AMERICAN ACADEMY OF ART FINANCIAL AID APPLICATION
2016-2017
Section A.
General Information
1. Name: Mr. Miss Ms. Mrs.
2. Birth Date:
/
/
Last
Social Security #:
First
-
Middle
-
3. Street Address:
4. City:
State:
5. Telephone:
__
E-Mail:
__
6. Driver's License #:
7. U.S. Citizen?
Zip Code:
State:
 YES  NO, but I am an eligible noncitizen, Alien Registration Number is A
 No, I am neither.
8. U.S. Veteran?  YES  NO If YES, eligible for benefits?  YES (enter amount in Section E)
 NO
9. Types of financial aid you (your parents) are interested in?  Grants  Student Loans  Parent Loans for students
10. Start Date:
11. Expected enrollment:  Full-time  3/4-time  2- time
Term Beginning:  Fall
 Spring  Summer
12. Where will you be living while in school?  Parents  Spouse  Alone  Roommate
Mailing Address: (if different from above)
Section B.
Dependency Status
13.
14.
15.
16.
Were you born before January 1, 1993?
Are you a veteran of the U.S. Armed Forces?
Are you married?
Since you turned age 13, were you in foster care,
a ward of the court, or were both parents deceased?
17. Are you or were you an emancipated minor or in a
legal guardianship?
18. Do you have legal dependents (other than a spouse)?
Section C.
 Yes  No
 Yes  No
 Yes  No
 Yes  No
If If
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answered
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thesequestions,
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willneed
needtotoprovide
provide
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information
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you
and
and
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parents.Answer
Answer
questions
questions
20 19
andand
21 20
below.
below.
If you
answered YES to ANY of these questions, you will need to provide information
about you and your spouse. Answer questions 19 and 21 below.
 Yes  No
 Yes  No
Household Information
19. To be completed by Student (and Spouse if applicable).
Complete if you answered YES to any question in Section B
20. To be completed by Student and Parent.
Complete, if you answered NO to all questions in Section B
Your current marital status:
Your parents' current marital status:
 Never Married  Married or Remarried  Divorced or Separated  Widowed
 Unmarried and both parents living together
 Single  Married  Separated  Divorced  Widowed
Date:
Date of marriage, divorce, separation, etc.:________________
State of legal residence:_____________________ Date of residency__________
State of legal residence:___________________ Date of residency__________
Number in your household in 2016-2017
Number in parents' household in 2016-2017
21. List all of your parents' household including yourself, if you answered NO to all question in Section B. If you answered YES to any questions in
Section B, only list the members of your household. Also write the name of the college for any family member (excluding parents) who will be attending college at least halftime between July 1, 2016 and June 30, 2017 and will be enrolled in a degree or certificate program.
Name
Section D.
Age
Relationship to Applicant
College if Applicable
Special Circumstances
22. a. If you will drive to school, provide one-way mileage from your residence during your attendance to school: _______________________________
If you will use public transportation, provide one-way cost of bus or train: $______________________________________
b. Provide one-way additional distance to work: ________________________
23. For how many dependents will the student pay child care or elderly care for: ______________________ ; monthly cost: $___________________
24. Are there any unusual medical expenses not paid by insurance:  Yes  No
25. Are there elementary, junior high, or high school tuition costs for other dependent children:  Yes  No
26. Will your or your parent’s financial situation for 2016 change significantly from 2015:  Yes  No
If yes, please attach a separate page explaining the reason(s) why and provide documentation.
Updated 10/16/15
Section E.
2015 Untaxed Income
27. Answer each question below as it applies to the student, parent, and anyone else listed in the household under Section C. Do not leave blanks.
Name of Person in Household who
Total Amount
Source of Untaxed Income
Received Income/ Benefit
Received in 2015
Payments to tax-deferred pensions and savings
Child Support Received
Housing, food, and other living allowances paid to members of the military, clergy,
and others
Money received or paid on the applicant’s behalf (student only)
Veteran’s non-education benefits
Veteran’s Educational Benefits (such as GI Bill, VEAP)
Other Untaxed/ Unreported Income
Worker’s Compensation
Unemployment Compensation
Untaxed Social Security Benefits
Welfare Benefits
Section F.
Other Information
28. Have you previously attended or will you be attending another college, business school, trade or technical school before or during your attendance at the
American Academy of Art?
 Yes  No If yes, complete the following (list any additional schools on a separate sheet).
Name of School
Section G.
Address/Telephone Number
Received
Financial
Aid
Degree
Granted
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No
Type of Degree
Dates
Registration Certification and Statement of Educational Purpose
All of the information provided by me or any other person on this form is true and complete to the best of my knowledge. If asked by an
authorized official, I agree to give proof of the information that I have given on this form. I realize that if I do not have proof when asked,
financial aid may be denied.
By signing below, I agree to the following regarding my financial aid:
YES
NO




