Minnesota Institute for Talented Youth
Financial Aid Form (FAF)

Please return this FAF with your completed program application.
Mail to: MITY, 1600 Grand Avenue, St. Paul, MN 55105
Questions? Call 651-696-6590
SECTION A: (please print)
Student's
Last Name
  Student's
First Name 
Address
City   State Zip 
Home Phone Date of Birth
SECTION B: (To be completed by the student's parent/legal guardian)
**** Enclose a copy of the parent(s)/legal guardian's 2015 or 2016 Federal Income Tax Return which documents the adjusted gross income or the application will be considered incomplete unless parents are not required to file a tax return. If a student's parents were divorced or separated at the time of application and the parents filed jointly for the 2015 or 2016 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.
For students who qualify for free or reduced lunch, families should complete the Summer Academic Enrichment Grant form instead of this form.
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 the 2015 or 2016 tax year. Do not include nontaxable income.
3. If you were not required to file a 2015 or 2016 income tax return, please explain why you were not required to do so.
SECTION C: Additional Information
1. My parents or I can pay $ toward my tuition cost.
2. Please describe special circumstances, which explain your request for financial aid:
Financial Aid is available toward partial tuition only.
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