Submit Completed Form to:
Applicants are encouraged to submit this financial aid application with the MSW application for admission. Do not submit this form if you have already
submitted the financial aid application for the same term as a part of the MSW Application. The information submitted on this form has no bearing on the
admissions decision. However, early submission will ensure a timelier decision on your financial aid application if admission is granted. Please visit for additional information. Failure to complete all applicable items on this form may result in a delay
in determining your eligibility. Indicate any non-applicable information with N/A. PLEASE TYPE.
Full Name
Last First Middle
EMail:UMID: ________________________________________________ _________________________________________________
Current Mailing Address: _____________________________________________________________ Valid until:
Please keep the School of Social Work informed of any change in your address.
Residency: Expected Term of Enrollment:
MICHIGAN Spring/Summer 2021 Fall 2021 Winter 2022
U.S. Citizen
Permanent Resident of U.S.
Non-U.S. Citizen/International
Dual Degree/Certificate Program(s)
Business Administration (MSW/MBA)
Information (MSW/MSI)
Jewish Communal Leadership Program
Law (MSW/JD)
Public Health (MSW/MPH)
Public Policy (MSW/MPP)
Urban Planning (MSW/MUP)
Other, please specify
YES** 1) NOWould you like to be considered for NEED-BASED financial aid*?
**International students are eligible to apply for merit-based aid only.
2) Are you the first in your family to complete an undergraduate degree? YES NO
3) Are you the first in your family to attend graduate school?
For merit-based aid only, SKIP to Unusual Circumstances/Commentson page 2.
4) Have you completed the Free Application for Federal Student Aid (FAFSA) that is required for consideration of need-based
aid and authorized the release of your FAFSA data to the University of Michigan Office of Financial Aid (OFA) Title IV Code
YES NO, but plan to.
5) Do you plan to apply for the following types of need-based financial assistance through the University of Michigan OFA?
a. Federal College Work/Study Program
b. Federal Direct Student Loan Program
(requires enrollment of at least 4 credit hours per term)
If NO, why?
6) Were you eligible to receive a Federal Pell Grant as an undergraduate? YES NO
7) Were you ever in foster care or a ward of the court?
If Yes, what was your age at the time of court jurisdiction termination?
8) Were you determined to be an emancipated minor as determined by the state of legal residence at the time? YES NO
Curriculum Schedule (Track):
12 Month Advanced Standing MasterTrack MSW
16 Month
MicroMasters MSW
20 Month UM Sociology & SW
Masters Intl Advanced Standing UM-D Human Svcs & SW
Masters Intl 20 Month
PART-TIME (60-cr)
On-Campus MSW Program
9) Were you ever considered an independent student for financial aid purposes during the course of undergraduate study?
Asset Information
You must provide information about your (and your spouse’s) assets. If you are divorced or separated and you and your spouse have
jointly owned assets, give only your portion of the assets and debts. Be sure to give information about assets held in trust for you (and
your spouse). If you (and your spouse) have assets owned jointly with someone else --such as a business or farm --give only your (and
your spouse’s) portion of the assets and debts. Indicate any non-applicable information with N/A.
1) Marital Status: Single, Divorced, or Widowed Married Separated Total # in household: ______
2) Total current balance of cash, savings, and checking accounts: $
3) What is the current net worth of investments (current value minus debt): $_______________________
Investments include real estate (do not include the home you live in), trust funds, UGMA and UTMA accounts, money market funds,
mutual funds, certificates of deposit, stocks, stock options, bonds, other securities, education IRAs, college savings plans, installment
and land sale contracts (including mortgages held), commodities, etc. Investment value includes the market value of these
investments as of today. Investment debt means only those debts that are related to the investments. Investments do not include the
home you live in, cash, savings, and checking accounts, the value of life insurance and retirement plans (pension funds, annuities,
non-education IRAs, Keogh plans, etc.) or the value of prepaid tuition plans.
4) What is the current net worth of business and/or investment farms (current value minus debt): $____________________
Do not include a farm you live on and operate or a small family business if your family controls more than 50% of the business and
the business has 100 or fewer full-time or FTE employees. Business and/or investment farm value includes the market value of land,
buildings, machinery, equipment, and inventory etc. Business and/or investment farm debt means only those debts for which the
business or investment farm was used as collateral.
Anticipated Resources/Expenses
1) Do you plan to work (excluding College Work-Study) while enrolled in the MSW Program? YES NO
Hrs./week________ Approx. gross earnings/month: $
2) Spouse’s/Partner’s anticipated gross earnings per month: $
3) Will you receive financial assistance or have any other anticipated sources of income (i.e., parental/family support, employer
reimbursement, teaching or research assistantships, government benefits, etc.)?
If yes, please specify type, amount, and duration: _____________________________________________________________
4) Have you informed the UM Office of Financial Aid (OFA) of all tuition/scholarship assistance? Please note that you are
legally required to report all tuition/scholarship support to OFA.
YES NO, but plan to
5) List the names and ages of any dependents: _________________________________________________________________
6) Estimate monthly childcare expenses (if any) during full-time enrollment (8-month period) : $
7) Estimate outstanding monthly medical expenses (if any) not including the cost of health insurance: $
8) Balance still owed on your federal educational loans from undergraduate and/or graduate education: $
It is Your Responsibility to Inform the School of Social Work of Any Changes in Resources.
Unusual Circumstances/Comments:
If you have unusual circumstances/additional comments regarding your financial situation, or would like to explain/provide more
information on your answers above, please do so here. Any information provided will be used only for SSW grant/scholarship
consideration, including special programs..
I certify that all information submitted on this form is complete and correct. I understand that misrepresentation of any portion
of this application, including supporting documents, may be cause for canceling my admission or financial aid award. I also
understand that all documents that I submit become the property of the University of Michigan.
Signature (check to sign) Date