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Application for Financial Aid - American University of Beirut

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American University of Beirut
Application for Financial Aid
2015?16
Application for Financial Aid
First-time Applicants to Financial Aid
Academic Year 2015?16
Instructions
This application should be completed by the applicant and his/her parents and submitted, along with photocopies of all supporting
documents, by the appropriate deadline. Applicants who reside in Lebanon should submit the completed application in person.
Please keep a copy of the application with the original documents for your records.
The deadline for submitting a written application and photocopies of supporting documents is December 17, 2014.
NEW FIRST TIME APPLICANTS to financial aid will be interviewed by staff members from the Office of Financial Aid together with
one of their parents. The interview is required to help the Financial Aid Committee in assessing the student?s need. The parent
should bring to the interview the originals of the documents submitted with the application. Newly admitted students who live
outside Lebanon will be asked to send certified copies of supporting documents and may be asked to come for the interview after
registering.
Important Reminders
?
Only complete applications (including all required documents) will be processed.
?
Financial aid applications are valid for one academic year only. A new application is required for each new academic year.
?
An interview is required of parents and applicants residing in Lebanon before the student is granted financial aid for the first
time. Further interviews may be required if a student was not granted aid and is reapplying, and/or if additional clarification is
required.
?
House visits could be scheduled to further assess the applicant?s financial need.
Office of Financial Aid Tel: +96-1-374444
American University Of Beirut
Ext. 3160 / 3161
PO Box 11-0236Fax: +961-1-750226
Riad El Solh 1107 2020
Email: [email protected]
Beirut, Lebanon www.aub.edu.lb/faid
Detach and mail to AUB
Application for Financial Aid for the Academic Year 2015?16
American University of Beirut | Office of Financial Aid, Beirut, Lebanon
Documents Required?CHECKLIST
1. Transcript of grades of the last three years. Current AUB students applying for financial aid for the first time can submit
only AUB transcript of grades.
2. Employment records:
a.
Recent Employment Certificate(s) for job(s) held by each earning member of the family clearly stating occupation,
job title, years of service, number of months payable, and benefits (e.g. educational benefits, accommodation, etc.).
Employee should provide the NSSF Number of the company.
b.
Attached Employee Income Statement?Form A duly filled, signed and stamped by employer of each earning member
of the family; if working for the public sector, the official income statement issued by the government should be
submited (the monthly payroll slip is not valid).
Employee should provide the NSSF Number of the company.
c.
For each earning member of the family who is (are) self-employed, documentation for annual income should be
provided by the family member by completing the Self-Employed Income Statement?Form B and providing with it
the Business Registration (?)слД йлгяЙ?, income tax statements (?)жяЙхи онД?, and the business bank statement of account
for the last three years.
Employee should provide the NSSF Number of the company.
3.Recent school certificate of registration showing annual tuition fees and receipt of fees for each dependent child enrolled
at school or university.
4. Family Civil Status Record (issued within the previous 3 months). (?)гнягл БЙо ыгфДЙ?
5. Photocopy of recent rental contract(s) (? )ыБо гЙлгя?and/or ownership deed(s) (? )сФогй ЕДЦЙи?of house, resort, land
and business premises (if applicable).
6. Certificates of ownership (? ФАЙ ЕДЦЙи?and/or ? )еАгои ЕДЦЙи?in the name of father and mother for two areas:
Beirut and Caza (? )Бжга?where the family is registered as per family civil status record and residence area.
These should be obtained from the Ministry of Finance at the following address only: Khandak el Ghamik,
near Fouad Shehab bridge, Moukarzel building, 9th floor. Last year the cost of these documents ranged between
LL266,000 and LL300,000 for both parents.
For students living abroad, a certificate of ownership from the Land Registry Department where the family resides
is adequate.
Applicants should submit copies of ownership deeds for each asset stated in the certificates of ownership.
7. Photocopy of car(s) registration form for each car owned by family.
8. Photocopy of loan agreement(s), if any, with all supporting documents.
9. Bank statement certificate of savings (if any).
10. Any additional document that would support the application for financial aid
(e.g. medical reports and recent medical/hospital bills, certificate of job termination or end of service, etc?)
