Professional Documents
Culture Documents
11-12 CSS Profile - Intl Students-Revised-20,000$
11-12 CSS Profile - Intl Students-Revised-20,000$
11-12 CSS Profile - Intl Students-Revised-20,000$
International Student
Financial Aid Application
Instructions for Completing the 2011-12 International Student Financial Aid Application
Section CFinancial Information
Section EExpenses
Confidential
Family (surname)
Given (first)
Middle
11
05
1 9 9 3
__________________________________________
Mo.
Day
Yr.
________________________________________________
Vietnam
Vietnam
6. Place of birth (Country): __________________________________________
7. Country(ies) of citizenship:_________________________
8. Expected visa type:
F-1
F-2
J-1
J-2
G-1
G-2
H
G-3
Other (Specify)_______________________
G-4
0 8
2 0 1 1
Mo.
Yr.
Will you be: attending a college/university for the first time? transferring from another college/university? a returning student?
10. List below the names of the colleges and universities to which you are applying.
a.
d.
b.
e.
c.
f.
11. Your marital status: Not married Married If married, how many people are financially dependent on you?
Married
Separated/Divorced
Dong Thang Sy
Nguyen Van Thi Hong
13. Fathers name: ________________________________________________
14. Mothers name:__________________________________________________
51
a. Age: ______________________________________________________
47
a. Age:_________________________________________________________
_____________________________________________________________
Cau Giay - Hanoi - Vietnam
Deputy of Beureau
c. Occupation/Title: ___________________________________________
Chief of Beureau
c. Occupation/Title:______________________________________________
d. Employer:__________________________________________________
d. Employer:_ ___________________________________________________
3 1
15. How many people, including yourself, depend on the income of your parents for daily living expenses?
2 3
0 2
16. Family Member Listing. Provide information for all family members you included in question 11 or 15. Do not give information about yourself.
Educational information 2010-11
Full name of
family member
Age
11
Relationship
to you
sister
Name of school
or college
Year in school
or college
Junior high
school
Tuition
and fees
$550
Room
and board
$350
Amount of
parents'
contribution
$900
Name of
school or
college
Total
cost
Junior high
$900
school
Amount of
parents'
contribution
$900
Tax forms
19,500 VN dongs
18. What is the present exchange rate of your countrys currency to the U.S. dollar? (for example, 3,100 pesos = $1) __________________________
= $1
19. Does your government currently impose restrictions on the exchange and release of funds for study in the United States? Yes No
20. Do you have a source of emergency funds once you arrive in the United States? Yes No
Parents' money
If yes, name source:_________________________________________________________________________________________________________________
By transfer
21. How will you pay for your transportation to the United States?____________________________________________________________________________
22. During 2010, how much of your household income (before taxes or expenses) came from the following sources (in U.S. dollars)?
a. Fathers work
$______________
3,000
e. Family business
$______________
i. Interest or dividends
3,400
b. Mothers work
$______________
f. Family real estate holdings $______________
j. Housing, food and other
living allowances
c. Your work
$______________ g. Pension/annuity/retirement $______________
k. Other (explain)
$______________
5,800
$_______________
$_______________
$_______________
________________________________________________
23. Will there be a significant increase or decrease in your familys income next year? Yes
No If yes, explain:________________________________
___________________________________________________________________________________________________________________________________
0
U.S.$____________
80,000
U.S.$____________
U.S.$
Property
U.S.$
Assets
U.S.$
Yes
In which country(ies)?
Yes
Asset owner
No (If yes, complete 28a and 28b below for each automobile.)
Section EExpenses
29. How much did your family spend on the following expenses during 2010? SPECIFIC AMOUNTS ARE NEEDED.
Rent or mortgage
U.S.$_ ___________________________
Amount allocated to savings/retirement U.S.$_____________________________
1,300
500
Utilities
U.S.$_ ___________________________
Automobile maintenance
U.S.$_____________________________
300
3,300
Food
U.S.$_ ___________________________
Insurance (health and property)
U.S.$_____________________________
300
400
Clothing
U.S.$_ ___________________________
Entertainment
U.S.$_____________________________
500
Household necessities U.S.$_ ___________________________
Vacations
U.S.$_____________________________
1,900
300
Medical expenses
U.S.$_ ___________________________
Servants
U.S.$_____________________________
3,400
Educational expenses U.S.$_ ___________________________
Other
U.S.$_____________________________
Loan payments
U.S.$_ ___________________________
Please explain:___________________________________________________________
Taxes
U.S.$_ ___________________________
0
30. How much money does your family owe to other people or to financial institutions?
U.S.$_ _____________________________
Reason for debt: _________________________________________________________ Amount paid on debt in 2010
31. Does your family employ other people?
Yes
No
U.S.$_______________________
2011-12
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
2,500
17,500
2012-13
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
2013-14
2,500
17,500
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
2,500
17,500
2014-15
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
U.S.$
2,500
17,500
33. List agencies/foundations/government to which you are applying for financial aid. (If more than two, attach a list.)
Agency/Foundation/Government
Application Date
10b-1904
2011ISFA