| A. Personal Information |
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First Name & M.I. |
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| Last Name: |
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| Home Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Country: |
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| Home Phone: |
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Email Address: |
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| Provide Local Address if different from above: |
| Local Address: |
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| City: |
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| State: |
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| Local Phone: |
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| Alternate Email Address: |
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| B. Enrollment Plans for 2008-09 |
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| You must be enrolled or accepted into a degree program in order to be eligible for financial aid. Personal enrichment and non-degree applicants are NOT eligible. |
| For the 2008-09 Academic year, I will be a: |
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| For the terms you will be attending, please check all boxes. Students must be enrolled in a minimum of 5 credits in a trimester to be eligible for federal aid for that term. |
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My anticipated date of graduation/program completion is: (Month and Year)
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Note: date should be your last month of class attendance not date of actual graduation ceremony.
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| Please select if you will be/are in any of the following degree programs for the 2008-09 academic year: |
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| C. Additional Financial Aid Resources |
| If you receive employer tuition reimbursement, please indicate below: |
| Employer Name: |
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| Select the reimbursement basis used by your employer for the 2008-09 academic year: |
| Annual Amount of |
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| Per course amount of |
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| % of course costs |
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| Other |
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If you receive any other outside assistance such as scholarships, veteran’s benefits, occupational or vocational rehabilitation benefits, etc. please indicate below.
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Amount for 2008-09 |
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Note: If you receive any type of financial assistance from an outside source for the 2008-09 academic year after you have submitted this application you must notify the Financial Aid Office.
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| D. Application Status |
| Have you completed the federal 2008-09 Free Application for Federal Student Aid (FAFSA)? |
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Yes |
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No: You must complete the FAFSA before we can process your application for financial aid. You may complete this form online at www.fafsa.ed.gov.
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By pressing the submit button, I certify that all the information on this form is true and complete to the best of my knowledge. I agree to provide the Financial Aid Office with any documentation requested to verify the information on any part of my application for financial aid. My submission also certifies that I have read the "2008-2009 Financial Aid Instruction Sheet".
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| The University of New Haven is committed to equal access to educational and employment opportunities for all applicants regardless of race, creed, color, religion, gender, national or ethnic origin, age, sexual orientation or disabaility in compliance with federal and state statutes. |
