Tuition Assistance Appeal Form

Saint Viator High School Policy allows tuition assistance to be limited to 50% of current tuition. Participation in our Summer Work Study & Internship Program enables Saint Viator students to earn funds that are used to pay tuition costs.

Please submit this form if any of the information on your 2024-2025 tuition assistance application has changed. This form will only be reviewed in the case of a significant change to your income, a loss of employment, or other extenuating circumstances/hardships.

*Parent Name 1

*Email Address

Cell Phone

Home Phone

Address

City, State, Zip

Parent Name 2

Email Address

Cell Phone

Home Phone

Address

City, State, Zip

*Student Name

*Student Grade Entering Fall 2024

Student Name

Student Grade Entering Fall 2024

Student Name

Student Grade Entering Fall 2024

Submitting an appeal does not guarantee that your tuition assistance award will be increased. If your appeal is approved, your application will be considered by the Tuition Assistance Committee for an amount based on remaining tuition assistance funds. Please do not rely on the success or requested amount of your appeal to cover your expenses. The submission of an appeal does not postpone any tuition or balances due.

1. Has your family’s financial situation changed since completing the 2024-2025 Facts Grant & Aid application?

2. What is the reason for this appeal?

Reason for Appeal	Documents Required
Loss of Employment	Official Documentation regarding Loss of Employment Copy of Unemployment Benefits (if applicable) Copy of Final Paystub Copy of Most Recent Paystub for Co-Applicant
Decreased Income	Consecutive Paystubs showing the decrease in pay
Death of Applicant	Copy of the Death Certificate or other Legal Documentation of Death
Unexpected Medical/Dental Bills	Confirmation of Out of Pocket Expenses
Large Expenses	Contractual Obligations Payment Receipts Written Documentation
Other	Any other changes must be accompanied by proof of the change. Please provide written documentation of any other circumstances.

3. Were you initially awarded tuition assistance?

What date did this occur?

Which relative of the student experienced the change? (Mother, Father, Sibling, Grandparent, etc.)

What is the total amount of your decrease in income or additional large expenses not previously considered?

Please provide a brief explanation of the reason for this appeal.

I understand that submitting this appeal does not guarantee that I will be granted additional tuition assistance. Everything I have submitted on this form is true and accurate. Any falsification may result in the loss of all tuition assistance. I further acknowledge that without supporting documentation, my appeal may not be reviewed. I am aware that the processing of this appeal may take time and I will be notified via mail and/or email once a decision has been made.

I understand above.

Saint Viator High School

1213 East Oakton Street, Arlington Heights, IL 60004

TEL: 847-392-4050