financialaidapplicationform

Application for Financial Assistance

Anyone wishing to be considered for a scholarship or reduction in tuition must complete this form. All questions should be answered using the currency in which they were paid or received.

Please note if currency is not US$.

Student Information

Student’s First Name

Does the student have a bachelor’s degree?

Is the student a United States citizen or resident?

Student’s Last Name

From which institution?

What is the visa status?

Home Address

City, State

Zip or Postal Code

Does/Do student(s) live with both parents?

Country

Please explain

Parent information

Name of Father or Guardian

Father's Age

Address (if different than above)

Job Description/Title

Employer's Name

Email Address

Cell Phone

Name of Mother or Guardian

Mother's Age

Address (if different than above)

Job Description/Title

Employer's Name

Email Address

Cell Phone

Family Information

Please list all unmarried children in the family (including those coming to NIRC):

First Name	Age	Does the child live with parent(s)?	School or Occupation (2023-2024)	Amount paid by parents for tuition (2023-2024). Please note if it includes room and board.	Anticipated School / Occupation (2024-2025).	Estimated tuition for 2024-2025

Fill Out Above fields first

Financial Information

All questions refer to the parents unless otherwise noted

Year of most recent Income Tax return (or foreign equivalent)

If not 2023, when will 2023 be filed?

Adjusted Gross Income (Form 1040 line 11) (or foreign equivalent)

US (or foreign) Income Tax paid (Form 1040 line 22)

State and Local Income Taxes paid (From state and local tax return)

Real Estate Taxes paid

Self Employment Tax paid (Form 1040 Schedule 2 Line 4)

Total income earned from work by father in 2023 (not including parsonage)

Total income earned from work by mother in 2023

Parsonage earned in 2023 not subject to Income Tax

Tuition paid for your children by your employer not included in taxable income

Untaxed income and benefits not included above

Medical and dental expenses not paid by insurance in 2023

Expected taxed and untaxed 2024 income

Student’s 2023 income

Cash, checking, savings and investment accounts

Do you own your own home?

What is your monthly mortgage/rent?

What is it worth

How much is owed on it?

When was it purchased?

What was the purchase price?

Student’s savings and investments

Please explain any unusual circumstances that you feel will affect your ability to contribute towards your son’s education.

We feel that we are able to afford towards our son’s tuition, room and board charges. We have checked this form for omission and errors.

To the best of our knowledge the information reported is complete and correct. We agree to inform the Financial Aid Office of any major changes in our financial status. We agree to send the school a copy of any supporting documentation, including our federal income tax return if requested.

Signature of Applicant

CONTACT

financialaidapplicationform