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RITE Application

Please complete the form below. Required fields marked with an asterisk *

Student's Contact Information

First Name*

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Middle Name

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Last Name*

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Address

Street Address

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City

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Zip/Postal

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Social Security Number*

Please put 0 if you are not comfortable sharing this information here. You will receive a call from Mrs. Tanaka to provide this information instead.

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Email 1*

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Email 2

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Mobile Phone*

Number Required

How many of your children will be attending Ribet Academy this year? *

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What grade will your child/children be entering?*

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Employment History - Parent/Guardian #1 Information

First Name*

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Middle Name

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Last Name*

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Email 1

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Current Employer:*

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Job Title*

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Work Address

Street Address*

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City*

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Zip/Postal*

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Salary:

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Start Date*

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End Date (if applicable)

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Mobile Phone

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Home Phone

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Work Phone

Number Required

Employment History - Parent/Guardian #2 Information

First Name*

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Middle Name

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Last Name*

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Email 1*

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Email 2

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Current Employer*

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Supervisor *

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Job Title*

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Parent/Guardian #2 Work Address (PLEASE PUT N/A IF THERE IS NO #2)

Street Address*

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City*

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Zip/Postal*

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Salary*

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Start Date:*

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End Date (if applicable)

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Mobile Phone*

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Home Phone*

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Work Phone*

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Income Tax Filing Status

Filing Status *

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Single

Married, Joint Return

Married, Filing Separately

Head of the Household

How many federal income tax exemptions did you claim last year?*

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How many children, including the student applicant, are residing in your home and/or receiving support from you this year?*

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How many children entered above will be attending tuition-charging institutions this year (enter at least one for applicant)?

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Total Taxable Income Before Deductions:

Salaries and Wages - Parent/Guardian #1 *

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Salaries and Wages - Parent/Guardian #2

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Alimony Recieved

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Total Non-Taxable Income:

Child Support Received

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Social Security Benefits

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Other Non-Taxable Income

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Source of Income

Salary *

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Bonuses & Commissions *

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Income From Rental Properties *

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Investment Income*

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Other Income*

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TOTAL INCOME*

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Expenses

Loans *

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Charge Account Bills *

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Monthly Bills *

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Real Estate Mortgages *

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Other Debts - Itemize *

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TOTAL EXPENSES*

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PAYMENT HISTORY (put N/A if not applicable)

Amount Paid for Schooling 2016-2017*

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Name of School *

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School Address*

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School Phone Number*

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Amount Paid for Schooling 2017-2018*

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Name of School *

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School Address*

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School Phone Number*

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Amount Paid for Schooling 2018-2019*

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Name of School*

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School Address *

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School Phone Number *

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Amount Paid for Schooling 2019-2020*

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Name of School *

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School Address*

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School Phone Number*

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Proposed Monthly Payments *

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Parent/Guardians' Assets & Liabilities (put N/A for not applicable)

Home(s) - Year Purchased / Purchase Price / Present Market Value / Total Payment*

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Listing of Car(s) Owned or Leased / Purchase Price / Present Market Value / Total Car Debt*

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Listing of Cars Owned of Leased / Purchase Price *

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Prese

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Please explain your ideas for reducing your tuition through bartering. Please also use the following space to explain any unusual circumstances. Omission of an explanation may affect the response to your request for aid. *

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Please attach a current tax return to complete this application.*

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Choose a file or drag it here.

By typing your full name below, you hereby certify that the information contained herein is compete and accurate. This information has been furnised with the understanding that it is to be used to determine the amount and conditions of tuition reducrtion. furthermore, I hereby authorize Ribet Academy to obtin the necessary information from the aforementioned parties in order to verify the information contained herein.

Signature*

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Today's Date*

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Signature*

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Today's Date

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Confirmation Email

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