Financial Aid – Youthlinc

FINANCIAL AID APPLICATION

Make sure to have your 1040 available before beginning this application.

Applying as a: *

Name *

First

Last

Birthdate *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

At the date of your Service Year Application, what will be the status of your education? *

Have you been awarded financial aid from Youthlinc before? *

If yes, please indicate year, amount, and circumstance:

What is the name and location of the high school where you received or will receive your high school diploma? *

School Name

City *

State *

For humanitarian applicants: What was your personal net income for the year prior to the Service Year?

For mentor applicants: What was your family total net income for the year prior to the Service Year?

Are you employed? *

If yes, what is your place of employment?

Job Title

Hourly rate or annual salary:

Indicate how many people are in your household: *

Include yourself, parents, spouse, children, and any others supported by family income (yours & others), as applicable

Indicate here who these individuals are and their relationship to you *

Parent Information

Form Submissions

Personal Statement *

All applicants: Please provide us with a statement of why financial support is needed, including any extenuating circumstances affecting financial need. Limit: 1,000 characters

Please Upload your 1040

Click or drag a file to this area to upload.

This form is used to verify income amounts when evaluating

Signature

By signing this application you certify that all of the information you provided is true and complete to the best of your knowledge and you agree, if asked, to provide information that will verify the accuracy of your completed form.

I understand

Financial Aid Terms and Conditions

Participant Signature

Comment