1 of 12
This page contains no information
2 of 12
Detach and mail to AUB
Application for Financial Aid for the Academic Year 2015?16
American University of Beirut | Office of Financial Aid, Beirut, Lebanon
Paste recent colored
passport-size photograph.
Do not staple.
AUB ID No.: ______________
Biographical Information
Full legal name: Mr./Ms. Gender:
Male
/
Last
/
First
Female
Middle (or father?s name)
Marital status:
Single
Married
/
Suffix (Jr., Sr.)
Other, specify
Nationality: Lebanese
Other
Applicant?s residence:
On campus
With parents
Rented apartment:
Private
Others, Specify
Shared
specify
Parent?s address: mandatory
Building /Floor
Street
/
PO Box (not AUB box)
/
Area/Caza
Telephone (home): /
City
Country code
/
Area code
Email address: /
State
/
(cell): Number
Country code
mandatory
/
PO Box (not AUB box)
/
Number
Street
/
Area/Caza
Telephone (home): Area code
Building /Floor
/
Country
@
Address (if not with parents): /
Zip Code
/
City
Country code
/
Area code
Email address: /
State
/
Number
/
Zip Code
(cell): Country code
/
Area code
Country
/
Number
@
Academic History
Secondary school/Transfer from other universities, class and major at time of application:
High school
Years attended (from?to)
Financial aid received (if any)
Class completed
University
Years attended (from?to)
Financial aid received (if any)
Degree earned
Faculty, class and major planned for 2015?16:
Faculty:
Major planned: FAFS
FAS
OSB
FEA
FHS
FM
Nursing
Class planned: 3 of 12
Information on Father
Full name: Year of birth: Married
Separated
Divorced
Widowed
If deceased, year of death:
Current Work Status:
Employed
Self-employed
Starting date of current employment: Job title/position: Institution/employer?s name: Employer?s address:
Building /Floor
/
PO Box (not AUB box)
mandatory
Street
/
Area/Caza
Telephone (work): Country code
Second job: /
City
/
Area code
/
State
/
Fax: Number
Country code
Starting date: Job title: /
Zip Code
/
Area code
Full-time
Country
/
Number
Part-time
Institution: Institution/employer?s name: Employer?s address:
Building /Floor
/
PO Box (not AUB box)
Street
/
Area/Caza
Telephone (work): mandatory
Country code
/
City
/
Area code
/
State
/
Number
If currently not working: Last date of employment /
Zip Code
Fax: Country code
/
Area code
Country
/
Number
/
MonthYear
Unemployed State reason(s) (Support your statement with documents)
__________________________________________________________________________________________
Retired Indemnity received (in LL), if any: Date received: (Include retirement documents)
__________________________________________________________________________________________
Information on previous employment:
(Support the information with documents)
Title/Position
Place of work
and address
Period of work
(state dates)
Previous annual
income in LL
Indemnity received
(if any) in LL
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
4 of 12
Information on Mother
Full name: Year of birth: Married
Separated
Divorced
Widowed
If deceased, year of death:
Current Work Status:
Employed
Self-employed
Starting date of current employment: Job title/position: Institution/employer?s name: Employer?s address:
Building /Floor
/
PO Box (not AUB box)
mandatory
Street
/
Area/Caza
Telephone (work): Country code
Second job: /
City
/
Area code
/
State
/
Fax: Number
Country code
Starting date: Job title: /
Zip Code
/
Area code
Full-time
Country
/
Number
Part-time
Institution: Institution/employer?s name: Employer?s address:
Building /Floor
/
PO Box (not AUB box)
Street
/
Area/Caza
Telephone (work): mandatory
Country code
/
City
/
Area code
/
State
/
Number
Fax: If currently not working: Last date of employment /
Zip Code
Country code
/
Area code
Country
/
Number
/
MonthYear
Unemployed State reason(s) (Support your statement with documents)
______________________________________________________________________________________________________
Retired Indemnity received (in LL), if any: Date received: (Include retirement documents)
______________________________________________________________________________________________________
Never worked
(Provide a document from the Social Security Administration ( ? ) гДжЕгФ ггДлйЕгыЙ?for verification)
Information on previous employment:
(Support the information with documents)
Title/Position
Place of work
and address
Period of work /
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
(state dates)
Previous annual
income in LL
Indemnity received
(if any) in LL
5 of 12
Information on Applicant
Work (if any)
Employed
Self-employed
Period of work: Job title/position: Institution/employer?s name: Employer?s address:
