Scott County Catholic Schools

We are currently not accepting hard copies of tax returns or other supporting documentation. Please upload pdf or image files (taken on your phone is fine!) with your online application. Please do not submit your 2020-2021 Family Tuition Plan application until your 2019 tax return or extension for filing request has been filed - there is no benefit to submitting an incomplete application.

School Year

Select a School Year *

Applicant Information

First name *

Last Name *

Address *

City *

Zip *

Contact Phone *

Email Address *

Marital Status *

Other Marital Status *

Which local parish do you support? *

Other Local Parish *

Spouse/Significant Other

Spouse/Significant Other First Name

Spouse/Significant Other Last Name *

Contact Phone *

Email *

Catholic School Employment

Are you or your spouse/significant other employed by a Scott County Catholic School? *

Yes

No

What is your position? *

Catholic School Employer *

Please list all students for whom you are seeking assistance.

First Name *

Last Name *

Relationship *

School Name *

Grade *

Add Another Student Remove

Household Information

I am responsible for x% of tuition *

Are there any other persons living in your home? *

Yes

No

Please list any other persons living in your home.

First Name *

Last Name *

Relationship to Applicant *

Add Remove

Housing Information

Do you rent or own your house? *

Rent

Own

What is your monthly rent/mortgage payment? *

What percentage of housing costs are paid by applicant? *

Additional Income

(Please list monthly amount received)

Child Support *

Food Assistance *

Social Security Income *

Dependent Social Security Income *

Unemployment *

FIP (Family Investment Program) *

Retirement Income *

Loans/Gifts from Family and/or Friends *

Do you receive income from another source not listed above or reflected on your tax return?

Yes

No

Other Income Type *

Other Income Amount *

Other Expenses

(Please list monthly amount paid)

Alimony *

Child Support *

Extenuating Circumstances

An income earning member in my household changed jobs in the last 12 months

An income earning member is currently unemployed

Extreme medical expenses

Please supply additional and specific information regarding extenuating circumstances below (ex: name of unemployed, name of person who changed jobs, etc) *

Paystub Information

Please upload the three most recent paystubs (pdf or jpg files accepted) OR check the box indicating the three most recent paystubs will be sent by mail. APPLICATIONS CANNOT BE PROCESSED UNTIL ALL DOCUMENTATION HAS BEEN RECEIVED.

Paystub 1 *

Drop a file here or click to upload Choose File

Maximum upload size: 104.86MB

Paystub 2 *

Drop a file here or click to upload Choose File

Maximum upload size: 104.86MB

Paystub 3 *

Drop a file here or click to upload Choose File

Maximum upload size: 104.86MB

Medical Bill Information

Please upload any relevant medical bills/statements.

Medical Bills/Statements *

Drop a file here or click to upload Choose File

Maximum upload size: 104.86MB

Tax Information

Please upload your IOWA 1040 Tax Return (not Federal), and Schedule C, D, and/or F if they are part of your tax return (pdf or image/photo files accepted). If you did not file taxes in Iowa, please upload your Federal 1040 Tax Return.

**We are currently not accepting hard copies of tax returns. Please upload pdf or image files (taken on your phone is fine!) with your online application.

Tax Documents *

I will upload my tax documents below - pdf or image/photo files accepted.

I have filed for an extension, and will upload a copy of my Extension for Filing Request and W2 forms for all income earning members of my household

I was not required to file taxes

Tax Document Upload *

Drop files here or click to upload Choose File

Maximum upload size: 104.86MB

Extension for Filing Request and W2 Form Upload *

Drop files here or click to upload Choose File

Maximum upload size: 104.86MB

Terms & Conditions

Terms & Conditions Agreement *

I verify that all information above, including the uploaded tax return, is true and accurate.

I understand applications may take up to 6 weeks to be processed.

I understand that applications made after June 30 will not receive maximum funding.

I understand my application CANNOT BE PROCESSED until all necessary documents (tax return, paystubs, medical bills, etc.) have been received, and applications that remain incomplete at June 30 will not receive maximum funding.

I understand that grants received outside the Family Tuition Plan may affect FTP grant amounts.

Signature *

Family Tuition Plan Application

School Year

Applicant Information

Spouse/Significant Other

Catholic School Employment

Please list all students for whom you are seeking assistance.

Household Information

Please list any other persons living in your home.

Housing Information

Additional Income

Other Expenses

Extenuating Circumstances

Paystub Information

Uploading Files. Please Wait.

Medical Bill Information

Tax Information

Terms & Conditions