International Student Application for Financial Aid (ISAFA)

The following items must be completed before the ISAFA will be processed:

Applicant must be admitted to Adrian College
ISAFA application must be received by the Adrian College Financial Aid Office, completed and signed by both the applicant and spouse or parent(s).
Applicant must provide Federal/Government Tax documents from 2015. All documents must be in English.
Applicant's parent or spouse (if married) must submit a signed copy of the Federal/Government Tax documents from 2015. Electronic signatures are not acceptable. All documents must be in English.

Please complete this entire form in English, provide income amounts in the currency which it was earned, and income documentation. Acceptable forms of documentation could include,but are not limited to: parent and student Tax Form; proof of family income; or other financial documentation. Please fax these items to the Office of Financial Aid at 517-264-3394 or scan and e-mail them to finaid@adrian.edu

							
																			International Student Application for Financial Aid (ISAFA)
												
Student Information

							Full Name*						

							Email *						

							Student's Home Address*						

							Country*						

							Zip Code/Postal Code*						

							Phone*						

							Student ID # (if known)						

							Marital Status*						
You will be asked to provide information about your spouse if you are married or remarried.

							Highest school year father completed (select one)						

							Highest school year your mother completed (select one)						
STUDENT DEPENDENCY STATUS
If you can check ANY of the following boxes, you will not have to provide parental information. Please put an explanation in the "notes" space provided in the Additional Information section.
If NONE of the following options apply to you, please select "None of these apply." You will later be asked to provide parental information. Continue onto the next section.

							Select any that apply						
STUDENT FINANCIAL INFORMATION
Please report all monetary values in U.S. Dollars

							Did you file or will you file a 2015 income tax return?						

							What was your (and your spouse's) total gross income for 2015? Skip question if you or your spouse did not file taxes.						
The following two questions ask about earnings (wages, salaries, tips, etc.) in 2014. Answer the questions whether or not a tax return was filed.

							How much did you earn from working in 2015?						

							How much did your spouse earn from working in 2015?						
Do you or your spouse have any of the following items in 2014? Answer all that apply--please fill in the amount paid or received in U.S. Dollars.

Do you or your spouse have any assets?

							Total in combined savings and checking accounts (exclude TFSAs)						

							Real Estate Investments (exclude your primary residence)						

							Business Investments						

							Farm Investments						
You may be asked to provide more information about your (and your spouse's) assets.

You may need to report the net worth of current businesses and/or investment farms.
PARENT INFORMATION
Please report all monetary values in U.S. Dollars
Who is considered a parent? “Parent” refers to a biological or adoptive parent. Grandparents, foster parents, legal guardians, older siblings, and uncles or aunts are not considered parents on this form unless they have legally adopted you. In case of divorce or separation, give information about the parent you lived with the most in the last 12 months. If you did not live with one parent more than the other, give information about the parent who provided you the most financial support during the last 12 months or during the most recent year you received support. If your divorced or
widowed parent has remarried, also provide information about your stepparent.

							Parents' Current Marital Status						

Single

Married or remarried

Separated

Divorced or widowed

							Father/Stepfather's National Tax ID Number						

							Father's/Stepfather's Name						

							Father's/Stepfather's Date of Birth						

							Is your father/stepfather a dislocated worker?						

							Mother/Stepmother's National Tax ID Number						

							Mother's/Stepmother's Name						

							Mother's/Stepmother's Date of Birth						

							Is your mother/stepmother a dislocated worker?						

							Did your parents file or will they file a 2016 income tax return?						

							How many people total live in your household (including family members currently in College or University)?						

							How many people in your household will be attending College or University during the academic year of 2015/2016 (not including parents)?						

							What was your parents' total gross income for 2015? Skip this question if your parents did not file taxes. 						
The following two questions ask about earnings (wages, salaries, tips, etc.) in 2014. Answer the questions whether or not a tax return was filed. Please report all monetary values in U.S. Dollars.

							How much did your father/stepfather earn from working in 2016?						

							How much did your mother/stepmother earn from working in 2016?						
Additional Financial Information
Below, respond to all that apply. Please fill in the amount paid or received by parents in U.S. Dollars.

							Child support paid						

							Taxable earnings from work-study, assistantships or fellowships						

							Grant and Scholarship aid reported in income taxes 						

							Combat pay or special combat pay						
Untaxed Income

							Payments to tax-deferred pension and savings (TFSA) plans						

							Child support received						

							Tax exempt interest income						

							Retirement Distribution						

							Untaxed portions of retirement distributuons						

							Untaxed portions of pensions						

							Housing, food and other living allowances paid to member of the military, clergy and others 						

							Veterans benefits						

							Other untaxed income not reported						
Parental Assets

Please respond to all that apply. Fill in the amounts in U.S. Dollars.

							Total in combined savings and checking accounts (exclude TFSAs)						

							Real Estate Investments (exclude your primary residence)						

							Business Investments						

							Farm Investments						
Your parents may be asked to provide more information about their assets.

Your parents may need to report the net worth of their current business and/or investment farms.
ADDITIONAL INFORMATION
Below, please provide any further explanation or special circumstances (loss of income, unemployment, divorce/separation, etc.) that you would like Adrian College Office of Financial Aid to take into consideration when awarding financial aid.

							Please provide further explanation below. 						

By writing my name, my parent/spouse's name, date, and ID number in the fields below, I certify that the information given on this application is complete and accurate to the best of my knowledge. I understand that all documents submitted become the property of Adrian College. I understand that the misrepresentation of information on this form could render me subject to immediate dismissal from the College.

							Student Signature						

							Date						

							Student ID # (if known)						

							Parent/Spouse Signature						

							Date