Student Information

Student First Name

Student Last Name

Student Date of Birth

Student Applying Grade Level

Parent/Guardian Information

Parent/Guardian 1: Name

Parent 1: Email

Parent 1: Phone number

Parent/Guardian 2: Name (recommended)

Parent 2: Email (recommended)

Parent 2: Phone number (recommended)

Name of each Employer

Annual Gross Income (combined)

Other sources of Income (combined)

Marital Status

Number of Dependents

Number of Students attending WIS

Household Financial Information

Monthly Mortgage or Rent amount

Monthly Average Utilities

Monthly average food expenses

Monthly average transportation expenses

Monthly Average HealthCare expenses

Other Monthly Average Combined expenses

Financial Aid Request

Need Based Aid