Declaration Of Finances And International Student Application For Financial Aid Application Form (Sample) Page 2
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4Section B
INTERNATIONAL STUDENT APPLICATION FOR FINANCIAL AID
This section is to be completed by students who are applying for financial assistance to help meet their expenses at Beloit College.
Scholarships for international students are limited and are awarded on the basis of demonstrated need and academic merit. Awards
vary in amount but cover only a portion of the total expenses.
Student Information
Your name __________________________________________________________________________________________________________________________
Family Name
First Name
Middle Name
Male
Female
Your permanent address:
________________________________________
Your email address: ______________________________________________
________________________________________
_________________________________________________________________
:
Your mailing address:
____________________________________
Your date of birth
________________________________
(if different from above)
Mo.
Day
Yr.
Place of birth (country):
____________________________________
Country(ies) of citizenship: ____________________________________
When do you expect to begin your studies at Beloit College?
Mo.
Yr.
Will you be:
attending college/university for the first time?
transferring from another college/university?
a returning student?
List below the names of the colleges and universities to which you are applying.
Parent Information
What is your parents’ current marital status? (Mark only one box.)
Married
Separated/Divorced
Mother living/Father deceased
Father living/Mother deceased
Other (explain) ____________________________________________________________
Father’s name: ________________________________________
Mother’s name: _______________________________________
Address ______________________________________________
Address _____________________________________________
_____________________________________________________
____________________________________________________
Occupation/Title ________________________________________
Occupation/Title _______________________________________
Employer _____________________________________________
Employer ____________________________________________
Number of years with employer
Number of years with employer
How many people, including yourself, depend on the income of your parents for daily living expenses?
yourself.
Family Member Listing. Provide information for all family members. Do not give information about
Educational Information 2015-16
Educational Information 2016-17
Amount of
Name of
Amount of
Full name of
Scholarship
Relationship
Name of school
Year in school
Tuition
Room and
parents’
school or
Total
parents’
family member
board
and gift aid
college
Age
to you
or college
or college
and fees
contribution
Cost
contribution
2016
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