2009-10 FINANCIAL AID RESOURCE INFORMATION FORM

You will only be able to submit this form once, so be sure that it is free of errors. All financial aid correspondence will be emailed to your jaguar1 account or mailed to your mailing address. Be sure to maintain your current mailing address via paws at http://paws.usouthal.edu.

A separate summer application must be completed on or after March 1, 2010 if you wish to apply for summer aid. If you receive your maximum annual amount of aid during the fall and spring semesters, you will not have eligibility for summer aid.

SECTION A Last 4 numbers of SSN xxx-xx- Student Number Last Name First Name MI Maiden Name Email Address Housing Arrangements Select... Parents or Relatives Dormitories Off Campus Do you want to apply for a student loan Select... Yes No Previous Colleges and Universities: You must list all prior schools attended within the last year including specific dates of attendance whether you received financial aid at those schools or not. No exceptions!   Dates of Attendance (from month/year to month/year ) Name of School Attended From To Select... January February March April May June July August September October November December Select... January February March April May June July August September October November December Select... January February March April May June July August September October November December Select... January February March April May June July August September October November December Select... January February March April May June July August September October November December Select... January February March April May June July August September October November December   SECTION B * * * * READ AND ANSWER CAREFULLY * * * * Mark any and all sources of additional financial assistance you will receive. DO NOT list financial aid such as Pell Grant, SEOG, Subsidized and Unsubsidized Stafford Loans, Perkins Loan or Work-Study. If you receive assistance from any of the sources listed below after you have submitted this form to the Financial Aid Office, you MUST notify the office immediately. If you fail to do so, your financial aid could be revoked. Check all that apply and estimate the amount of funds you will receive:   Athletic Scholarship   ANGEAP   Vocational/Rehabilitation Benefits   USA Resident Advisor (Housing)   Alabama VA   Graduate Assistantship or Fellowships   ROTC Housing Scholarship   CRUISE program   ROTC Tuition Scholarship   Federal Nurse Practitioner Fellowship   Faculty/Staff Tuition for yourself   Faculty/Staff Tuition for your spouse   W T Neal Trust   Alabama Recruitment Incentive Funds   Mobile Works Program/Baldwin CareerLink   Federal Professional Nursing Trainingship   Air Force Aid Society   Bedsole Scholars Program   Treadwell Foundation   Navy Assistance   Coast Guard   Army Assistance Scholarships, grants or other educational assistance not awarded by Financial Aid Name Amount $ $ $ Total amount of educational financial aid assistance that will be received from the above sources: $ I will not receive any of the above listed benefits or any other educational assistance not listed above; however, I know I must notify the Financial Aid Office immediately if I do receive any additional educational assistance other than FPELL, FSEOG, Subsidized and Unsubsidized Stafford Loans.