BINGHAMTONUNIVERSITY

STATEUNIVERSITY OF NEW YORK

INTERNATIONAL STUDENT GRANT-IN AID APPLICATION

The BinghamtonUniversity Foundation makes available a small grant-in-aid fund for international students. These awards are made by a student/faculty/staff committee and are based on financial need. All information provided is held in strict confidence by the committee.

AWARDS will be made in November and April for the Fall and Spring semesters respectively. No awards are made during the summer terms.

INSTRUCTIONS: Complete all statements in detail. If some items require greater explanation than the space provided, attach a separate sheet. Type or print clearly.

In the left column, list sources of all support, income, financial aid, employment and amounts available for a full calendar year. List anticipated funds, such as potential summer earnings or money coming from home, as well as moneys already immediately available to you. In the right column list your expenses for the same period. The amount of Total income and the amount of Total expenses do not need to be the same.

Income Calendar Year (12 months) / Expenses Calendar Year (12 months)
Personal Savings / $ ______ / Tuition/Fees / $ ______
Sponsor/Family funds from abroad / $ ______ / Rent / $ ______
Part-time/summer employment / $ ______ / Meals / $ ______
Other grants/scholarships/awards / $ ______ / Books/supplies / $ ______
Loans / $ ______ / Insurance / $ ______
Funding from the University: / Clothing
Fellowship / $ ______ / Other (explain) / $ ______
Stipend / $ ______ / $ ______
Tuition waiver / $ ______ / $ ______
TOTAL INCOME / $ ______ / TOTAL EXPENSES / $ ______

Do you contribute to someone else's support? Yes NO

If yes, indicate number of dependents and their relationship to you ______ ______

If some or all of your support is from your family, what is the family income in U.S. dollars? ______

Number of dependents supported by the family _______

Are you employed on-campus / Yes / No
If yes, Where? ______
Hrs/week ______wage ______

On a separate piece of paper, please explain why you are applying for this grant. Include an explanation of your financial circumstances and any additional information that you believe the committee will find helpful.

Please be aware that awards are competitive. Any documentation that supports your unexpected hard ship and you can provide should be attached to your application as well.

I certify that the statements provided on this application are true and correct to the best of my knowledge.

______

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Send the completed form by e-mail to:

revised 10/14