Applicant Information
Family Information
Parent/Guardian Information
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Submission Statement
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Submission Statement
I fully understand that my submission of this application represents acknowledgment of certain obligations on my part toward Robert M. Beren Academy. I agree that no additional Tuition Assistance awards can be issued without payment in full of all previous balances.
The Tuition Assistance Committee may require additional supporting documentation as part of processing your application. The Tuition Assistance office will be in touch if that is required.
If there are any changes in the information contained herein (included by not limited to changes in income, employment, or spending, etc.) I agree to notify the school as soon as such changes are made. I understand that any misrepresentation, failure to supply a material fact or failure to advise of a material change in circumstances, may result in denial or forfeiture of the financial aid, retroactive to the date of issuance. Robert M. Beren Academy reserves the right to revoke all or part of this grant at their sole discretion.
I hereby authorize Robert M. Beren Academy to obtain a full financial credit report from available credit services.
Parent/Guardian 1 Name
*
Parent/Guardian 1 Electronic Signature
*
Parent/Guardian 2 Name
Parent/Guardian 2 Electronic Signature
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