Personal Information
*First Name:
Middle Initial:
*Last Name:
Home Telephone:
Work Telephone:
*Email Address:
DOB:
(mm/dd/yy)
Marital Status:
# Dependent Children:
Ethnic Background:
Year bachelors degree received
Are you a US Citzen?
Yes
No
If 'NO,' to receive Title IV Federal Aid, you must present in person, original credentials of your eligible, non-citizen status (either an Alien Registration card or other acceptable INS documentation).
Local Address
Address:
City:
State:
Zip:
Permanent Address
Address:
City:
State:
Zip:
Home Church Information
Home Church:
Denomination:
Conference:
Association:
Church Address:
City:
State:
Zip:
2010 - 2011 Enrollment Plan at Andover Newton
Students must take at least 7.5 credits fall and/or spring semester in order to receive ANTS financial aid. Students taking less than 7.5 credits qualify for Stafford Loans only.
Andover Newton Degree Program (check one):
M.Div.
M.A.
D.Min.
S.T.M.
Your degree credits earned as of June 30, 2010:
Planned Graduation Date:
(mm/yy)
Do you plan to live on campus?
Yes
No
Do you plan to use commuter housing?
Yes
No
CALCULATIONS FOR COMMUTER TRAVEL
Scholarship Information
In order to determine types of scholarships you may be eligible for, please check off all that apply:
Interest in music - pursuing music ministry
Preparing for ordained ministry
Pursuing ministry as a second career
Interest in church stewardship, finance, and administration
Pastoral or educational ministry
Faith, Health and Spirituality
Theology and the Arts
MA Research
MA Religious Education (MARE)
Pastoral Psychology
Single mother
Supporting young family
Interested in church history or history of Christianity
Religious Education
Interest in Christian ethics and action
D. Min - pastoral counseling or marriage and family therapy
D. Min - pastoral psychology
FBC - North Oxford, MA
First Congregational - Oxford, MA
Evangelical Church, Hingham, MA
Shrewsbury Church
Middletown - United Congregational Church
United Parish of Fall River
1st Congregational Church - Essex, CT
Bridgeport, CT area
Trumbull, CT
Ridgefield, CT Church
Tolland, CT - United Congregational Church
Financial Information
Did or will you and your spouse (if applicable) file a federal Income Tax Return?
Yes
No (Must submit copy when completed)
If an income tax return will not be filed, please check below any non-taxable income received in 2009 and provide documentation to the financial aid office:
Unemployment:
Social Security Benefits:
AFDC:
Child Support:
Other untaxed income:
Source of untaxed income:
CERTIFICATIONS (Please check each item, sign and date)
I
certify that:
I have read and understand the Andover Newton financial aid materials.
I will use any awarded funds for educational expenses only.
I will inform the Financial Aid Office in writing of all changes in my financial aid, including receipt of additional outside financial support.
I am aware that my aid may be subject to adjustment should my enrollment status change.
I am aware that my aid will change if I do not meet the academic standards of the school.
I am not in default of any state or federal students loans nor do I owe a Pell Grant refund.
I do not owe money to any academic institution previously attended.
The information provided is complete and accurate to the best of my knowledge.
I agree to provide any additional information needed to determine my eligibility.
Signature:
Date:
For your signature, please enter
your name.
I give permission to Andover Newton Theological School to share information on this this this form with all school
scholarship donors and the school Development Office.
NEW STUDENTS PLEASE NOTE: BIOGRAPHICAL INFORMATION MUST BE SUBMITTED WITH YOUR ADMISSIONS CONFIRMATION PRIOR TO ANY FINANCIAL AID DISBURSEMENT.
Signature:
Date:
For your signature, please enter your name.
please enter the characters above
For assistance or questions, please feel free to contact the
Andover Newton Financial Aid Office at:
Telephone: (617) 964-1100, ext. 296
FAX: (617) 965-3528
Or via email at: rturano@ants.edu
Mailing Address:
Andover Newton Theological School
Rosemary Turano, Financial Aid Coordinator
210 Herrick Road
Newton Centre, MA 02459-2243