Divinity School Grant/Loan Application

2010-2011 Divinity School Grant/Loan Application

You can also download the 2010-2011 Grant/Loan Application (pdf), fill it out and submit it to the Financial Aid Office.

Contact Financial Aid Office
Phone: 585-430-9632
Email: gchapman@crcds.edu
1100 South Goodman Street, Rochester, NY 14620

PART I - PERSONAL INFORMATION
* Name
* Last Four Digits of Your Social Security #
* Citizen of United States :	Yes No
* Permanent Address
* Mailing Address
* Telephone
* Email Address
* Denomination
PART II - ACADEMIC INFORMATION
* ARE YOU IN THE PROGRAM ?	--Select-- M.A. M.Div. D.Min.
* ANTICIPATED GRADUATION DATE ?	--Select-- 2011 2012 2013 2014
HOW MANY COURSES WILL YOU TAKE DURING ACADEMIC YEAR?
* Fall	0 1 2 3 4 5 6
* January	0 1 2
* Spring	0 1 2 3 4 5 6
* Summer	0 1 2
Total
PART III - OTHER SOURCES OF FINANCIAL ASSISTANCE
In this section enter all other sources of financial assistance you expect to receive toward cost of attendance at CRCDS such as church and denominational support, grants, scholarships, parents and veteran benefits.
Support	Amount
Church	$
Family	$
Veteran Benefits	$
Other Grants	$
Other Sources	$
Total	$
Additional Explanation
PART IV - STUDENT BUDGET
Tuition $1580/Course	$
Books/Supplies	$
Student Activity Fee	$
Technology Fee	$
Graduation Fee	$
Thesis Binding Fee	$
Single Married	Number of Children:
The following is only a guide and you may enter your particular expense for nine months only. Refer to the Cost of Attendance Form in downloadable forms section.
Housing	$
Food	$
Telephone	$
Clothing/Laundry	$
+Incidentals	$
Transportation - .50/mile	$
Uninsured Medical/Dental	$
Health Insurance	$
Child Expenses	$
TOTAL EXPENSES	$
Briefly explain Incidentals
* I certify that the information provided on this application is a true and accurate statement of my financial circumstances ++
Yes No
* I will inform the Financial Aid Office of any grants or loans received from outside sources.
Yes No
* Electronic Signature - First three digits of your Social Security Number
++ You may be asked to submit a signed photocopy of your latest federal income tax return
It is suggested to print a copy of this application before submitting