Minnesota Institute for Talented Youth
YES - Your Extraordinary Saturday
Spring 2010 Financial Aid Application
This completed financial aid form (FAF) may be used in place of the $170 tuition.
Please return this FAF with your completed YES program application.
Mail to: MITY, 1600 Grand Avenue, St. Paul, MN 55105
Questions? Call 651-696-6590
SECTION A: (please print)
Last Name   First Name 
Street Address
City   State  Zip
Home Phone Date of Birth
SECTION B: (To be completed by the student's parent/legal guardian)
*** A copy of the first page of the parent(s)/legal guardian's 2009 Federal Income Tax Return which documents the Adjusted Gross Income MUST be attached to this Financial Aid Form or this form will be considered incomplete. If a student's parents were divorced or separated at the time of application and the parents filed jointly for the 2009 tax year, a copy of the W-2 form(s) for the parent with whom the student is living MUST be attached with a copy of the first page of the joint income tax return.
1. Household size (Include yourself, your spouse and anyone else currently living in the household, if you provide more than half of their support):  Number of People:
2. Adjusted gross income for 2009 tax year. Do not include nontaxable income.  Adjusted gross income: $ 
3. If you were not required to file a 2009 income tax return, please explain why you were not required to do so.
SECTION C: Additional Information
1. We can pay $ toward my child's tuition fee.
2. Please describe special circumstances, which explain your request for financial aid:
I understand that this form is used to establish eligibility for YES financial aid, and I certify that the above information is true and correct.
Signature of Parent/Legal Guardian _________________________
Date
Minnesota Institute for Talented Youth does not discriminate on the basis of race, religion, color, gender, disability,
national or ethnic origin in administration of its educational policies, admission policies or financial aid programs.
Mail to: Minnesota Institute for Talented Youth
1600 Grand Ave. St. Paul, MN 55105
651-696-6590 www.mity.org