2019 State of MinneSota
financial aid application for
ViSiting SuMMer StudentS
Name (First, Middle, Last)
Permanent Street Address
Phone Number ID Number
1. Provide your high school address (city and state) and the year that you will receive/received your high school diploma:
City _____________________________________________ State ______________ Date of high school graduation: ________/________
Month Year
2. Please provide the address at which you resided when you receive/received your high school diploma:
__________________________________________________________________ ______________________________________________________________________
Street Address City State Zip Code
3. If you did not graduate from high school, did you earn your G.E.D.? o No o Yes If yes, in which state? __________ Date: ________/________
Month Year
4. If you were required to report parental data on the 2018-2019 Free Applica tion for Federal Student Aid (FAFSA), please provide the address at which your parent(s) resided
when you completed the FAFSA. Independent students please indicate “N/A” in the area below.
__________________________________________________________________ ______________________________________________________________________
Street Address City State Zip Code
5. Have you (the student) maintained continuous residency in the State of Minnesota since birth? o No o Yes If yes, go to question 7
8. If you are currently residing outside of Minnesota, are you enrolled in a distance education program offered by a Minnesota college? o No o Yes
9. Indicate the number of credits you will be enrolled in at St. Thomas for the following terms:
____# of Credits-(A)-Summer Session I (May 29 – July 11)
____# of Credits-(B)-Summer Session II (July 15 – August 22)
____# of Credits-(C)-Extended Summer Session (May 29 – July 25)
____# of Credits-(D)-Double Summer Session (May 29 – August 22)
6. List all of the states (or countries) in which you have resided, including the State of Minnesota, your dates of residence and your reason for residing in each location (e.g.
college, employment, military service, place of birth, etc.). Contact the Financial Aid Ofce at 651-962-6550 if any of the following reasons for residing in MN apply to you or
your spouse: active federal military service in MN, you are a spouse or dependent of a veteran who is a MN resident, active member of MN National Guard residing in MN,
active member of reserve component of U.S. Armed Forces who resides in and whose duty station is in MN, relocation to MN from presidential disaster area within 12 months
of disaster declaration, or immediate relocation to Minnesota as refugee from another country.
naMe of State/country dateS of reSidence reaSon for reSiding in location
______________________________ ____________________________ _______________________________________________________________________
______________________________ ____________________________ _______________________________________________________________________
______________________________ ____________________________ _______________________________________________________________________
______________________________ ____________________________ _______________________________________________________________________
7. List the names of schools you have attended and the dates of attendance for each school. Include all post-secondary institutions even if the credits were not transferrable or
you were only enrolled at the institution for one term (e.g., summer school, etc.). If you withdrew from college during a term due to a major illness while under the care of a
physician, or you withdrew for active military service after December 31, 2002, please make note of this and provide the necessary documentation to the Financial Aid Ofce.
Attach a copy of all academic transcripts.
Name of College Dates of atteNDaNCe
_____________________________________________________________________________________ ________________________________________________
_____________________________________________________________________________________ ________________________________________________
_____________________________________________________________________________________ ________________________________________________
_____________________________________________________________________________________ ________________________________________________
FINA 1520 Su 3/19
Residency: o Yes o No MN Grad/GED o Yes o No ATR Reviewed o Yes o No
o Eligible o Ineligible
FOR OFFICE USE ONLY
City, State, Zip Code
Return or fax this form to:
University of St. Thomas
Financial Aid Ofce - Mail 5007
2115 Summit Avenue, St. Paul, MN 55105-1096
651-962-6550 / Fax: 651-962-6599
10. You must sign this form certifying that the information you are providing is true.
Signature _____________________________________________________________ Date Signed ____________________________________________
X
MSG-NDO
This form must be submitted by June 24, 2019.
