Marion Military Institute
Scholarships & Grants
Financial Aid Application
(800) MMI-1842
FULL NAME:
(Last, First, Middle)
ADDRESS:
HOME PHONE :
E-Mail Address:
GENDER:
DATE OF GRAD :
DATE OF BIRTH :
Day
Month Year
PARENT INFORMATON :
STUDENT INFORMATON :
Marital Status
Marital Status
# of Legal Dependents
# of Legal Dependents
Veteran Status
# children in college
Orphan or ward of the court until 18? State of Legal Residence:
Leadership position or Commuinty Service Performed:
FEDERAL INCOME TAX FORM USED:
FEDERAL INCOME TAX FORM USED:
# Exemptions on tax form: # Exemptions on tax form:
Adjusted Gross Income:
Adjusted Gross Income:
Actual earned Income:
Father's Earned Income:
Child support pymt amt:
Mother's Earned Income:
Child support pymt amt:
UNTAXED INCOME: UNTAXED INCOME:
Social Security Benefits:
Social Security Benefits:
Aid to Families w/Dep Children
Aid to Families w/Dep Children
Child Support Rec'd monthly
Child Support Rec'd monthly
Other Untaxed Income
Other Untaxed Income
Any other untaxed income
Amt. You expect to provide for Ed
STUDENT ASSETS:
(complete every question) PARENT ASSETS:
(complete every question)
Cash/ Checking/ Saving:
Age of older parent
Trust Fund:
Cash/ Checking/ Savings:
Investment Value:
Investment Value:
Investment Debt:
Investment Debt:
Business Value:
Business Value:
Farm Debt: Farm Value:
Farm Debt:
Tell us why you wish to be considered for an MMI scholarship:
THANK YOU!