Financial Aid Request Form 2013-14

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Name*
FirstLast
Birthdate*
Address*
Street AddressCityStateZIP Code
Email*
Enter EmailConfirm Email
Daytime Phone*
Other Phone
Academic Information
I am enrolled/enrolling in the following academic program: (Please select one) *
- B.A. in Liberal Studies (BA)
- M.A. in Psychology (MAP or MPIC)
- M.A. in Organizational Management (MAOM)
- M.A. in Education (MAE)
- M.A. in Urban Sustainability
- MFA in Creative Writing (MFA) MFA Only
- MFA in Creative Writing (MFA) Dual Concentration
- MFA in Creative Writing (MFA) with Certificate
- MFA in Creative Writing (MFA) Certificate Only
- Certificate in Urban Sustainability
- Certificate in LGBT Studies (MAP)
- Certificate in Trauma (MAP)
- Teacher Credentialing (TC)
Student status for the 2013-2014 year*
- New Antioch Student
- Continuing Antioch Student
Student Datatel ID#*
Have you received financial aid at another institution during the 2013-14 academic year?*
- Yes
- No
Have you applied for admission*
- Yes
- No
Are you formally admitted?*
- Yes
- No

My expected enrollment status for the 2013-14 school year is: (PLEASE INDICATE FOR ALL TERMS)
Summer 2013*
- Full time
- Half time
- Not planning to enroll
*indicate number of units
Summer 2013*
- Half time
- Not planning to enroll
*indicate number of units
Fall 2013*
- Full time
- Half time
- Not planning to enroll
*indicate number of units
Fall 2013*
- Half time
- Not planning to enroll
*indicate number of units
Winter 2014*
- Full time
- Half time
- Not planning to enroll
*indicate number of units
Winter 2014*
- Half time
- Not planning to enroll
*indicate number of units
Spring 2014*
- Full time
- Half time
- Not planning to enroll
*indicate number of units
Spring 2014*
- Half time
- Not planning to enroll
*indicate number of units
Fall/Winter 2013 (USMA)*
- Full time
- Half time
- Not Enrolled
Spring/Summer 2014 (USMA)*
- Full time
- Half time
- Not Enrolled
Summer/Fall 2013*
- Full time
- Not planning to enroll
*indicate number of units
Winter/Spring 2014*
- Full time
- Not planning to enroll
*indicate number of units
Definitions of Enrollment Status
(REMINDER: most types of financial aid are NOT awarded for less than half time status)
BA Full time = 12-15 |Three-quarter time = 9-11 | Half time = 6-8
MAP/MPIC Full time = 8-16 | Three-quarter time = 7 | Half time = 4-6
MAOM Full time = 8 or more | Half time = 4-7
MAE/TC Full time = 10-15 | Half time = 5-9
USMA/ U.S.Certificate Full time = 7 or more | Half time = 3-6
MFA 12 units Full Time only
LGBT/Trauma Certificates = 6 units Half time only
Additional Questions
GRADUATES ONLY: Are you interested in GradPLUS funds for living expenses?*
- Yes
- No
If yes, you must apply online at www.studentloans.gov
Are you interested in ParentPLUS funds for living expenses?*
- Yes
- No
If yes, you must apply online at www.studentloans.gov
Are you interested in the Federal Work Study Program?*
- Yes
- No
My anticipated degree/certificate completion date is:*

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Financial Aid

Financial Aid Request Form 2013-14

Step 1 of 2

Academic Information

My expected enrollment status for the 2013-14 school year is: (PLEASE INDICATE FOR ALL TERMS)

Definitions of Enrollment Status

BA Full time = 12-15 |Three-quarter time = 9-11 | Half time = 6-8

MAP/MPIC Full time = 8-16 | Three-quarter time = 7 | Half time = 4-6

MAOM Full time = 8 or more | Half time = 4-7

MAE/TC Full time = 10-15 | Half time = 5-9

USMA/ U.S.Certificate Full time = 7 or more | Half time = 3-6

MFA 12 units Full Time only

LGBT/Trauma Certificates = 6 units Half time only

Additional Questions