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Internationalfinancialaidappdependent

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California Lutheran University – Office of Financial Aid
2016-17 Dependent International Student
University Financial Aid Application
RETURN TO:
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.
CLU ID #
Permanent Address
Date of Birth
Postal Code (if applicable)
City
U.S. Phone Number (include area code)
Country
Email Address
Student’s Marital Status
Parents’ Marital Status
□ Single
□ Widowed
□ Widowed
□ Married or
remarried
□ Divorced or
separated
□ Divorced or
separated
What is the number of people in your parents' household?
What is the number of people in your parents' household who are currently in college? (Exclude your parents)
How many parents live in the household?
What is the age of your oldest parent?
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
□
Statement from Employer
□
Other (Wage Earning Statement, Bank Statement, etc.)
Income Earned from Work (Wages) in U.S. Dollars in 2015:
Amount Earned
Student’s Income Earned form Work (Wages) in 2015
$
Father’s Income Earned form Work (Wages) in 2015
$
Mother’s Income Earned form Work (Wages) in 2015
$
Taxes/Untaxed Income
Parent(s)
Student
What was the total amount of income tax in 2015?
$
$
What was the total amount of untaxed benefits received in 2015?
$
$
What was the total amount of taxed deferred payments made or untaxed income received
in 2015?
$
$
How much child support did you or your parent pay in 2015?
$
$
Assets
Parent(s)
Student
What is the current total balance of the 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 the investments? (Include the total balance as of today of all
investments.)
$
$
What is the net worth of any business or farm that is owned? (Exclude any farm either of
you lives 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 (Required)
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
Date
Parent’s Signature
Date
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Internationalfinancialaidappdependent

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Completed 16 February 2020

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