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To be completed by an officer of the college or university and sent, along with the completed application, to:
The Edmund F. Maxwell Foundation
Post Office Box 22537
Seattle, Washington 98122-0537
Figures accepted only for the Academic Year: 2008-2009
Student Name:____________________________________________________________
Student ID No. (when issued):_____________________________
Student will live: __On-campus __Off-campus __Parent's home
Marital Status: __ Single __Married No. of children:_____
| Student Budget |
Student Resources |
| Tuition & Fees | ________________ | Parent Contribution | ________________ |
| Room & Board | ________________ | Student Contribution | ________________ |
| Books & Supplies | ________________ | Other | ________________ |
| Transportation | ________________ |
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| Personal Expenses | ________________ |
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| Other | ________________ |
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| TOTAL | ________________ | TOTAL | ____________________ |
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DIFFERENCE (Financial Aid Required): | ____________________ |
Describe sources of
Grants and Scholarships |
Y/N1 |
Amount |
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Total Grant and Scholarship
Aid Available: |
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1 - Is Award based on Financial Need, as determined in accordance with Federal or institutional standards? Please indicate as to each scholarship or grant whether it is based on financial need/subsidized or unsubsidized.
| Loans and Work-Study |
Y/N2 |
Y/N3 |
Amount |
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Total Loan and Work-Study
Aid Available: |
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2 - Is Award based on Financial Need, as determined in accordance with Federal or institutional standards? Please indicate as to each loan or
workstudy whether it is based on financial need/subsidized or unsubsidized.
3 - Is Loan Subsidized?
| (From above) Financial Aid Required |
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| (Less) Total Grant and Scholarship Aid Available |
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| (Equals) Additional Amount Needed |
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| Total Loan and Work-Study Aid Available |
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Comments:
I CERTIFY THAT:
(i)this institution receives its fundamental support from sources other than taxes, and is accredited by an agency recognized by the
U.S. Secretary of Education, namely: ______________________________________, and (ii) this student has filed a Free Application For Student Aid (FAFSA) and qualifies for financial aid.
Signature ______________________________Title________________________________
College or University ____________________________________Date ______________
Mailing Address __________________________________________
Email ____________________________________________________
Address to which scholarship funds should be mailed.
College or University ______________________________________________
Department and/or address: ________________________________________
City, State, Zip Code: ______________________________________________
For Academic Year 2008-09
The Edmund F. Maxwell Foundation
Post Office Box 22537
Seattle, Washington 98122-0537
http://www.maxwell.org
admin@maxwell.org
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