Pastor’s Signature Form

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Archdiocese of Detroit – Tuition Assistance Program
Pastor’s Signature Form, Revised

Applicant I.D.:_____________________________________

Parent A Name: (the one used on the application) _____________________________

Parent B Parent Name ________________________________________________

Parent Address as listed for Parent A on the application: _________________________

City:   ____________________           State: ________

This form must be signed by your pastor and submitted to FACTS with your application on or before
April 7, 2018 as part of the application process in order for your application to be complete.

Name of Parish:  _____________________          City: ________________

Name of School:  _____________________          City: ________________

Pastor’s Signature (sign/stamp on top of box) ___________________________

Pastor’s Name (Print) ____________________________________________

Date ______________