2013-2014 Tuition Assistance Programs Pastor/Principal Recommendation Form Priority #: Applicant’s Full Name: ____________________________________________ Grade in Fall 2013:_____________ This applicant is applying for one the following tuition award programs from the Catholic Education Foundation: ( ) Cycle 1: 8th Grade Award (
) Cycle 2: HS TAP (
) Cycle 3: Elementary TAP (
) SOS (
) Designated Program: ___________
Pastor/Principal Recommendation- Section A: Does this applicant have any of the “at risk” factors listed below or special
circumstances? ( ) Yes ( ) No If yes, please explain in more detail in comment box below . (at risk factors: Parent(s) deceased, incarcerated, drug abuse, homelessness, spousal abuse, child abuse/neglect/abandonment, and/or peer bullying, severe learning disabilities and/or mental health disorders.) Pastor/Principal Recommendation - Section B: Please check one:
1. Which of the following most closely describes the applicant’s academic performance? ( ) Excellent ( ) Very Good ( ) Average ( ) Below Average ( ) Poor/Failing 2. How do you rate this student’s character? ( ) Excellent ( ) Very Good ( ) Average ( ) Below Average ( ) Poor/Failing 3. What is the level of involvement of the student and parent(s)/Guardian(s) in the school and parish? Student: ( ) Excellent ( ) Very Good ( ) Average ( ) Below Average ( ) Poor/Failing Parent/Guardian: ( ) Excellent ( ) Very Good ( ) Average ( ) Below Average ( ) Poor/Failing 4. How many years has this student attended your school? __________ 5. How has this student/family financially been able to remain in your school? __________________________________ 6. Check off all documents you are submitting to verify this applicant’s family income. ( )Federal Tax Return Page 1 ( ) SSI ( ) Disability ( ) Unemployment ( )Child support ( )Alimony ( ) Notarized letter from employer ( ) Welfare/AFDC ( ) TANF ( )Food stamps ( ) Section 8 Housing Subsidy ( ) Other(s): ______________________________________________
Questionnaire - Section C: Please use the space below to write a brief comment to help us understand this student’s financial need and/or special circumstances, including any “at risk” factors the applicant may have.
________________________________________________________________________________________________________________ I have reviewed this application, verified the family income using the legal financial documents checked off above and I fully recommend this applicant be considered for a tuition award from the Catholic Education Foundation. I have read and understand the CEF Policy and Income Guidelines. I understand that all information on this application will be verified and that any incomplete, missing or false information, missing signatures, any pertinent information necessary to process this application and/or inadequate legal proof of income will be cause for automatic denial of a CEF tuition award. Principal/Pastor Signature: ____________________________________________Date: _____________