Instructions for New Student Aid Applicants
The Suffolk financial aid application deadline is MARCH 1. Late appli-
cations will be accepted, but to receive full consideration for all available
forms of aid, students must apply by March 1.
This application, plus other forms listed to the right, are to be complet-
ed by all new undergraduate students who wish to be considered for any
and all forms of financial aid awarded by Suffolk University. It is the
student’s responsibility to make sure this application is accurate and
complete and that all supporting materials are submitted to the Office
of Financial Aid. Students applying only for a Stafford Loan must also
complete this application and submit all required forms.
NOTE: Please keep a copy of all financial aid forms and
supporting information. Receipts are available on request for
any form submitted to the Office of Financial Aid.
Checklist
Free Application for Federal Student Aid (FAFSA) should be
filed by February 15, 2006.
You may complete the FAFSA online
at
www.fafsa.ed.gov. The Suffolk University federal code is
002218. I
f tax information is not available at the time of
application, please use estimated figures.
SIGNED copy of parents’ 1040 (A) (EZ) 2005 Federal Tax Return
and all accompanying schedules and W2 forms.
SIGNED copy of student’s 1040 (A) (EZ) 2005 Federal Tax Return
with all accompanying schedules and W2 forms. (NOTE: All
students—dependent and independent—must submit a copy of
this tax return.)
Statement (from the source) detailing total amount of nontaxable
income received during 2005 (e.g., AFDC, welfare, social security,
veterans benefits, workers’ compensation, child support, etc.).
Independent Students: If you are filing as an independent student,
this office may require other documentation for proof of your claim
(e.g., rent receipts, copy of parents’ tax returns, parents’ health
insurance records, etc.).
OFFICE OF FINANCIAL AID 41 TEMPLE STREET BOSTON, MA 02114
TEL 61
7
.573.8470 F
AX 61
7.720.3579
Suffolk
UNIVERSITY
BOST
ON
|
MADRID
|
DAKAR
2006–2007
FINANCIAL AID APPLICATION
OFFICE OF FINANCIAL AID 41 TEMPLE STREET BOSTON, MA 02114
TEL 61
7
.573.8470 F
AX 61
7
.720.3579
1. Name
LAST (FAMILY) FIRST MIDDLE INITIAL BIRTHNAME (MAIDEN) NICKNAME
2. Permanent Address
STREET CITY STATE ZIP CODE COUNTRY
3. Mailing Address (IF DIFFERENT FROM ABOVE)
STREET
CITY STATE ZIP CODE COUNTRY
Phone No. ____________________________________________________ Cell Phone No. ________________________________________________________________________
Email Address ____________________________________________________________________________________________________________
4. Social Security No.
__________________________________________
5. Status for 2006–2007
Freshman Transfer
If transfer student, number of transfer credits you expect to receive ________
School to be enrolled in during 2006–2007:
College of Arts and Sciences
Sawyer School of Management
Merrimack Program
Cape Cod Program
Dean Program
Madrid Program
Senegal Program
Number of credits you plan to enroll for (12 or more credits is full-time) ____
Fall 2006 ________________________________________________________
Spring 2007
______________________________________________________
Major ___________________________________________________________
Expected Graduation Date __________________________________________
6.
Housing status for 2006–2007
Commute from home/live with relatives
Resident (dor
mitor
y) student
Of
f-campus*
(*YOU MAY NEED TO PROVIDE COPY OF LEASE/RENTAL AGREEMENT.)
7. Are you a citizen of the United States?
Yes No
If no, are you a Permanent Resident of the United States?
Yes No
If yes, Registration Number:
NOTE: ELIGIBLE NON-CITIZENS MUST SUBMIT PROOF OF PERMANENT
RESIDENT STATUS TO THE UNIVERSITY.
Optional: City and state of legal residence
NOTE: CER
T
AIN SCHOLARSHIPS HA
VE SPECIFIC CRITERIA, SO IT IS TO YOUR
BENEFIT TO PROVIDE THIS INFORMATION.
8. Are you eligible for Tuition Remission Benefits through an employer?**
Y
es
No
If yes: Employer
___________________________________________________
Benefit amount $ __________________________________________________
NOTE: IF YOU ARE AWARDED ANY PRIVATE FUNDS, YOU MUST NOTIFY THE
OFFICE OF FINANCIAL AID IMMEDIATELY, AS IT MAY AFFECT YOUR FINANCIAL AID
FROM THE UNIVERSITY.
9. On a separate sheet of paper
, explain any special circumstances, such as
illness, age, unusual family expenses, etc., that may make it difficult for you
or your family to contribute to your educational expenses. Attach documenta
-
tion or proof of your claim.
**STUDENTS WHO RECEIVE TUITION REMISSION BENEFITS THROUGH SUFFOLK
UNIVERSITY (INCLUDING TUITION EXCHANGE PROGRAM) WILL ONLY BE CONSIDERED
FOR PELL, MASS GRANT, STAFFORD, PLUS, AND/OR CREDIT-BASED LOAN FUNDING.
