Study Abroad Application
Financial Aid Services
& Budget Worksheet
2016-2017
Name: _________________________________________________________________ SPIRE ID:_____________________________
Last, First Mi
Email Address: __________________________________________________________ Cell Phone #: (
) _______ - __________
Telephone #: (
) _______ - __________
Student’s Signature:______________________________________________________ Date:________________________________
All students participating in an International Exchange Program who wish to receive fi nancial aid, including loans, must submit this application to
Financial Aid Services. Program must be 6 credits or more to be eligible for Federal Loans.
Term(s) you will be on exchange: Fall 2016 Winter 2016-17 Spring 2017 Spring break 2017 Fall 2016 & Spring 2017
UMass Spring 2016 Faculty Led- indicate program you will be participating on:
Belize- Biology
Belize-Larp
South Africa-SOM
Ireland-SOM
Residency (please check one): In State
Out of State
Regional
UMass Program
Partner Program (non-UMass)
Type of program (check one):
Country where you will be on exchange: _________________________________________________________________________
Name of Partner Program, if applicable (e.g. ISA, SIT): _____________________________________________________________
Below, please list the estimated expenses for your program and provide documentation to support your estimates. The Financial
Aid Offi ce will use this information to create a “budget” for your program costs. Your total fi nancial aid package, including federal
and alternative loans, cannot exceed your budgeted amount.
Cost of Program – list costs or estimates of costs. All amounts must be in US dollars.
Air Fare:
$
Please attach air fare receipts or print-outs showing estimated expenses
Ground Transportation:
$
Please provide estimated in-country travel costs (taxi, bus, train, etc.)
Passport, Visa:
$
Please provide cost of purchasing passport and visa(s), if applicable
Program Fee:
$
Please provide program’s cost & attach supporting documentation
Room/Board:
$
Please provide program’s cost & attach supporting documentation
Health Insurance:
$
Please provide insurance surcharge costs, if applicable
Other Expenses: (Please itemize)
$
Along with this sheet be sure to include:
Copy of letter/email showing acceptance into program
Receipts or print-outs from the internet showing round-trip air fare costs (actual purchase or estimate)
Cost of program and room/board on program letterhead or print-out from program website
IMPORTANT NOTES:
You must fi le a 2016-2017 FAFSA in order to be considered for fi nancial aid in Fall 2016 and/or Spring 2017.
The Financial Aid Offi ce will use this information to maximize your William D. Ford Federal Direct Loans, where possible.
Students should consider Parent PLUS Loans or Alternative Loans (visit: ) if additional funds are required.
Please resolve all “To Do’s” and information requests (posted in SPIRE) before going abroad.
Students should sign up for Excess Express (SPIRE> Finances> Excess Express Enrollment) in order to receive refunds for any overpayments.
Students should authorize at least one “fi nancially responsible person” (e.g. parent) using the FERPA Privacy Waiver in SPIRE.
Go to SPIRE> My Personal Info> FERPA Privacy Waiver.
Fax complete form to: 413-545-1700
or email to: fadocs@fi naid.umass.edu
(Attachments must be a standard image fi le, or in one of the following fi le formats: .doc, .docx, .pdf)
*FBUDWO*