Skip to main content
Site Title
 Financial Aid 

Scholarship Application Form

205 E. 23RD St.
Scottsbluff, NE 69361
(308) 632-6918


1. Applications that are incomplete cannot be processed. Therefore, be sure to complete all information. Do
not leave any items blank.

2. Dependent Information: List the name and age of all children living in your household, including any who
may be attending college. List the grade each child will be enrolled in beginning next school term (Fall 2018)
and the school they plan to attend.

3. Household Income: List your income from all sources for calendar year 2017. A copy of your 2017 Federal
Income Tax return must be included with your completed application.

4. Use the last page of the application to give a detailed explanation regarding your need for financial assistance,
including information about expenses or circumstances that might be considered unusual or extraordinary.

5. Application Deadline: Return the completed application form as soon as possible to the address below:

Please return to: Budget and Finance Committee
St. Agnes School
205 E. 23rd St.
Scottsbluff, NE 69361


    Mission Statement
    St. Agnes School is committed to providing our students an opportunity for academic excellence in the Catholic tradition through a partnership with parents and the parish community. As a Catholic faith-centered community, we commit to help students develop their potential as conscious and responsible leaders, empowering them to live the Gospel values of love, peace, respect and service in their everyday lives.


    St. Agnes Catholic School
    205 E 23rd Street
    Scottsbluff, NE  69361

    PH: 308-632-6918
    Click HERE for Map

    powered by ChurchSquare