Income and Expense

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Income and Expense

Name:

Phone Number:
Email:

Award Letter Should be Sent to:
Address:
City: State: Zip:

Degree Program: Anticipated Graduation Date:
Returning students - years completed: Status:

I am: If single, do you plan to marry before entering seminary? Yes
No If so, when:

Dependent Children (Providing More than 50% support) Yes
No Denomination:

For Presbyterian Students
Presbytery: CPM Status:

EVERY STUDENT IS REQUIRED TO COMPLETE A FAFSA FORM

ESTIMATED INCOME FOR THE TWELVE-MONTH PERIOD/JUNE-MAY. Estimate as accurately as possible your own anticipated income. If you are graduating in Dec. or Jan., use income and expenses starting in June and ending in either Dec./Jan. If you are entering in Jan. or Feb., use expenses starting from the entering month through May.

TWELVE-MONTH INCOME

1. Net earning for Jun 1-May 31
Field Education: Other: =

2. Net earnings of spouse/partner for Jun 1-May 31

3. Financial assistance from student’s and/or spouse’s/partner’s parents

4. Savings and other liquid assets of applicant and spouse/partner (divide total by years of schooling remaining plus one)

5. Local church and church-related organizations

6. Other groups; relatives and friends

7. Grants and scholarships (other than seminary)

8. Veteran benefits

9. Other income (specify; e.g., social security, alimony, child support, tax refund, etc.)

TOTAL ESTIMATED INCOME:

PROJECTED EXPENSES FOR THE TWELVE MONTH PERIOD/JUNE-MAY. Estimate as accurately as possible your own anticipated expenses. If you are graduating in Dec. or Jan., use income and expenses starting in June and ending in either Dec./Jan. If you are entering in Jan. or Feb., use expenses starting from the entering month through May.

TWELVE-MONTH EXPENSES Click here to see example expenses

1.Tuition

2. Fees: Community Activity, Student Service, Academic Support, & Copyright

3. Room or Rent (including utilities)

4. Food

5. Books & Educational Supplies

6. Clothing, Laundry, Cleaning

7. Transportation

b. Car Insurance & License

c. Operating Costs (minus insurance) or public transportation for those without a car

d. Major Repairs

8. Medical & Dental

9. Child Care (if spouse/partner is employed)

10. Other Expenses

a. Telephone

b. Life Insurance

c. Health Insurance

d. Church & Charity

e. Denominational Pension Plan

f. Children

g. Other Incidentals

TOTAL ESTIMATED EXPENSES

TOTAL ESTIMATED INCOME

EQUAL FINANCIAL NEED

Supplementary Information
STUDENT'S AND SPOUSE'S/PARTNER'S (OR PROSPECTIVE SPOUSE'S/PARTNER'S) ASSET INFORMATION

Stocks, bonds, certificates of deposit, and other investments
Contingent trust funds of which the student is beneficiary
Vested trust funds of which the student is beneficiary
Values of Keogh, IRA, 401 K, etc. (Please specify)
Values of Real Estate Holdings

Value as of June 1, 2013

FINANCIAL AID HISTORY
Your information is available through FAFSA and NSLDS. Please indicate your spouse's/partner's loan indebtedness below.

Spouse/Partner:
Non-educational Indebtedness (list sources and amounts)

TOTAL NON-EDUCATIONAL LOANS:

Total Borrowed

Amout to be Repaid June 2012-May 2013

I AGREE TO INFORM THE FINANCIAL AID OFFICER OF ANY SIGNIFICANT CHANGES IN MY FINANCIAL CIRCUMSTANCES.

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