Declaration Of Finances And International Student Application For Financial Aid Application Form (Sample) Page 4

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Expected Support for Educational Expenses
Enter the expected amount of annual support toward your educational costs from the sources listed below:
Sources
2016-17
2017-18
2018-19
2019-20
Student´s vacation earnings
US$
US$
US$
US$
Student´s assets
US$
US$
US$
US$
Family´s income
US$
US$
US$
US$
Family´s assets
US$
US$
US$
US$
Relatives and friends
US$
US$
US$
US$
Your government
US$
US$
US$
US$
Agencies and foundations
US$
US$
US$
US$
Private sponsor (explain)
US$
US$
US$
US$
Other (explain below)
US$
US$
US$
US$
List agencies/foundations/government to which you are applying for financial aid.
Agency/Foundation/Government
Application Date
Award Notification Date
Expected Amount in US$
Explanation/Special Circumstances
Use this space to explain any unusual expenses, other debts, or special circumstances that the much financial aid, if any, you will receive. Use
additional sheets of paper if necessary.
Certification and Authorization
We declare that the information on this form is true, correct, and complete.
STUDENT’S SIGNATURE __________________________
Date ________
The college has our permission to verify the information reported by obtaining
documentation as needed.
SPOUSE’S SIGNATURE ___________________________
Date ________
WARNING: Providing false information may jeopardize a student’s visa status and
FATHER’S SIGNATURE ___________________________
Date ________
furthermore may result in a college revoking its initial decision to enroll the stu-
dent.
MOTHER’S SIGNATURE __________________________
Date ________
2016

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