St. John’s Ev. Lutheran School
42685 County Road 12 – Nodine, Dakota, MN 55925 - 507-643-6440 stjohnsnodine.org
Tuition Grant Application Date ___________________ School Year -______________ Parents’ Names ______________________________________________________ Address ____________________________________________________________ Student name(s) and Grade _____________________________________________ _______________________________________________________________ ________________________________________________________________ Sibling’s names and ages ______________________________________________ ___________________________________________________________ 1) Briefly describe your current circumstances and any financial information that will assist the Youth Discipleship Committee in evaluating this request. Your privacy will be maintained._______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 2) Amount of tuition assistance requested $____________________________________ 3) The above information is accurate and complete. Parent(s) Signature __________________________________ ___________________________________ Please return application to St. John’s School office by June 1Your application will be reviewed by the Youth Discipleship Committee and you will be contacted after the June meeting.*******************************************************************************Amount Approved $___________________ Date _____________________ Signed (Youth Discipleship Chairman) _______________________________________________