Student Tuition Agreement

Youth Initiative High School
Boarding Student Application for Admission

Student Tuition Agreement

* Indicates required field

Student Name *

First

Last

Parent/Guardian Name(s) *

First

Last

Should both parents recieve financial information from us? *

Yes No

Fees for the 2012/2013 school year (all fees and tuition payable in US dollars):
Application Fee: $100.00
Tuition for the 2012/2013 school year: $7000.00

FInancial Aid is available to those in need. Is your family able to pay the full cost of tuition? *

Yes No

I would like to make my tuition payments: *

I would like to make arrangements for automatic withdrawal from my bank account. *

Yes No

At Youth Initiative High School we strive to make our education available to anyone who truly desires it. If you desire a financial review for tuition reduction, please enclose a letter of request and proof of income.

I am aware that the tuition and fees figures stated above do not include costs of travel, boarding, medical insurance, or individual personal expenses.

Parent Signature *

Date *

Submit and Continue to Boarding Placement Information

Youth Initiative High SchoolBoarding Student Application for Admission

Student Tuition Agreement

Youth Initiative High School
Boarding Student Application for Admission