New Student Financial Aid Information Form - Graduate

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STUDENT SERVICES DEPARTMENT

New Student Financial Aid Information Form - Graduate Student

Section A: General Information

Demographic Information

Last 4 Digits of SSN: *

Date of Birth * +

Are you 18 years of age or older? *

No

Yes

Legal Last Name *

Legal First Name *

Middle Initial

Mailing Address *

Address Line 2

City *

State *

Zip Code *

Cell Number *

Home/Other Number

Email Address *

Enrollment Information

Campus *

Stockton

Modesto

Online

Which program are you applying for? *

Juris Doctor

Master's Program

Have you been officially accepted into the Master's Program? *

No

Yes

Have you been officially accepted into the Juris Doctor Program? *

No

Yes

When do you plan on attending? *

Summer	Fall
Winter	Spring

Year *

Anticipated Enrollment Status *

Full time (9 or more units)

Half time (6 units)

Enrollment Status *

Full time (8 or more units)

Half time (4 units)

What is your declared degree/major? *

Are you expecting veteran’s educational benefits? *

No

Yes

Chapter: *

Are you a current Humphreys University employee who is eligible for the Humphreys University Tuition Waiver? *

No

Yes

Provide an explanation: *

Are you a current full-time employee of ABLE Charter High School or ABLE Charter Elementary? *

No

Yes

Beginning Date of Employment: *

Are you a parent or legal guardian of a child currently attending ABLE Charter High School or ABLE Charter Elementary? *

No

Yes

Child 1 Name: *

Child 2 Name:

What is your high school completion status? *

High School Diploma	Passed HSET State Test	Passed TASC State Test	Passed CHSPE State Test	Foreign High School
GED	Other

Year *

Month *

Name of the High School & Country *

Please Explain: *

Do you have an Associate Degree? *

No

Yes

Major/Degree: *

Do you have a Bachelor's Degree? *

No

Yes

Major/Degree: *

Financial Aid New Student Information Form - Graduate | Humphreys University