Study Abroad Application And Budget Worksheet

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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*

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