Minnesota Institute for Talented Youth
Financial Aid Form (FAF) |
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This completed financial aid form may be used in place of the $150.00 deposit.
Please return this FAF with your completed Expand Your Mind or ExplorSchool program application.
Mail to: MITY, 1600 Grand Avenue, St. Paul, MN 55105
Questions? Call 651-696-6590
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Please check program you are applying to:
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Expand Your Mind (grades 7-12) ExplorSchool (grades 4-6) |
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SECTION A: (please print)
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Last Name |
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First Name |
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| Address |
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| City |
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State |
Zip |
| Home Phone |
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Date of Birth |
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SECTION B: (To be completed by the student's parent/legal guardian)
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**** Enclose a copy of the parent(s)/legal guardian's 2009 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 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.
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| 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. |
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| 3. If you were not required to file a 2009 income tax return, please explain why you were not required to do so. |
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SECTION C: Additional Information
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| 1. My parents or I can pay $ toward my tuition cost. |
| 2. Please describe special circumstances, which explain your request for financial aid: |
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Signature of Parent/
Legal Guardian |
_________________________ |
Date
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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.
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Mail to: Minnesota Institute for Talented Youth
1600 Grand Ave. St. Paul, MN 55105
651-696-6590 www.mity.org |
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