2. I certify that the information contained herein is true and correct to the best of my (our) knowledge.


3. I certify that I have received a school catalog and I have reviewed the section of Satisfactory Progress, and I understand that if I fall below
these levels, my financial aid funding will be terminated.


4. If a credit balance occurs on my account, I authorize the school to retain the proceeds and apply that amount to tuition and fees for the
next semester. I understand that I may revoke this authorization at any time.


5. I understand that if I am on a payment plan, I must make my payment on or before the due date or risk being withdrawn from school.


6. I understand that if I discontinue my education a portion or the entire financial aid disbursed may need to be refunded, and I may owe this
amount to the school.


7. I understand that all requested forms and documents as well as high school transcripts must be on file before I can receive financial aid
funds.


8. I understand that financial aid is not automatically renewed. I must apply before the start of each academic year and the amount of aid
for which I am eligible may change due to changes in Federal rules or my income situation.
1. I agree to notify the Financial Services Office of any change in my or my family's situation such as name, address, employment, marital
status, dependency status, household size, a change in benefits received, or the receipt of outside financial aid.
Date_____________
Student Signature
Date_____________
Parent Signature
Updated 10/16/15
American Academy of Art
Student Statements and Certifications
EDUCATIONAL PURPOSE
I certify that I will use any money I receive under a federally assisted loan, grant, or work study program only for expenses
related to my study at the American Academy of Art.
I understand that I may accept all or part of any assistance offered to me. I must first use any assistance toward payment of
tuition fees before using the funds for other college related expenses.
I will promptly notify the Financial Services Office in writing of any changes in my financial circumstances, registration, or
assistance received from sources outside the American Academy of Art. These changes may result in a revision of my award
without prior notice.
I understand that I am responsible for the repayment of my loans that I have used for my college tuition and college related
expenses.
REFUNDS AND DEFAULT
I certify that I am not in default on any loan under the Federal Direct Loan Program, Subsidized or Unsubsidized, or the
Federal Parent Loan for Undergraduate Students (PLUS) Program or the Federal Perkins Student Loan Program, and
do not owe a refund on a grant received under the Federal PELL Grant or Federal Supplemental Educational Opportunity
Grant (SEOG) Program or SSIG Program (Title IV, HEA Grant) for attendance at any institution.
ANTI-DRUG ACT
I certify that as a condition of my financial assistance, I will not engage in the unlawful manufacture, distribution, dispensation,
possession, or use of a controlled substance during the period covered by my financial assistance.
RELEASE OF INFORMATION
I authorize the Financial Services Office to discuss my financial circumstances with other public or recognized private
agencies which may also be considering me for aid. My financial aid status may also be discussed with my parents or other
individuals who have provided information on my behalf. I also consent to release to the American Academy of Art any
information pertaining to previous financial aid from any source.
REGISTRATION STATUS
_____ I certify that I am registered with the Selective Service.
_____ I certify that I am not required to be registered with the Selective Service because (check only one reason):
_____ I am female.
_____ I am in the armed service on active duty. (Does not apply to members of the National Guard not on active duty)
th
_____ I have not reached my 18 birthday.
_____ I was born before 1960.
_____ I am a citizen of the Federate States of Micronesia or the Marshall Islands.
RENEWAL OF AWARDS
I understand that no financial aid is automatically renewed; I must apply each year .
Student Signature
Social Security Number
Date
Notice: To receive Title IV financial aid, you must complete the Statement of Educational Purpose, and you must
be registered with Selective Service, if required to register. If you purposely give false information on this form,
you may be subject to fine or imprisonment of both.