J.M. University Student Aid Application Form

Parent's Name*

First NameLast Name

Relationship to Student*

Gender*

MaleFemaleUnspecified

Birth Date*

Date

Country of Birth*

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Property Ownership*

OwnedRentedLive with Parents

Are you employed?*

YesNo

Gross Annual Income*

Additional Income*

SS Number*

Marital Status*

SingleMarriedDivorced

How many people, including yourself, depend on the income of your parents for daily living expenses?*

How many family members are currently in college?*

Please provide documentation to verify income and asset information requested on this form?

Browse Files

(Tax forms and/or Bank Statements) You may also email information to finance@johnmelvin.university

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of University / College*

Program of Study*

Campus Location*

Crowley, LA or Beaumont Texas

Present Semester*

Start Year*

End Year*

Aid Purpose*

TuitionHousingBoth

Please tell us why you need financial aid or tuition discounts*

Aid Application Date*

Date

I understand that John Melvin University offers tuition discounts. The maximum discount available is 50% of tuition.

I understand that John Melvin University offers monthly payment plans with a 9.9% interest rate. Monthly payments are due on the 1st of each month. Payments made after the 5th of each month will incur a $50 late fee.

I hereby declare that the information above is true to the best of my knowledge. I am aware that making false statements on this form is an offense punishable by law. I further declare that I clearly understand that this is an application for tuition assistance. The remaining institutional balance (tuition, housing, fees, etc.) must be paid in full. Failure to pay the remaining balance will place a hold on transcript release and restrict any extracurricular participation of the student.

Signature

Clear

J.M. University Student Aid Application Form

Applicant's Details

Student Details

Finance Details