G R A d u A t e L O A n A P P L I C A t I O n
Student Financial Services Massachusetts Institute of Technology 77 Massachusetts Avenue, Room 11-320 Cambridge, MA 02139-4307 617 -253-4971 (voice) 617-253-9859 (fax) finaid@mit.edu http://web.mit.edu/sfs
Graduate Loan Application
Academic Year 2008-2009
A complete Graduate Loan Application for the academic year 2008-2009 (June 1, 2008 to May 31, 2009) will include all of the following materials: U.S. citizens and permanent residents: 1. Graduate Loan Application 2. Free Application for Federal Student Aid (FAFSA). It is available at http://www.fafsa.ed.gov. MIT’s Title IV code number is 002178. International students: 1. Graduate Loan Application
1 BIOGRAPHICAL InfORmAtIOn
Name
Last name (please print)
First name
Middle initial
MIT ID# (if available)
Date of birth
month / day / year
Place of birth (including country) Social Security # Permanent resident alien registration #
Citizenship (include all countries) Expected visa type: Permanent address Academic (F-1) Other Diplomatic or official (A or G)
Local mailing address
Permanent telephone #
(include country code if not U.S.)
U.S. telephone # MIT e-mail address
Permanent e-mail address
2 ACAdemIC And ReGIstRAtIOn InfORmAtIOn
Date you entered or will enter MIT as a graduate student (month/year) Expected degree Department/course #
Expected graduation date (month/year)
If you are a PhD candidate, check the boxes below if you have been approved for non-resident status: non-resident status (reduced tuition) for fall non-resident status (reduced tuition) for spring
Registration status:
Full-time
Half-time
Special
Not registered
Registered at another school (include name of school)
Summer 2008 Fall 2008 Spring 2009
3 InfORmAtIOn On Requested LOAn funds
What is the total amount you wish to borrow for your registered terms from June 2008 to May 2009? $ or the maximum allowable (over)
G R A d u A t e L O A n A P P L I C A t I O n 4 fAmILY memBeRs’ LIstInG
Please give information for all members of your household (not your parents’), but do not give information about yourself. Do not list parents or siblings unless you provide more than 50% of their support. If your household is expecting a child, please tell us when the child is expected.
Full name of family member Age Relationship to you Will this person attend college at least half time in 2008-2009? If yes, please list the name of the college or university
5 eXPeCted eduCAtIOnAL ResOuRCes
Complete this section for the academic year from June 1, 2008 through May 31, 2009. If you will receive a degree prior to June 2009, do not include information beyond your degree date. SUMMER FALL SPRING TOTAL MIT assistantship or fellowship tuition award * MIT assistantship or fellowship stipend amount (gross, before taxes are deducted) * MIT scholarship or fellowship health insurance amount Non-MIT scholarships, grants or other awards not listed above * *
Veterans or Social Security benefits (specify type)
Total resources
* If you are receiving stipend in the summer, you are probably receiving tuition subsidy for the summer as well. Your loan eligibility is the cost of education (listed as "budget" on your financial aid award letter) minus the other aid received. Your subsidized loan eligibility (for federally eligible students only) is the cost of education minus the federal EFC (expected family contribution) and other aid received. If your awards are understated here or on your loan award statement, we will be required to adjust your awards and possibly your loans. Please feel free to contact us at finaid@mit.edu with corrections.
6 tAtement Of eduCAtIOnAL PuRPOse And AGReement tO nOtIfY student fInAnCIAL seRVICes Of CHAnGes In s
eduCAtIOnAL ResOuRCes
• • •
I declare that the information reported on both sides of this form, to the best of my/our knowledge, is true, correct and complete. I agree to provide, if requested, any other official documentation necessary to verify information herewith reported. I certify that I will use any federal and/or other funds I receive for expenses related to my study at the Massachusetts Institute of Technology. I agree to report within 10 days of occurrence all changes in financial status, including the subsequent receipt of fellowships, assistantships, or other financial aid, to MIT Student Financial Services (finaid@mit.edu).
Do you authorize Student Financial Services (SFS) to leave any credit balance on your student account for the entire financial aid year, or until you ask SFS (in writing) to refund the balance to you? Yes No
Signature of student
Date
Signature of spouse
Date
7 AddItIOnAL COmments
08-09_GLA