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 ()سجل تجاري, income tax statements ()ضريبة دخل, 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). ()اخراج قيد عائلي 5. Photocopy of recent rental contract(s) ( )عقد ايجارand/or ownership deed(s) ( )سندات ملكيةof house, resort, land and business premises (if applicable). 6. Certificates of ownership ( نفي ملكيةand/or )إفادة ملكيةin the name of father and mother for two areas: Beirut and Caza ( )قضاءwhere 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 ( ) الضمان االجتماعيfor 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 ()سجل تجاري, NSSF Registration document including NSSF number of the institution, and income tax statements ()ضريبة دخل. 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 Office 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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