Adult Education Financial Aid Application

Financial Aid

As a resident of New Hampshire, you may be eligible for financial aid.

To apply, please respond to the questions that appear below. Feel free to share as much as with which you are comfortable. The VLACS Director of Adult Education and Program Manager for Adult Education reviews each application to determine the amount of financial aid that can be offered.

Financial Aid Application

What is your current living situation?

What is your current employment situation?

Do you have others that you support or depend on you financially?

YesNo

If so, please explain

What is your estimated total household income for the coming year?

Is there anything else you would like to share that may help make a determination if you qualify for financial aid?

Student Information

Legal Name

First Name

Middle Initial

Last Name

Preferred First Name (if different from Legal First Name)

Mailing Address

Street Address

City

State

Zip Code

Legal Address is the same as Mailing Address

Legal Address

Legal Street Address

Legal City

Legal State

Legal Zip Code

Additional Information

Date of Birth

Please use mm/dd/yyyy format.

Confirm Email

emailValidation

Mobile Phone

Questionnaire

Are you working toward your VLACS Adult Education high school diploma?

YesNo, I am enrolling for career-preparation purposes (e.g., I need a prerequisite for a nursing program, OR I need this course for a certification or license.)

The purpose of this assistance is to provide tuition assistance to New Hampshire-resident adult learners who face financial barriers to earning a high school diploma.

1. Please explain why you are applying for this assistance.

2. What courses are you seeking financial assistance for?

The purpose of this assistance is to provide tuition assistance to New Hampshire-resident adult learners who face financial barriers to enroll in courses essential for college preparation or industry certifications.

1. Please explain why you are applying for this assistance.

2. What course are you seeking financial aid for?

3. Please explain how this course is essential to your career preparation or industry certification goals.

Signature

Application Signature

Signature (Print Name)

Today's Date

Hidden Fields

Contact Student Record Type Id

Contact Id

Opportunity Primary Contact Id

Application Financial Aid Adult Ed Record Type