Financial Aid Application

Personal Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Date of Birth*

Academic Information

I am enrolling for the:*

2021-22 Academic Year
2022-23 Academic Year

I will be enrolled in:*

MDiv
MA
Certificate of Achievement in Theological Studies
Certificate in Biblical Interpretation
Certificate in Conflict Transformation
Certificate in Theopoetics & Theological Imagination

I will be doing the:*

Local track
Connections track

My projected fall credits are:*

My projected spring credits are:*

Financial Information

I expect to receive the following aid from sources other than Bethany. Please list the source and amount. Do not list student loans or Bethany scholarships or grants.

I or my dependents have usually high medical costs each year.

Yes
No

If you answered yes to the previous question please state an approximate amount of unreimbursed medical expenses you or your dependent family members paid last year. Describe below the reason of medical conditions related to the expenses.

In the last year did you experience unusual elementary/secondary school, child/dependent care costs, debts or a reduction in income.

Yes
No

Do you anticipate any of the above expenses this year?

Yes
No

The date I completed my FAFSA was:*

Expense Budget

In the spaces below, please enter your expected average monthly expenses for the nine months during the academic year.

The items listed below are taken from the Federal Student Aid Handbook, and are considered the allowable costs for the Cost of Attendance calculation. It is recommended that you refer to the list of expenses based on a frugal nine month budget, available at our Cost Of Attendance page.

As costs for tuition and books are automatically included, based on the number of credit hours you report, please do not add those expenses to these figures. Additional documentation may be required for amounts that vary significantly from established norms.

Housing: Rent/Mortgage and Utilities*

Food and Household Supplies*

Clothing/Laundry/Cleaning/Recreation*

Transportation*

Phone*

Internet*

Please enter amounts for any categories below that apply.

One Time Computer Purchase

Child Care (must be necessary to be a student)

Study Abroad Expenses

Disability Expenses

CPE/Ministry Formation Expenses

By entering my Banner ID number below I verify that the information provided in this application is correct. I understand that further documentation or verification may be needed by the financial aid office for any information provided on this application. I will advise the financial aid officer of any significant changes in my financial situation, including additional financial assistance not reported here. Entering this number will serve as an electronic signature for this application. If you do not yet have a Banner ID number please re-enter your date of birth.

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