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The University of the State of New York NYSED 4 1 10 THE STATE EDUCATION DEPARTMENT Collection Year 2010 O

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The University of the State of New York NYSED 4 1 10 THE STATE EDUCATION DEPARTMENT Collection Year 2010 O Powered By Docstoc
					The University of the State of New York                                            NYSED-4.1 [10]
THE STATE EDUCATION DEPARTMENT                                                Collection Year 2010
Office of Research and Information Systems                        Data Period Award Year 2009-10
Higher Education Data System                                      DUE DATE: September 15, 2010


                    STUDENT FINANCIAL AID - AWARD YEAR 2009-10

Institution Name                                              SEDCODE:




    THE INFORMATION PROVIDED ON THIS FORM SHOULD CONTAIN DATA FOR ONLY
    THE INSTITUTION LISTED ABOVE. If multi-campus institutions have questions concerning
    which branches to include, please e-mail State Education Department staff at
    heds@mail.nysed.gov or phone 518-474-5091.

    Institutions are expected to submit forms electronically using our online forms or the Microsoft
     Access forms available from the ORIS web site at http://www.highered.nysed.gov/oris/. Two
     forms are only available in paper format (Word, PDF): Current College Catalog (CATALOG)
     and Audited Financial Statement (FAUDIT).

    Return completed forms by email to heds@mail.nysed.gov,
        or Mail Hard Copies:                  or Fax Hard Copies: 518-474-1907

       NYS Education Department
       Office of Research and Information Systems
       Room 966 Education Building Annex
       Albany, NY 12234

    With the exception of the Bundy forms (NYSED-2) do not make a duplicate paper submission
     of an electronic data submission. Independent institutions participating in the Bundy program
     must provide a paper copy printed from their electronic submission in order to affix the
     required notarized signature and seal.

    Retain a copy of the completed form in your files in case there’s a need for clarification.

    If you anticipate a delay in returning this form, request an extension in writing by e-mail, fax or
     mail stating the reason for the delay and the anticipated submission date.

    If you have questions regarding completion of the form, please contact the Office of Research
     and Information Systems at:
                                E-Mail: heds@mail.nysed.gov
                                Fax:    (518) 474-1907          Phone: (518) 474-5091

IMPORTANT: FOR PAPER SUBMISSIONS PLEASE RETURN THIS COVER PAGE AND ALL
PAGES EXCEPT INSTRUCTIONS EVEN IF THEY CONTAIN NO DATA.




                                                  1
The University of the State of New York                                      NYSED-4.1 [10]
THE STATE EDUCATION DEPARTMENT                                          Collection Year 2010
Office of Research and Information Systems                  Data Period Award Year 2009-10
Higher Education Data System                                DUE DATE: September 15, 2010



                             Form Processing Information
Form:                   STUDENT FINANCIAL AID – AWARD YEAR 2009-10
SEDCODE:
Institution Name:

Respondent Information (To better direct our questions about your data, please enter the
name of the person who aggregated the majority of the data for this form for this campus.)
Name:
Title:
Telephone: (        )            Ext.            Facsimile No.: (    )               Ext.
E-Mail Address:

TOTAL -- (Check box if all applicable branches included).
Otherwise, list branches below.
List branches included:                         List applicable branches not included:




Indicate Time Required retrieving information from files and completing this form.
Hours spent by all staff (whole numbers)

Notes and Explanations regarding data provided and/or comments about this form and its
completion.




IMPORTANT: PLEASE RETURN ALL PAGES EXCEPT INSTRUCTIONS EVEN IF
THEY CONTAIN NO DATA


                                             2
            The University of the State of New York                                                NYSED-4.1 [10]
            THE STATE EDUCATION DEPARTMENT                                                    Collection Year 2010
            Office of Research and Information Systems                            Data Period Award Year 2009-10
            Higher Education Data System                                          DUE DATE: September 15, 2010



                                     STUDENT FINANCIAL AID - AWARD YEAR 2009-10
   Institution Name:

                                                                      Undergraduate                          Graduate/
                                                                                                         First-Professional
                 SOURCE                          Line         Amount of          Number of          Amount of           Number of
                                                 No.        Funds Awarded        Recipients       Funds Awarded         Recipients
                                                                 (A)                (B)                (C)                  (D)