Building /Floor
/
PO Box (not AUB box)
Street
/
Area/Caza
/
City
Telephone (work): mandatory
/
Country code
Area code
/
State
/
/
Zip Code
Fax: Number
/
Country code
Area code
Country
/
Number
If married, provide information on applicant?s spouse and children (if any)
/
/
Applicant?s spouse full name: LastFirst
Middle
The spouse is:
Employed
Self-employed
Unemployed
If working, spouse?s position and title: Institution/employer?s name: Employer?s address:
Building /Floor
/
PO Box (not AUB box)
Street
/
Area/Caza
Telephone (work): mandatory
Country code
City
/
Area code
Email address: Day
Applicant?s children:
Name
/
Month /
State
/
Fax: Number
/
Zip Code
Country code
/
Area code
Country
/
Number
@
Login name
Date of birth: /
/
Number of Children (if any): Year
Year of birth
School
Class Annual tuition
fees (LL)
/
/
/
/
/
/
/
/
/
/
/
/
State any financial support you receive for your children
Source of fund /
/
/
/
/
/
6 of 12
Beneficiary Amount (LL)
Siblings Information (Do not include yourself in this section)
Siblings at school/university
First name
Birth year
Education/class
(current year)
Name of school/
university
Annual tuition
fees (LL)
Financial aid
received: amount
(LL) / source
Other siblings (Include all other brothers and sisters even those who are not living with the family)
First name
Birth year
Married/
Single
Education, if
any (state
university,
degree, and
graduation
date)
Working
(state
occupation,
starting date,
institution
name and
place)
Annual
income (LL)
Not working
(state reason
and future
plans)
Dependents. Include only dependents living with the family other than siblings.
Full name
Birth year
Relation to applicant
Describe current status and future plans if any
7 of 12
Financial Information
Family annual income: The source of income of the family must be specified even if parents are unemployed.
If the income is not reported the application will be considered incomplete.
Any income other than salaries, for example, income from shops, lands, etc...must be supported with documents.
Annual income from
Year 2013 (in LL)
Year 2014 (in LL)
Father?s salary (do not enter retirement salary here,
please fill below where appropriate)
Mother?s salary (do not enter retirement salary here,
please fill below where appropriate)
Spouse?s salary (if applicant is married)
Siblings? salary
Other annual benefits from employers
(bonus, additional months payable, etc,...)
Annual retirement salary, if retired
Shop, explain
Rent of assets, explain
Land, explain
Help from family, explain
Help from institution, explain
Other, explain
All annual income from land/buildings
All annual income from other sources
LL
Total annual income: Assets
Cash savings or securities: Annual Interest Amount (LL): Amount (LL): Owned properties:
Location Real estate Number
lot number of shares
Business
Homes(s)
Resort(s),
Year Area
purchased (Sq. m.)
or inherited
Check if Estimated
mortgaged* present value (LL)
if not mortgaged
mountains,and sea
Building(s)
number of floors
Land
number of lots:
Owner
Family cars
the applicant?s
including
Total estimated value of all assets: Make
* Submit official mortgage documents if applicable
8 of 12
Model/year
LL
Year bought
Present value (LL)
Family annual expenses (LL)
Amount (LL) for the Year 2014
Rent, include homes, winter and/or summer resort(s) Include rent for applicant if not living with parents
Food and clothing
Tuitions, including the applicant?s Transportation Books and supplies
Expenses for household help
(e.g. housekeeper, cook, security, driver, other workers)
Car(s) expenses, include fuel, mechanic, car insurance Medical insurance Life insurance Electricity bills Water bills Telephone bills, include all cell phones
Maintenance, building/apartment Municipality Other expenses: if any, specify
Unusual expenses, must be supported with detailed and certified documents Amount (LL)
Loan (the amount should reflect the actual payments for one year only)
Housing loan
Car loan
Medical Other household dependents
LL Total annual expenses: Details on loans, if any:
Installments
Total amount
borrowed
Number
Date
Amount
Start
End
Loan source
Reason
Collateral
Expected sources of financial aid other than AUB
Amount (LL)
to cover tuition of AY 2015?16
Other person(s) expected to assist with your educational expenses:
specify name, relation, and telephone: 1
Other expected formal sources of financial assistance:
specify source and name: 1
2
Address: Telephone: Address: 2
Telephone: 9 of 12
If there are any special family circumstances that will describe your situation more accurately,
please explain in the space below and submit supporting documents.
