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duke executive mba

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									THE FUQUA SCHOOL OF BUSINESS
EXECUTIVE MBA PROGRAMS 2009-2010 FINANCIAL AID FORM
Return this form to: Duke University, Fuqua School of Business Executive MBA Financial Aid and Registrar Office 1 Towerview Drive, Campus Box 90110 Durham NC 27708 If you are applying for student loans to finance one of Fuqua’s Executive MBA Programs for the 2009-2010 academic year, please complete and submit this form to the Executive MBA Financial Aid Office. Indicate MBA Program (check one): ____ WEEKEND EXECUTIVE ____ GLOBAL EXECUTIVE ____ CROSS CONTINENT Graduating Class Year (circle one): 2009 2010 2011

Student Name: ____________________________________________________ (please print) Social Security #: _______/_____/________ Date of Enrollment ________________ Application Status: ______ Initial ______Renewal

In order to determine your eligibility for federal student loans, all US citizens or permanent residents must complete the 2009-2010 Free Application for Federal Student Aid (FAFSA). You must file in a timely manner to allow several weeks for processing of the FAFSA before it is received at Fuqua. • • If you have completed the FAFSA, date submitted for processing ______________ If you have not completed the FAFSA, anticipated completion date _____________

Employer and Company Tuition Assistance / Reimbursement Information: If you will receive assistance from your employer to attend one of the Executive programs, you must provide the expected amount of this assistance below before your eligibility for student loans can be determined. If the status of your employer support changes while you are enrolled you must report this in writing to The Fuqua School of Business Financial Aid and Registrar Office immediately. Who is your current employer? _______________________________________________________ Will you receive employer tuition assistance? Yes _____ No _____. If yes, what amount of employer tuition assistance is expected per term? $ ____________

Will you receive the employer tuition assistance after you have successfully submitted grades for the term? Yes ____ No____ Will employer tuition assistance be paid/ reimbursed to you or paid directly Duke? Yes (paid to me) _____ No (paid to Duke) ______. If you need to provide additional information on how you will receive tuition assistance from your employer, please do so on an additional sheet of paper and submit it with this application.

Student Signature _______________________________________ Date _______________

EMBA Financial Aid Application 2009-201010


								
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