ࡱ> IKH] fbjbj:: 70X*\X*\)<22222FFF8~$$F'tf'h'h'h'h'h'h'$[),'2'22'R22f'f'V%@&*& R''0'&&x,H,&,2&A''6',> : STONY BROOK UNIVERSITY SCHOOL OF DENTAL MEDICINE INSTITUTIONAL APPLICATION FOR FINANCIAL AID 2015-16 ACADEMIC YEAR 1. All students must file the Free Application for Federal Student Aid (FAFSA) or the FAFSA renewal form (available online for continuing students: HYPERLINK "../Admissions 2013-14/www.fafsa.ed.gov"www.fafsa.ed.gov). The deadline for submission for new students is April 15th . This information will be used for consideration in awarding campus-based funds. When completing the FAFSA do not include parental information, unless you are applying for any institutional funds, such as the Disadvantaged Student Tuition Waiver, Health Professional Loan or Perkins. 2. First year students and new financial aid applicants must complete this Institutional Application for Financial Aid by April 15th, 2015. 3. Eligible non-citizens must submit copies of either an I151or I551 form. 4. If your application is selected for Quality Assurance verification, you will be required to submit Federal Tax forms, proof of untaxed income (if any) and other documents as requested. You will be notified in writing if you have been selected. 5. Certain programs may require that additional financial information be collected before awards are made. You must be prepared to submit this information if requested. 6. To facilitate loan processing and reduce the risk of lost paperwork, please make certain that your mailing address is accurate. Please make updates to your SOLAR account. 7. All students should have a clean credit history, as some loan programs will check the creditworthiness of applicants prior to approval. No financial aid will be awarded until applications and supporting documents are received. Send all forms to: Stony Brook University, School of Dental Medicine Office of Education Attn: Glenda Mitchell, Director of Student Services 148 Rockland Hall Stony Brook, NY 11794-8709 Phone: (631) 632-3027 Fax: (631) 632-3760 Email: glenda.mitchell@stonybrook.edu Academic Year 2015-2016 Name ____________________________________ Graduation Year___________ S.S. # _____________________________ Date of Birth ______________ Email:_____________________________ Permanent Mailing Address ______________________________ _____________________________________________________ Address for Correspondence ______________________________ ______________________________________________________ Telephone _____________________ State of Legal Residence _________________ Citizenship _______________________ Type of Visa ________________________ Marital Status ________________ # Dependent children living w/you _________ During the 2015-16 academic year do you plan to live: _____ with parents; _____on campus ( _____ dorms, _____ apartment complex): _____ apartment off campus, single; _____apartment off campus, shared; _____own home. Monthly rent or mortgage payment: ______________ Educational Level of Parents: Father __________ Mother ___________ Parents Occupation: Father _________________ Mother _________________ Have you previously received financial aid (including loans)? ___________ Please check the programs to which you are applying for the 2015-16 Academic Year: Unsubsidized Stafford Loan __________________________ GRAD Plus Loan __________________________ SUNY Disadvantaged Student Tuition Waiver Grant* ____________________ (*must complete Parents Income Section of FAFSA to be considered) Health Professions Student Loan _____________________________ (*must complete Parents Income Section of FAFSA to be considered) Federal Work Study Program _____________________________ Other (including personal loans from family) ____________________________ Name of institutions previously attended: ________________________________ As an Undergrad did you participate in any of the following programs for Disadvantaged Students: EOP, HEOP, or SEEK (if yes, please circle which one and have UG university send letter of verification to address listed above.) Have you received a Perkins Loan at another institution? ____________________ Have you received a Pell Grant or SEOG at another institution? If yes, please circle. Will you have use of a car? __________ Make/Model /Year ________________ Value __________ Insurance Premium _________ Drivers License # ________________ Students Indebtedness (include spouses indebtedness if applicable): Debt (lender and purpose) Total Amount Borrowed; Amount to be repaid during 2014-15 Academic Year ______________________ _____________________ _________________________ ______________________ _____________________ _________________________ ______________________ _____________________ _________________________ Educational Loans: _____________________ ______________________ _______________________ _____________________ ______________________ _______________________ _____________________ ______________________ _______________________ Total Educational Loans ______________________ _______________________ Total Indebtedness ______________________ _______________________ The State University of New York at Stony Brook does not discriminate on the basis of race, religion, sex, sexual preference, color, national origin, age, disability, marital status, or status as a disabled or Vietnamera veteran in its educational programs or employment. Discrimination is unlawful. If you are a student or an employee of SUNY at Stony Brook and you consider yourself to be a victim of illegal discrimination, you may file a grievance in writing with the Affirmative Action Office within forty five calendar days of the alleged discriminatory act. If you choose to file a complaint with the University, you do not lose your right to file with an outside enforcement agency such as the State Division of Human Rights or Equal Employment Opportunity Commission. 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