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RITE Application

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

Student's Contact Information

First Name*

Answer required for "First Name"

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.

Answer required for "Social Security Number"

Email 1*

Answer required for "Email 1"

Email 2

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Mobile Phone*

Number Required

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

Answer required for "How many of your children will be attending Ribet Academy this year? "

What grade will your child/children be entering?*

Answer required for "What grade will your child/children be entering?"

Employment History - Parent/Guardian #1 Information

First Name*

Answer required for "First Name"

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)

Answer required for "End Date (if applicable) "

Mobile Phone

Number Required

Home Phone

Number Required

Work Phone

Number Required

Employment History - Parent/Guardian #2 Information

First Name*

Answer required for "First Name"

Middle Name

Answer required for "Middle Name"

Last Name*

Answer required for "Last Name"

Email 1*

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Email 2

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Current Employer*

Answer required for "Current Employer"

Supervisor *

Answer required for "Supervisor "

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)

Answer required for "End Date (if applicable)"

Mobile Phone*

Number Required

Home Phone*

Number Required

Work Phone*

Number Required

Income Tax Filing Status

Filing Status *

Answer required for "Filing Status "

Single

Married, Joint Return

Married, Filing Separately

Head of the Household

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

Answer required for "How many federal income tax exemptions did you claim last year?"

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

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

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

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

Total Taxable Income Before Deductions:

Salaries and Wages - Parent/Guardian #1 *

Answer required for "Salaries and Wages - Parent/Guardian #1 "

Salaries and Wages - Parent/Guardian #2

Answer required for "Salaries and Wages - Parent/Guardian #2"

Alimony Recieved

Answer required for "Alimony Recieved"

Total Non-Taxable Income:

Child Support Received

Answer required for "Child Support Received"

Social Security Benefits

Answer required for "Social Security Benefits"

Other Non-Taxable Income

Answer required for "Other Non-Taxable Income"

Source of Income

Salary *

Answer required for "Salary "

Bonuses & Commissions *

Answer required for "Bonuses & Commissions "

Income From Rental Properties *

Answer required for "Income From Rental Properties "

Investment Income*

Answer required for "Investment Income"

Other Income*

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TOTAL INCOME*

Answer required for "TOTAL INCOME"

Expenses

Loans *

Answer required for "Loans "

Charge Account Bills *

Answer required for "Charge Account Bills "

Monthly Bills *

Answer required for "Monthly Bills "

Real Estate Mortgages *

Answer required for "Real Estate Mortgages "

Other Debts - Itemize *

Answer required for "Other Debts - Itemize "

TOTAL EXPENSES*

Answer required for "TOTAL EXPENSES"

PAYMENT HISTORY (put N/A if not applicable)

Amount Paid for Schooling 2016-2017*

Answer required for "Amount Paid for Schooling 2016-2017"

Name of School *

Answer required for "Name of School "

School Address*

Answer required for "School Address"

School Phone Number*

Answer required for "School Phone Number"

Amount Paid for Schooling 2017-2018*

Answer required for "Amount Paid for Schooling 2017-2018"

Name of School *

Answer required for "Name of School "

School Address*

Answer required for "School Address"

School Phone Number*

Answer required for "School Phone Number"

Amount Paid for Schooling 2018-2019*

Answer required for "Amount Paid for Schooling 2018-2019"

Name of School*

Answer required for "Name of School"

School Address *

Answer required for "School Address "

School Phone Number *

Answer required for "School Phone Number "

Amount Paid for Schooling 2019-2020*

Answer required for "Amount Paid for Schooling 2019-2020"

Name of School *

Answer required for "Name of School "

School Address*

Answer required for "School Address"

School Phone Number*

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Proposed Monthly Payments *

Answer required for "Proposed Monthly Payments "

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

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

Answer required for "Home(s) - Year Purchased / Purchase Price / Present Market Value / Total Payment"

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

Answer required for "Listing of Car(s) Owned or Leased / Purchase Price / Present Market Value / Total Car Debt"

Listing of Cars Owned of Leased / Purchase Price *

Answer required for "Listing of Cars Owned of Leased / Purchase Price "

Prese

Answer required for "Prese"

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. *

Answer required for "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. "

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

Answer required for "Please attach a current tax return to complete this application."

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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