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Financial Aid Application Office of Admission, Beloit College 700 College St., Beloit, WI 53511 800-923-5648 (phone) | 608-363-2075 (fax) finaid@beloit.edu (email) __________________________________________________________________________________________________________ All first-year and transfer applicants wishing to be considered for need-based financial aid (including grants, loans, and on-campus work) should complete the required documents by our preferred deadline of March 1, 2012. If there are any differences between your FAFSA information and your financial aid documents, your FAFSA may be corrected. Failure to complete this form on time will not eliminate you from consideration for need-based aid though it may delay delivery of financial aid. • FAFSA (Beloit’s Title IV Code is 003835) Available online at www.fafsa.ed.gov beginning January 1. A completed FAFSA is required in order to be eligible for needbased aid as well as the Federal Direct Student Loan, Federal PLUS Loan for parents, or campus employment. • Beloit College Financial Aid Application This form is used to gather information supplemental to the FAFSA SECTION A – STUDENT INFORMATION: (Please review and, if necessary, correct the information below.) Full name: ______________________________________________________ Date of birth: ________________ Permanent address: ___________________________________________________________________________________ Student email: __________________________________________ Preferred phone: ____________________________ (Please note we use email as a primary means of communication and request that you verify the beloit.edu domain as a trusted source. We recommend you check your email several times each week, if not once daily.) SECTION B – PARENT INFORMATION: This section is to be completed by and about the parent(s) with whom the student resides. If the student lives in a single parent household, only the information about that parent should be provided. If a divorced or widowed parent has remarried or if the student lives with parents who are domestic partners, information about the stepparent/partner is required. Parent 1 name _________________________________ Occupation ____________________________________ Employer ___________________ No of yrs _________ Email address __________________________________ Parent 2 name __________________________________ Occupation ____________________________________ Employer ____________________ No of yrs _________ Email address __________________________________ SECTION C – HOUSEHOLD INFORMATION: Complete the information for every member of the household in which you live. Please include yourself, your parent(s), and people who live with and receive more than half of their support from your parents at the time of this application, and will continue to receive that support from July 1, 2012 and June 30, 2013. Name Age as of 1/1/2012 Relationship to applicant Self Will this person attend college at least half-time in 2012-13 Yes No School this person will attend in 2012-13 if applicable (college, university, secondary, middle, or elementary) Amount of tuition paid by family Grants and/or scholarships received or expected Grade level in 2012-13 SECTION D – NON-CUSTODIAL PARENT INFORMATION: At Beloit we believe the primary responsibility for contributing to the educational expenses resides with a student’s parents. While divorce or separation may affect the extent to which one or both parents can contribute, it does not absolve either parent of this responsibility. If your parents are divorced or separated, please complete this section. Your non-custodial parent is the parent whose information is NOT reported on the FAFSA. Non-custodial parent’s name: ___________________________________________________________________________ Occupation _____________________________ Employer _________________________________ No of yrs __________ Home phone ____________________________ Email address _________________________________________________ Year of separation/divorce: _______ If remarried, year of remarriage: __________ • May we discuss financial assistance and billing documents with your non-custodial parent? Yes • How much does the non-custodial parent plan to contribute to your education during the coming 2012-13 school year, excluding child support? $_______________________________ • Is there a legal agreement specifying the non-custodial parent’s contribution to your education? If so, please provide a written explanation or any supporting documentation. • Please provide a copy of non-custodial parent’s 2011 federal tax return and documentation of any scheduled changes in child support for the household. Yes No No SECTION E – MISCELLANEOUS INFORMATION: 1. If you are the owner or beneficiary of any of the following – Education IRA, 529 College Savings Plan, or Prepaid Tuition Plan – please provide us a copy of the most recent account statement. 2. If your parents do not own a home, how much is their monthly rent? $________________________ If your parents own a home, please provide the following: Year purchased_________________ $ $ $ $ Purchase Price Current Market Value Amount Owed (approximate) Monthly Mortgage Payments (including taxes & insurance) SECTION H – WORK STUDY Often our students are interested in working on-campus and many ultimately secure positions. Jobs and work-study funds are finite so priority is given to those students who apply for aid and demonstrate significant need. Students not initially offered work funds are required to wait until after the third full week of classes (late September), at which point they may apply for any open positions. If you have skills you feel would be of particular value on-campus or if you would like to tell us more about your work history, please feel free to include a resume or letter outlining your skills and interests. SECTION I – UNUSUAL CIRCUMSTANCES Occasionally families have circumstances that are not represented on the FAFSA or require additional explanation. If you have a situation you feel needs additional clarification, please include a narrative statement outlining those details and include any supporting documentation that will help us better understand your circumstances. If you would like to discuss this with someone in our office before you compile the details, please feel free to contact us at the number/email on the front page of this form. SECTION J – STUDENT AND PARENT CERTIFICATION AND SIGNATURES We certify the information on this application is correct and complete to the best of our knowledge. Furthermore, we agree to notify the Financial Aid Office of any change in our financial situation, including the receipt of outside scholarships, which may occur subsequent to this application. We understand that failure to comply may result in the reduction or termination of assistance. All information will be kept strictly confidential and we understand most communication from the Financial Aid Office will be conducted via e-mail. We may contact the Financial Aid Office at finaid@beloit.edu or 608-363-2500. ____________________________________________________________ Student Signature ______________________ Date ____________________________________________________________ Parent Signature ______________________ Date