Please indicate the institute to which you are applying:
(__) One Week LDI Policy Lab - June 17 - June 23
(__) One Week Future Champions Policy Lab - June 17 - June 23
(__) One Week Lincoln-Douglas Lab - June 17 - June 23
(__) One Week Home School Rhetoric & Debate Lab - June 17 - June 23
(__) One Week Home School Rhetoric & Debate Lab Commuter Option - June 17 - June 23(__) Two Week LDI Policy Lab - June 17 - June 30
(__) Two Week Lincoln-Douglas Lab - June 17 - June 30
(__) Three Week Virginia Scholars Lab - June 17 - July 7 (Advanced debaters only)
Name ______________________________________________________
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Last, First, M.I. |
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Address ______________________________________________________ |
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Number, Street, Apt. # |
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_____________________________________________________ |
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City, State, Zip |
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Phone (________) __________________________ |
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(Area Code) Number |
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Grade Level 2012-13 (Circle One): 9 10 11 12 |
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School Name_________________________________________________ |
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Total 2011 Family Income:______________________________________ |
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Number of Dependent Children: __________________________________ |
On a separate page please write a detailed statement explaining why you are applying for financial aid, including your unique financial situation and need.
A completed financial aid application must include a copy of your 2010 and 2011 Federal 1040 Tax Form. (Feel free to redact your social security number(s) and other personal information not relevant to your need for financial aid. However, at a minimum your returns should show your total and adjusted income.) Applications for financial aid must be received by May 10, 2012 and must be accompanied by your complete application for admission to the Liberty Debate Institute.
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