Financial Aid

Islamic Center of Charlotte

Financial Aid

Explain your Number

Name

First

Middle

Last

Print your full government name. The same exact name on your ID.

Your email address

Phone Number

Marital Status

Are you employed?

Dependents?

Do you have kids, family members, or others that are dependent upon you?

Any Disabilities?

Do you have a disability?

Upload picture of your ID (License, Passport, etc.):

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

A valid, government-issued photo ID

Picture of the Bill:

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

A copy of the bill or invoice for which assistance is being requested

Bank Statements:

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Bank statements from the most recent three (3) months

Address

Address Line 1

Address Line 2

City

State

Zip Code

Write down your address.