Financial Aid

Student Name(s)
First Name Last Name

You only need to submit one from per household. Click the "+" to add more student names.
Parents/Guardian's Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Monthy Income*
(i.e. Wages, Salary, Social Security, Child Support, VA benefits, etc.):
Describe the situation that has financially impacted your family:
On a monthly basis, how much money are you able to commit to the student's account?
Do you need help with the Registration and Book fees as well?
- Yes
- No
How much are you able to commit to your student's Registration and book Fees?
Please state your reasons for seeking Christian education at Appalachian Christian Academy*
Agreement:*
- I certify that all information supplied is honest and accurate to the best of my knowledge.
Your name:*

Appalachian Christian Academy

619 Memorial Dr., Manchester, KY 40962
(Physical Address)

168 SDA School Rd. (Mailing Address)

Our Mission:

The Appalachian Christian Academy family exists to show children Jesus, nurture their love for Him and others, teach them to think, and empower them to serve.

First Name	Last Name