PART TWO

DEPENDENTS

Dependent One

Full name

School

Annual Tuition

Tuition covered by scholarships or other sources

Other dependents – Describe (ie children not in school, elderly parents)

Dependent Two

Full name

School

Annual Tuition

Tuition covered by scholarships or other sources

Other dependents – Describe (ie children not in school, elderly parents)

Dependent Three

Full name

School

Annual Tuition

Tuition covered by scholarships or other sources

Other dependents – Describe (ie children not in school, elderly parents)

Based on the above information, what do you feel you can afford to pay for your child’s education at The MILL Academy?

SUPPORTING THE MILL ACADEMY

Give a brief description of any skills/support you might be able to offer the school during the term of the bursary

I/We understand that if I/we fail to disclose any of my/our assets, this application will not be considered.

I/We understand that incomplete applications will not be processed.

I/We hereby declare that all of the above statements are true and that attached documents accurately represent our income, expenses and family situation.

Signature of Parent One

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PRINT NAME

DATE

Signature of Parent Two

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PRINT NAME

DATE

Part Two

DEPENDENTS

Dependent One

Full Name

School

Annual Tuition

Tuition covered by scholarships or other sources

Other dependents – Describe (ie children not in school, elderly parents)

Dependent Two

Full Name

School

Annual Tuition

Tuition covered by scholarships or other sources

Other dependents – Describe (ie children not in school, elderly parents)

Dependent Three

Full Name

School

Annual Tuition

Tuition covered by scholarships or other sources

Other dependents – Describe (ie children not in school, elderly parents)

Based on the above information, what do you feel you can afford to pay for your child’s education at The MILL Academy?

SUPPORTING THE MILL ACADEMY

Give a brief description of any skills/support you might be able to offer the school during the term of the bursary

I/We understand that if I/we fail to disclose any of my/our assets, this application will not be considered.

I/We understand that incomplete applications will not be processed.

I/We hereby declare that all of the above statements are true and that attached documents accurately represent our income, expenses and family situation.

Signature One

Print Name

Date

Signature Two

Print Name

Date