                                                      GRANTS (See definitions.)
Institutional Funds
          Student Grants from the Institution,   01
                                Unrestricted            $     ,       ,    .00        ,       $      ,    ,     .00        ,
          Student Grants from the Institution,   02
                                   Restricted           $     ,       ,    .00        ,       $      ,    ,     .00        ,
New York State Funds
                 Tuition Assistance Program      03
                                                        $     ,       ,    .00        ,       $      ,    ,     .00            ,
                     Aid for Part-Time Study     04
                                                        $     ,       ,    .00        ,       $      ,    ,     .00            ,
        Opportunity Programs (HEOP, EOP,         05
                               SEEK,CD)                 $     ,       ,    .00        ,       $      ,    ,     .00        ,
                Native American Grant Aid        06
                                                        $     ,       ,    .00        ,       $      ,    ,     .00        ,
                Other New York State Grants      07
                                                        $     ,       ,    .00        ,       $      ,    ,     .00        ,
Federal & Other Government Funds
                            Pell Grants          08
                                                        $     ,       ,    .00        ,       $      ,    ,     .00            ,
      Supplemental Educational Opportunity       09
                                     Grants             $     ,       ,    .00        ,       $      ,    ,     .00        ,
          Reserve Officer Training (ROTC)        10
                                                        $     ,       ,    .00        ,       $      ,    ,     .00        ,
       Other Government Grants (Not NYS)         11
                                                        $     ,       ,    .00        ,       $      ,    ,     .00        ,
Non-Government Funds
                Non-Government Grants            12
                                                        $     ,       ,    .00        ,       $      ,    ,     .00        ,
                              Total Grants       13
        ($ and Unduplicated # of Recipients)            $     ,       ,    .00        ,       $      ,    ,     .00        ,

                                                                                                                           continued




                                                                  3
              The University of the State of New York                                                 NYSED-4.1 [10]
              THE STATE EDUCATION DEPARTMENT                                                     Collection Year 2010
              Office of Research and Information Systems                             Data Period Award Year 2009-10
              Higher Education Data System                                           DUE DATE: September 15, 2010


                                                                         Undergraduate                         Graduate/
                                                                                                           First-Professional
                   SOURCE                         Line           Amount of          Number of          Amount of          Number of
                                                  No.          Funds Awarded        Recipients       Funds Awarded        Recipients
                                                                    (A)                (B)                (C)                 (D)

                                                         LOANS (See definitions.)
                                 Federal Loans    14
                                                           $     ,       ,    .00        ,       $      ,    ,     .00           ,
                                 Perkins Loans    15
                                                           $     ,       ,    .00        ,       $      ,    ,     .00       ,
     Student Loans From Institutional Funds       16
                                                           $     ,       ,    .00        ,       $      ,    ,     .00       ,
                                  Other Loans     17
                                                           $     ,       ,    .00        ,       $      ,    ,     .00           ,
                                  Total Loans     18
           ($ and Unduplicated # of Recipients)            $     ,       ,    .00        ,       $      ,    ,     .00       ,

                                      ASSISTANTSHIPS AND WAGES (See definitions.)
                                 Assistantships   19
                                                           $     ,       ,    .00        ,       $      ,    ,     .00       ,
Wages from Unrestricted Institutional Funds       20
                                                           $     ,       ,    .00        ,       $      ,    ,     .00       ,
   Wages from Restricted Institutional Funds      21
                                                           $     ,       ,    .00        ,       $      ,    ,     .00       ,
                           Federal Work Study     22
                                                           $     ,       ,    .00        ,       $      ,    ,     .00
              Total Assistantships and Wages      23
           ($ and Unduplicated # of Recipients)            $     ,       ,    .00        ,       $      ,    ,     .00       ,


                                          OTHER AID (Specify below. See definitions.)
Specify:                                          24
                                                           $     ,       ,    .00        ,       $      ,    ,     .00       ,

                                                            Total Student Aid
                                  Grand Total     25
           ($ and Unduplicated # of Recipients)            $     ,       ,    .00        ,       $      ,    ,     .00       ,




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