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Financial Assistance
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Select Campus
Cedar Rapids
Urbana
Form Entry
Veritas Students Financial Assistance Form
Campus
Cedar Rapids
Urbana
First Name
Last Name
Mobile Phone
Gender
Male
Female
Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Student's First Name
Student's Last Name
Email Address
Phone Number
What is the student's current grade?
6th
7th
8th
9th
10th
11th
12th
Parent's Name
Parent's Email
Please give a brief description for why you are requesting financial assistance.
What type of assistance are you requesting?
Scholarship
Payment Plan
Payment Plan and Scholarship
If you are requesting a payment plan, please outline a proposed structure of a plan that will be feasible for you. If only requesting a scholarship, skip this question.
How much can you commit to paying for this event?
$
Current Series
Easter at the Paramount
March 31
Deeper Dives