Application Instructions

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1 Application Instructions 1. Complete the following two required items (check to indicate completion and keep this page for your records): Fuller Financial Aid Application FAFSA or renewal FAFSA (available online at Fuller s School Code is G *You are strongly encouraged to use your completed 2013 Federal Tax Return to complete your FAFSA to avoid delays. *DO NOT submit a copy of your completed tax return to Student Financial Services unless it is requested by a Student Financial Counselor. 2. Complete the Student Loan Entrance Counseling below if you wish to receive federal Direct loans and if this will be your first federal loan through Fuller. 3. Please make and keep copies of application materials for your own records, then submit application materials to: Student Financial Services, Fuller Theological Seminary 135 North Oakland Avenue, Pasadena, CA For questions, please call or [email protected]. What to expect: Priority Deadlines Award Letter Sent February 7, 2014 EARLY ADMIT CLINICAL PSYCHOLOGY by February 17 February 21, 2014 NEW SOT PHD & THM by March 21 March 3, 2014 NEW CLINICAL PSYCHOLOGY/MFT STUDENTS by April 2 March 7, 2014 ALL RETURNING STUDENTS by April 30 April 11, 2014 ALL OTHER NEW STUDENTS by May 30 Priority consideration will be given to students who submit all required materials by the deadlines above. Applications completed after the deadlines will be awarded as funds are available. Student Loan Entrance Counseling (required for new Fuller student loan borrowers) Federal regulations require a student borrower to understand a borrower s rights and responsibilities before receiving federal loan funds. Student borrowers need to complete this requirement online at Fuller will receive an electronic notification after you complete the online counseling. Student loans cannot be processed until after this requirement is completed. Any loans you accept will be placed on HOLD until you complete this requirement. You will need about 30 minutes to complete the counseling. How to complete the Student Loan Entrance Counseling process: 1. Go to and sign in. You will be asked for your FAFSA PIN for authentication. 2. Click Complete Counseling in the middle of the page. 3. Under Entrance Counseling, click Start. 4. Choose California and then Fuller. 5. When prompted to select your Student Type, choose: I am completing entrance counseling in order to receive loans as a graduate (beyond bachelors degree) or professional student. 6. Click Continue and then carefully read and complete each page. 7. The program will notify you when you have successfully completed the counseling requirement. You may wish to print the page for your records. DO NOT send it to Student Financial Services. If you are unable to use the online Student Loan Counseling program, please contact the office at or via [email protected].

2 U.S./Permanent Resident Application Financial Aid Application Please see insert for instructions You may also apply online at Student Identification Number (G#) Surname/Family Name First Middle Initial/Name Section 1 Program of Study in (check to indicate answers) School of Theology School of Psychology School of Intercultural Studies Marriage and Family Therapy Certificate Program Certificate Program Certificate Program African-American Ministries Master of Arts (M.A.F.S.) Master of Arts in Global Hispanic Church Studies Master of Science (M.S.) Leadership (M.A.G.L.) Master of Arts (M.A.) Master of Divinity (M.Div.) Master of Arts (M.A.) Master of Theology (Th.M.) Doctor of Philosophy (Ph.D.) Clinical Psychology Doctor of Missiology (D.Miss.) Master of Theology (Th.M.) Doctor of Psychology (Psy.D.) KOREAN Doctor of Missiology Doctor of Ministry (D.Min) Doctor of Philosophy (Ph.D.) Doctor of Philosophy (Ph.D.) At which campus will you be taking MOST of your classes during the academic year: Pasadena Campus Fuller California Coast Fuller Texas Fuller Southwest Fuller Menlo Park Fuller Colorado Springs Fuller Sacramento Fuller Northwest Online Section 2 General Information 1. Contact Information (check preference) Home Phone Work Phone Cell Phone 2. Birthdate (MM/DD/YY) 3. Citizenship *If you are not a U.S. Citizen or legal Permanent Resident, you need to complete the application for International Students. 4. Denomination 5. When do you expect to graduate from Fuller: Summer / Fall / Winter / Spring Will you have taken a Fuller Seminary course for credit prior to June 2014? Yes No 7. Will your housing be provided free of charge during ? Yes No 8. Will you be taking ONLY IDL courses (Individualized Distance Learning) for any quarters in ? Note: These are not typical online classes Yes No 9. If you are SIS or SOT PhD/ThM student, will you be enrolled in 500 level courses? Yes No If yes, which quarter(s)? Summer / Fall / Winter / Spring Section 3 Plans for Enrollment Summer 2014 (June 20-Sept. 20) Fall 2014 (Sept. 26-Dec. 13) Winter 2015 (Jan. 02-Mar. 21) Spring 2015 (Mar. 27-June 13) Total for Please carefully list your enrollment plans for each quarter of the academic year. If your actual enrollment is less than you report here, your financial aid may be reduced. One class is usually 4. Write only one number in each box. DO NOT include a range of numbers, e.g., 8-12.

