Financial Aid Application for Non U.S. Citizens & International Students

CONFIDENTIAL

Please answer all questions that apply to you and your family. All currency figures should be converted into U.S. dollars ($) before entering them.

Section A - Student Information

This section pertains to the student who is applying for aid.

Legal Last Name (Family/Surname)

Legal First Name (Given)

Permanent Address - Please provide your full address

Country

Street

City

Region

Postal Code

Email Address

Birthdate

When do you expect to begin your studies at Roanoke College?

Your marital status

Not Married

Married/In a domestic partnership

If married, how many people are financially dependent on you?

Section B - Parent Information

On this application, "parents" means the custodial parent(s) - the parent or parents (or legal guardian) the student lives with. If the student's biological or adoptive parents are divorced or separated, the custodial parent(s) are the parent or parents with whom the student has lived the most during the 12 months prior to filing the application. If the custodial parent has remarried, "parents" includes the student's biological/adoptive parent and stepparent.

Parent 1's Legal Last Name (Family/Surname)

Parent 1's Legal First Name (Given)

Parent 1's Age

Parent 2's Legal Last Name (Family/Surname)

Parent 2's Legal First Name (Given)

Parent 2's Age

How many people, including yourself, reside in your household and received more than half of their financial support from your parents?

How many people in your parents' household (including yourself) will be college students during the next academic year?

Do you have any younger siblings that currently attend or plan to attend a private elementary or secondary school?

Yes

No

Please provide the name of your sibling, the name of their school and the costs associated with their attendance at that school.

Section C - Financial Information

Income

During the past year, how much of your household income (before taxes or expenses) came from the following sources (in U.S. $'s):

A. Father's Work (in US $'s)

B. Mother's Work (in US $'s)

C. Your Work (in US $'s)

D. Your Spouse's Work (in US $'s)

E. Family Business (in US $'s)

F. Family Real Estate (in US $'s)

G. Retirement (in US $'s)

H. Other Household Members (in US $'s)

I. Interest or Dividends (in US $'s)

J. Living Allowances (in US $'s)

K. Other (in US $'s)

Please explain where your "other" income is coming from:

Assets

Asset information pertains to the parents or to the student and the student's family if the student is married and lives independently of the parents. Write in the value of assets and, where asked, any debt against the asset as of the time you complete this application.

Does your family own a business?

Yes

No

A. Your parent's share of the business value (U.S. $'s)

B. Your parent's share of the business indebtedness (U.S. $'s)

List the value of the following family assets (in U.S. $'s):

A. Land and Buildings (other than home or business)

B. Savings

C. Investments (such as stocks and bonds)

D. Assets owned by student

Section D - Expected Support for Educational Expenses

Select all sources that you anticipate receiving some annual financial support from during your academic career:

Enter the expected amount of annual support toward your educational costs from the sources listed below.

Student's vacation earnings (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Student assets (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Family's income (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Family's assets (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Relatives and friends (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Your government (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Agencies and foundations (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Private sponsor (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Please explain the source of your funds from a private sponsor:

Other (in U.S. $'s):

First Year

Second Year

Third Year

Fourth Year

Please explain the source of your other income:

Certification and Authorization

Submission of this form is your declaration that the information on this form is true, correct and complete. Roanoke College has your permission to verify the information reported by obtaining documentation as needed.

WARNING: Providing false information may jeopardize your visa status and may result in the College revoking its initial decision to enroll you.