sign below, you must include all Forms W-2 and 1099 received by members of your household.
Please check the box beside the statement:
- I hereby certify that, to the best of my knowledge, no member of my household earned enough taxable income to be required to file a federal individual income tax return for the year 2021.
Applicant Signature
Date
Date Format: MM slash DD slash YYYY
9. Applicant Certification

• All applicants must sign this section.

• Before signing, verify that all sections of this application have been completed in accordance with the instructions.

• Verify that all members of your household have been listed and that all income received has been disclosed.
I hereby certify that:
- (a) this application is true, correct, and complete;
- (b) I have submitted true copies of all tax returns filed by members of
Applicant Signature
Date
Date Format: MM slash DD slash YYYY
Applicant Signature
Date
Date Format: MM slash DD slash YYYY
File
File

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