I certify that the answers to the foregoing questions and the statements on the previous pages
were completed by me and are, to the best of my knowledge and belief, true, complete and correct.
(I understand that any misrepresentations or material omission made on this form may invalidate
this application and cancel any aid awarded to me at any time). I also authorize investigation of
all statements contained herein.
I agree to any house visit requested.
I authorize the Office of Financial Aid to release my transcript of grades to selected financial aid donors,
if need arises.
Any missing or false information in the application will jeopardize the applicant?s financial aid status.
The application will also be considered incomplete if the applicant and/or parents refuse to provide any
document requested by the Office of Financial Aid.
Date: Signature of parent or guardian: Date: Signature of applicant: 10 of 12
Detach and mail to AUB
Form A
Employee Income Statement
American University of Beirut | Office of Financial Aid, Beirut, Lebanon
FORM A should be completed by the employer for every earning member of the family and for each position held.
Photocopy this form as needed.
Name of applicant for financial aid: Answer all questions carefully and completely. Any missing information will jeopardize processing your application.
Name of employee: Position and title: Amount LL (if none, enter ?0?)
Basic annual salary
Family annual allowance
Annual transportation
Annual accommodation
Annual profit sharing amount from employer
Annual bonus
Annual commission
Any other annual benefit, specify Educational benefit (each child separately including
child name)
1.
2.
3.
4.
5.
Number of months payable: Years of service: To be completed by employer
Employer?s name, title, and seal: Name of institution: Telephone: Country code
/
Area code
/
Number
NSSF Registration number of the institution: Email: @
Type of institution, nature of work: I certify that the amounts and information above are accurate and have been verified by me.
Employer?s signature: Date: 11 of 12
Form B
Self-Employed Income Statement
American University of Beirut | Office of Financial Aid, Beirut, Lebanon
FORM B should be completed below and submitted with the business registration (?)слД йлгяЙ?, NSSF Registration document
including NSSF number of the institution, and income tax statements (?)жяЙхи онД?. It should be completed for each selfemployed member of the family.
Photocopy this form as needed.
Name of applicant for financial aid: ________________________________________________________________________
Answer all questions carefully and completely. Any missing information will jeopardize processing your application.
Name of self-employed family member: Relationship to applicant: Sole owner
Partner: Number of partners: Freelance
Other, Percent share: Specify
Name of institution, if applicable: Registration number: Date: Nature of company?s/owner?s work/business, in detail: Address: /
Bldg.
City
/
Street
/
Telephone (home): Country
Email: Area
Country code
/
Area code
/
Number
@
Number of employees/workers: Annual gross income LL: The gross income is the total revenue of the institution.
Annual net income LL: The net income is the total personal income of the self-employed family member and
partners, if any, after deduction of all institution?s expenses.
Name and seal: Signature: 12 of 12
Date: Designed and produced by The Office of Communications I 2014
Photography by Jean Pierre Tarabay
O?ce of Financial Aid
American University of Beirut
PO Box 11-0236
Riad El Solh 1107 2020
Beirut, Lebanon
Tel: +961-1-374374 / 374444
Ext. 3160 / 3161
Fax: +961-1-750226
Email: [email protected]
Web: www.aub.edu.lb/faid
American University of Beirut
3 Dag Hammarskjold Plaza, 8th Floor
New York, NY 10017-2303
USA
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