California Lutheran University Office of Financial Aid
2015-16 Independent International Student
University Financial Aid Application
RETURN TO:
CLU Office of Financial Aid
60 West Olsen Road #1375
Thousand Oaks, CA 91360
EMAIL: finaid@callutheran.edu
FAX: (805) 493-3114
California Lutheran University considers citizens of all nations for assistance based on
academic merit and on demonstrated financial need. Merit-only scholarships are
awarded at time of Admission. This application is for students seeking additional
assistance based on demonstrated financial need. Scholarships and need-based awards
remain the same for all years of attendance; there is no annual increase.
Student Information
Student's Last Name
Student's First Name
M.I.
@callutheran.edu
Date of Birth
E-mail address
Permanent Address (include Apt #)
City
State
Zip
Country
Student’s Marital Status
Single
Widowed
Married or remarried
Divorced or separated
What is the number of people in your household?
What is the number of people in your household who will be in college in 2015-16? (Include yourself)
Financial Information
Documentation must be submitted to verify income, asset and expected support information requested on this form.
Please check the type of document you will be attaching to this application:
Tax Forms OR
Statement from Employer/Wage Earning Statement AND
Bank Statement, etc.
Income Earned from Work (Wages) in U.S. Dollars in 2014:
Amount Earned
Student’s Income Earned form Work (Wages) in 2014
$
Spouse’s Income Earned form Work (Wages) in 2014
$
Taxes/Untaxed Income
Student
Spouse
What was the total amount of income tax paid by you (and your spouse) in 2014?
$
$
What was the total amount of untaxed benefits that you (and your spouse) received in
2014?
$
$
Student
Spouse
What was the total amount of taxed deferred payments that you (and your spouse)
made or untaxed income that you (and your spouse) received in 2014?
$
$
How much child support did you (or your spouse) pay in 2014 due to divorce?
$
$
Assets
Student
Spouse
What is the current total balance of your (and your spouse’s) cash, savings, and
checking accounts? (Include the total balance as of today of money in cash, savings, and
checking accounts.)
$
$
What is the net worth of your (and your spouse’s) investments? (Include the total
balance as of today of all investments.)
$
$
What is the net worth of any business or farm that you (or your spouse) own? (Exclude
any farm either of you live on and operate, as well as any family-owned and controlled
business with no more than 100 fulltime employees.)
$
$
Expected Support for Educational Expenses
Enter the expected amount of annual support towards your educational costs from the sources listed below:
Expected Amount
Your government
$
Agencies and foundations
$
Private sponsor (please list below):
Expected Amount
$
$
Other (please list below):
Expected Amount
$
$
Signature
We certify that the information provided on this form is true, correct and complete as of the date signed. We hereby declare that, if
the student is without lawful immigration status, they will have filed an application to legalize immigration status or will file an
application as soon as eligible to do so. California Lutheran University has permission to verify the reported information through the
obtaining of additional documentation if needed. The information provided on this form will be used exclusively by California
Lutheran University and will not be disclosed.
Student’s Signature - Required
Date
Spouse’s Signature
Date
PLEASE RETURN TO CALIFORNIA LUTHERAN UNIVERSITY AT THE ADDRESS LISTED ABOVE.