3 Section 4 Understanding Your Financial Situation 1. Other Support a. Will you receive any financial support (e.g. scholarships or money) from sources other than Fuller which will be sent directly to Fuller on your behalf during ? If so, please list the sources and amounts you will receive. Source Amount $ Source Amount $ b. Will you receive tuition remission through Fuller during as a: Full-time staff member; Date of Hire Eligible family member of faculty; Date of Hire Eligible family member of staff; Date of Hire 2. Other Benefits If you will receive the following benefits during , please indicate your monthly payments: Social Security Educational Benefits $ Rehabilitation Educational Benefits $ Name of Rehabilitation Counselor Phone Number of Counselor 3. Other Information a. Do you have children ages 5 and under for whom you will provide at least half of their financial support AND who will live with you during ? Yes No b. Will you be attending another college or university in addition to Fuller between June 1, 2014, and June 30, 2015? No Yes Name of Institution Intended Degree Dates you will attend (MM/YY through MM/YY) No Yes Will you be receiving aid? Section 5 Comments and Certification Additional Comments: I declare that the information provided on this application, to the best of my knowledge, is true, correct, and complete. I agree, if asked, to provide information to verify the accuracy of my completed financial aid forms. If I receive Title IV or Fuller Financial Aid funds, these funds will be used only for expenses related to my study at Fuller Theological Seminary. I understand that all financial aid awards are subject to available funding. I acknowledge that any financial aid awarded to me may be revised, reduced or canceled based upon changes or corrections to the information on this application, the FAFSA (if applicable), other materials, or as a result of awarding error, legal and regulatory compliance requirements, or my failure to abide by the terms and conditions of any such aid awarded to me. Student Signature Date

4 Complete this form only if you are not required by law to file a 2013 U.S. federal tax return. Non-Tax Filer Statement 2013 Tax Year Name of Student Student ID Number Note: You may be required to file a tax return if your gross income for 2013 was more than: * $10,000 (single, under age 65) or $11,500 (single, age 65 or older) * $20,000 (married, under age 65) or $22,400 (married, age 65 or older), filing jointly [both spouses] * $21,200 (married, age 65 or older), filing jointly [one spouse] * $3,900 (married, any age) filing separately * $12,850 (head of household, under age 65) or $14,350 (head of household, age 65 or older) * $16,100 (widow(er) w/dependent, under age 65) or $17,300 (widow(er) w/dependent, age 65 or older) Instructions: Complete the chart below with all sources of your (and your spouse s) income from January 1, 2013, to December 31, Be sure to enter zeros if no funds were received. Note: The vertical boxes to the left of the chart indicate where this information should also be reported on the FAFSA. Question # F A F S A 39/40 45-A 45-C 45-D 45-G 45-H 45-J Tax Year 2013: January 1, 2013 December 31, 2013 Student Spouse Work Earnings INCOME Payments to tax-deferred pensions and savings plans (paid directly or withheld from earnings) as reported on W-2 Form Box 12a through 12d, codes D,E,F,G, H, and S. Include untaxed portions of 401(k) and 403(b) plans Child support received for all children (do not include foster care or adoption payments) Tax exempt interest income from IRS Form 1040 line 8b or 1040A line 8b Housing/Living allowance paid to members of the military, clergy, and others (including cash payments and cash value of benefits) Veterans noneducation benefits Money received, or paid on your behalf (e.g., bills) by parents, church or church groups, friends, relatives, etc. Other (specify): $ $ Total If the total is less than $10,000, please explain how you were able to support yourself during 2013: Certification: By signing this worksheet, I certify that I am not required to file a federal income tax return for 2013 and that the information reported on this form is complete, true and correct. I agree to provide the documentation necessary to confirm the information reported on this document, as requested by Student Financial Services. Student Signature Date Warning: If you purposefully give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both.

5 Title IV Student Loan Disbursement Agreement Form (This form is for U.S. Citizens and Permanent Residents. International Students do not need to fill it out.) Fuller students often incur non-mandatory fees in addition to tuition and ASC dues. A student s Federal loan funds cannot be used to pay for such fees unless the student gives Fuller permission to do so with this form. Non-mandatory fees include: Medical Insurance Dental Insurance Parking Permits and Tickets Deferred Payment and Interest Fees Registration Fees (Add/Drop, Late, etc.) Graduation Fees Payment Plan and Late Payment Fees Sherri Harthoorn and Fuller Fund Contributions Cohort and Retreat Fees Athletic Club Fees Testing Fees Writing Center Fees Such expenses are not automatically paid by federal loan funds, and you are not required to authorize Fuller to pay them with loan disbursements. Completing this form authorizes your loan funds to pay the additional fees listed above. If you incur such fees by the first week of the Quarter, then your loan funds for that Quarter will pay toward such fees. Charges incurred after your loan funds have already disbursed will need to be paid by some other financial source. This agreement form is not mandatory; this form is for your convenience. My signature below indicates that I have read, understand, and agree to the following: I authorize Fuller Theological Seminary to apply Title IV funds (Federal Direct, Perkins, and/or GradPLUS loans) to the types of non-mandatory fees listed above. I understand that these charges are paid only if I incur them during a quarter in which I have a student loan, and only if the charges are incurred before my student loan funds have disbursed. I am giving this authorization of my own free will and without coercion by any person or department at Fuller Theological Seminary. I understand I can rescind this authorization by notifying Student Financial Services in writing at any time, and I will allow three business days after receipt by Student Financial Services for my authorization to be cancelled. Name (print) Student ID Number Signature Date *This form may be faxed, mailed, dropped off in person, or scanned and ed as an attachment. Student Financial Services 135 North Oakland Avenue, Pasadena, CA Phone Fax [email protected]

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