Suffolk
UNIVERSITY
BOSTON
|
MADRID
|
DAKAR
2006–2007
FINANCIAL AID APPLICATION
1OF4
OFFICE OF FINANCIAL AID 41 TEMPLE STREET BOSTON, MA 02114
TEL 61
7
.573.8470 F
AX 61
7.720.3579
Suffolk
UNIVERSITY
BOST
ON
|
MADRID
|
DAKAR
2006–2007
FINANCIAL AID APPLICATION
2OF4
NAME (LAST, FIRST)
10. Dependent/Independent Verification of Student’s Status
Parental infor
mation may not be required if the student meets one of
the following criteria:
a. W
as the student born before January 1, 1983? Yes No
b. Is the student a veteran of the US Armed Forces? Yes No
c. Is the student a ward of the court or are both parents deceased?
Y
es No
d. Does the student have legal dependents other than a spouse?
Yes No
e. Is the student married?
Yes No
If you answered “yes” to any par
t of question 10, you are considered an
independent student and are not required to submit parental information.
11. If you are a dependent student, did either of your parents graduate from
Suf
folk University? Yes No
If yes, you may be eligible for an alumni discount.
List below the name of the parent (while enrolled at Suffolk)
and graduation date.
NAME ____________________________________________________________
YEAR OF GRADUA
TION
________________________________________________
12. If more than one member of your family is enrolled full-time at Suffolk
University in an undergraduate program, please list name(s) and social secu-
rity number(s):
NAME ______________________________________________________________________________________
SOCIAL SECURITY NUMBER ________________________________________________________________
NAME
______________________________________________________________________________________
SOCIAL SECURITY NUMBER
________________________________________________________________
13. Income Information
It is the policy of Suf
folk University to verify the information on financial aid
applications submitted to this of
fice. To do this,
all new students applying for
financial aid must sign this for
m
and submit a signed copy of all pages of
your 2005 Federal Income T
ax Return
. In addition, if you are considered a
dependent student,
you must submit a signed copy of all pages of your par
-
ents’ 2005 Federal T
ax Return
. Be sure to include all applicable schedules.
Parent(s) check one
I (we) worked and will file a 2005 Federal Income T
ax Return.
Submit a SIGNED copy including all pages.
I (we) worked and will not file a 2005 Federal Income T
ax Return.
Submit copies of all 2005 W
-2 forms.
I (we) did not work and will not file a 2005 Federal Income T
ax Return.
Student (and spouse) check one
I (we) worked and will file a 2005 Federal Income T
ax Return.
Submit a SIGNED copy including all pages.
I (we) worked and will not file a 2005 Federal Income Tax Return.
Submit copies of all 2005 W-2 forms.
I (we) did not work and will not file a 2005 Federal Income Tax Return.
Parent(s)
Untaxed Income—Total Amount Received for 1/1/05 to 12/31/05
A) WAGES NOT ON TAX RETURN $ ___________________________
B) SOCIAL SECURITY $ ___________________________
C) AFDC/WELF
ARE $ ___________________________
D) CHILD SUPPOR
T $ ___________________________
E) TAX-DEFERRED CONTRIBUTION TO RETIREMENT PLAN $ ___________________________
F) OTHER $ ___________________________
TOTAL $ ___________________________
Student (and Spouse)
Untaxed Income—Total Amount Received for 1/1/05 to 12/31/05
A) WAGES NOT ON TAX RETURN $ ___________________________
B) SOCIAL SECURITY $ ___________________________
C) AFDC/WELF
ARE
$
___________________________
D) CHILD SUPPOR
T
$
___________________________
E) TAX-DEFERRED CONTRIBUTION TO RETIREMENT PLAN $ ___________________________
F) OTHER $ ___________________________
TOTAL $ ___________________________
14. Home Equity
Do your parents own a home?
Yes No
If yes, complete the following questions about the home:
CURRENT VALUE $ ___________________________
CURRENT DEBT
$ ___________________________
YEAR PURCHASED
$ ___________________________
PURCHASE PRICE
$ ___________________________
MONTHLY MORTGAGE $ ___________________________
Do you own a home?
Yes No
If yes, complete the following questions about the home:
CURRENT V
ALUE
$ ___________________________
CURRENT DEBT
$
___________________________
YEAR PURCHASED $ ___________________________
PURCHASE PRICE $ ___________________________
MONTHL
Y MOR
TGAGE $ ___________________________
15. If you/your parents own a home, is it a multifamily dwelling?
Yes No
If yes, what percentage of the home is rented? __________% Rented
(FOR EXAMPLE, IF YOU OWN A THREE-F
AMILY HOME AND TWO
APARTMENTS ARE RENTED, THEN 66% IS RENTED.)
