HCA Tuition Assistance Application Student Name(s) Parent Name(s) Email Telephone Address City, State ZIP How much tuition assistance are you requesting per month? What year did you last file a federal income tax return? What is your ANNUAL hosehold income (gross income before taxes)? List the members of your household and their relatoinship to you. Explain the status of your application for the CHOOSE Act scholarship. Explain what scholarship funds or grants you found online and have applied for. Families who refer new students to HCA receive a $400 tuition credit for each new student that enrolls. This activity is essential to HCA's mission and provides substantial tuition assistance to existing HCA families. Explain what steps you have taken or can take in the future to invite families to schedule a tour. Additional information that may help us assess your application. We would like to verify your church attendance and participation in church activities. Please provide the information below so that we may reach out to someone at your church. It is always helpful if you tell them ahead of time that we may be calling. Name of church you attend Name of pastor or deacon Phone number for pastor or deacon Email address for pastor or deacon Submit
