PSR 2022-2023 Financial Aid Application

2022-2023 Financial Aid Application
Applicant Information

Form must be completed in one session
Title*
Name*

First NameLast Name
Citizenship of Applicant *
Country of Citizenship*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Please confirm your e-mail*
example@example.com

Academic Information
Please select your program with the highest amount of total units*
Enrollment Intent for the 2022-2023 Academic Year
What is your applicant status?*
I am planning on enrolling in the following terms:*

Summer 2022Fall 2022January Intercession 2023Spring 2023
Amount of credits I plan on taking Summer 2022*
Amount of credits I plan on taking Fall 2022 *
Amount of credits I plan on taking Intercession 2023*
Amount of credits I plan on taking Spring 2023*
As a currently enrolled PSR student, I have completed the following of credits in my program(s):*
My anticipated graduation date is: *

MonthDayYear
Date
If you have any additional information to provide us that will be helpful in processing your financial aid award, please upload a document detailing any special considerations we should hold here. If you plan on receiving outside scholarships, you are required by the federal government to report the scholarships to us. You can report any scholarships you will be receiving by completing our Outside Resources Form.
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Financial Information

The information you provide in this section will allow us to discern your financial need and will allow us to provide you with a financial aid award according to that need. Please provide all amounts in US Dollars.
Your country's currency: *
Your 2021 Income *
Your spouse's 2021 Income*
Number of dependents living in your household*
What is the total current balance of cash, savings, and checking between you and your spouse (if applicable)? *
What is the total net worth of all investments, including real estate, between you and your spouse (if applicable)?*
Additional Sources of Income

If you or your dependents receive income, from any of these sources, please indicate how much.
Housing, food, or other living allowances: *
Pension, annuities, retirement: *
Financial support from family members: *
Support from church/church groups: *
Interest or dividends: *
If you have received income or financial support from other sources not listed here, please explain and provide the amount here:
Household Information: Please list below the name, age, and relationship to you of each individual who will live with you in the United States that will be supported by you and/or your spouse financially between the dates of July 1, 2021 and June 30, 2022. If any of these individuals will be enrolled in a degree or certificate program at least half-time between July 1, 2022 and June 30, 2023, please provide the name of the school they will be attending as well.
By electronically signing this document, I hereby certify that the information on this form is true, correct, and complete. Pacific School of Religion has my permission to verify the information reported by obtaining documentation as needed. I understand that my financial aid award is subject to revision base upon changes to any of the above information and that all awards are subject to the availability of funds. My signature below also designates authorization to the use of electronic means of communication for official notification concerning my financial aid information. I have the right to withdraw authorization at any time by written notification to Pacific School of Religion.
Signature*

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2022-2023 Financial Aid Application

Applicant Information

Academic Information

Financial Information

Additional Sources of Income