2002-2003 WNMU FINANCIAL AID

INSTITUTIONAL APPLICATION FORM

*******PLEASE PRINT CLEARLY

_____________________________ _________________________________________________________________________________________

Social Security #                         Last Name                                             First Name                                              MI

_____________________________ ______________________________________ ________

Date of Birth                               Driver’s License #          State                  State of Legal Residence

____________________________________________________________________________________ ___________________________

Permanent Mailing Address                               City                 State                Zip Code        Permanent Phone #

____________________________________________________________________________________ ___________________________

Local Mailing Address                                       City                 State               Zip Code         Local Phone #

Where do you wish to live while in school? _______With Parents ________Campus Housing ________Off Campus

 

 

For what terms are you requesting aid? ______Fall 2002 ______Spring 2003 ______Summer 2003

Planned enrollment status: Fall 2002: p12-up hours p9-11 hours p6-8 hours p5 or less

Spring 2003: p12-up hours p9-11 hours p6-8 hours p5 or less

Summer Session 2003: p12 hours p9-11hours p6-8 hours p5 or less

Classification for 2002-2003: pBeginning Freshman pSecond Bachelor or Certification pTransfer Student pContinuing pGraduate

Total college hours completed as of date of application: __________________ Expected date of graduation:___________________________

Major: _______________________________

Colleges, Vo/Tech., or proprietary schools previously attended and/or currently attending:

School City State

Credit

Hours

From

To

Degree

Received

Type of aid received
           
           
           
           
                     

 

Name of High School attended: ____________________________________________ High School/GED grad date: ______________________

 

 

Parents Name: __________________________________________________

Address: _________________________________________ City: ______________________________ State: ______ Zip code: __________

Father’s Employer: ________________________________________ Mother’s Employer: ________________________________________

 

Spouse’s name: ___________________________________________ Spouse’s employer: __________________________________________

 

Child care/day care costs per month: $______________