16. Please list the amount you and (if applicable) your family can
contribute to your 2006–2007 educational expenses. $ ___________
17. Check if you are a direct descendant (child, grandchild, etc.) of
a Boston firefighter.
18. Check if you are a Boston public high school graduate.
19. Indicate any special circumstances, such as age, illness,
unusual expenses, etc., that may make it difficult for you
and/or your family to contribute to your educational expenses.
Attach documentation or proof of your situation.
20. Family Information
If you are a dependent student, list all the members of your parents’
household they will suppor
t between July 1, 2006, and June 30, 2007.
Include yourself, your parents, your siblings, and any other dependents who
live with and receive at least 50% suppor
t from your parents. If you are an
independent student, list all members of your household whom you will
suppor
t between July 1, 2006, and June 30, 2007. Include yourself, your
spouse, your children, and any other dependents whom you will suppor
t
at least 50%.
NAME
DATE OF BIRTH RELATIONSHIP
NAME OF COLLEGE A
TTENDING IN 2005–2006
NAME
DATE OF BIRTH RELATIONSHIP
NAME OF COLLEGE A
TTENDING IN 2005–2006
NAME DATE OF BIRTH RELATIONSHIP
NAME OF COLLEGE ATTENDING IN 2005–2006
NAME
DATE OF BIRTH RELATIONSHIP
NAME OF COLLEGE ATTENDING IN 2005–2006
NAME
DA
TE OF BIR
TH
RELATIONSHIP
NAME OF COLLEGE A
TTENDING IN 2005–2006
NAME
DA
TE OF BIR
TH
RELA
TIONSHIP
NAME OF COLLEGE ATTENDING IN 2005–2006
NAME DATE OF BIRTH RELATIONSHIP
NAME OF COLLEGE ATTENDING IN 2005–2006
OFFICE OF FINANCIAL AID 41 TEMPLE STREET BOSTON, MA 02114
TEL 61
7
.573.8470 FAX 61
7
.720.3579
Suffolk
UNIVERSITY
BOSTON
|
MADRID
|
DAKAR
2006–2007
FINANCIAL AID APPLICATION
3OF4
NAME (LAST, FIRST)
Statement of Educational Purpose
I her
eby affirm that any funds received under the Federal Pell Grant,
Federal Supplemental Educational Opportunity Grant, Federal Work-
Study, Federal Perkins/National Direct Student Loan, Federal Stafford
Student Loan, or Federal Parent Loan for Undergraduate Student
programs will be used solely for expenses related to the attendance or
continued attendance at the institution above. I further understand
that I am responsible for repayment of a prorated amount of any portion
of payments made that cannot reasonably be attributed to meeting
educational expenses related to the attendance at the institution. The
amount of such repayment is to be determined on the basis of criteria
set forth by the US Secretary of Education.
I affirm that, to the best of my knowledge, I do not owe a repayment on
a Federal Pell Grant, a Federal Supplemental Educational Opportunity
Grant, or a Federal State Student Incentive Grant previously received
for study at any institution. To the best of my knowledge, I am not in
default on a Federal Perkins/National Direct Loan, a Federal Stafford
Student Loan, a Federal Supplemental Loan for Students, or a Federal
Parent Loan for Undergraduate Students.
Notice: You will not receive Title IV financial aid unless you complete
the statement and, if required, provide Suffolk University with proof
that you are registered with Selective Service. If you state falsely that you
are registered or that you are not required to register, you may be subject
to fine, imprisonment, or both.
I also certify that the information contained in this application is true
and complete. I will notify the Director of Financial Aid in writing of
any change in my familys financial status.
Warning: If you purposely give false or misleading information on
this form, you may be subject to a fine, imprisonment, or both.
I acknowledge that I must reapply yearly by applicable deadlines for
renewal consideration of any financial aid awarded to me.
I give do not give Suffolk University permission to use
financial aid to cover all educational expenses associated with
my enrollment.
My signature below gives Suffolk University permission to use financial
aid to cover all educational expenses associated with my enrollment.
I give Suffolk University permission to utilize financial aid funds to
cover the cost of any state mandated health insurance plan costs, unless
I opt out of the program and use my own plan. With my signature
below, I authorize Suffolk University to secure copies of any high
school transcripts required for financial aid eligibility.
YOUR SIGNATURE DATE
YOUR SPOUSE’S SIGNATURE DATE
P
ARENT’S SIGNA
TURE
DATE
P
ARENT’S SIGNA
TURE
DATE
OFFICE OF FINANCIAL AID 41 TEMPLE STREET BOSTON, MA 02114
TEL 61
7
.573.8470 FAX 61
7
.720.3579
Academic Period Covered by Award is July 1, 2006, to June 30, 2007.
Suffolk
UNIVERSITY
BOSTON
|
MADRID
|
DAKAR
2006–2007
FINANCIAL AID APPLICATION
4OF4
NAME (LAST, FIRST)