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2012 Application for Financial Aid

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    ______________________________________________________ 

    

Last,                         First,                                     M.I.
 

Address ______________________________________________________

    Number,   Street,                                                    Apt. #
 

    _____________________________________________________

    City,                         State,                                    Zip
 

Phone    (________) __________________________

    

(Area Code)     Number
 

Grade Level 2012-13 (Circle One): 9 10 11 12
 

School Name_________________________________________________
 

Total 2011 Family Income:______________________________________
 

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.

 

Please return this application and your $100 deposit by May 10, 2012
For payment by check, 
send it to:
 Liberty University Debate Institute · Liberty University · 
1971 University Blvd. · Lynchburg, VA 24502-2269
Or by Credit Card,
fill out your information below:
Name as it appears on Credit Card: ___________________________________________________
 Credit Card Number: ________________________________________________________________
Credit Card Expiration Date: __________________________  Credit Card Type: _______________






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