Application For Financial Aid Page 3
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F. ADDITIONAL FINANCIAL INFORMATION
Parents or Independent Student: The following information is to be completed by your parents unless you satisfy any of the criteria
defining an independent student as stipulated by the Federal Government and Lehigh University’s Office of Financial Aid. If you
meet the independent criteria, please complete this section with your information (and that of your spouse, if applicable).
Parent(s)
Independent Student and/or Spouse
1.) Indicate whose information is listed:
2.) If your parent(s) or yourself (Independent Student) own real estate other than their home, list the properties owned:
Address
Year Purchased
Purchase Price
Current Value
Amount Owed
$
$
$
$
$
$
$
$
$
3.) Does the student have a trust fund?
YES
NO
If yes, what is the value? _____________________
4.) Child Support and/or Alimony
Received in 2013
Paid in 2013*
Total amount of child support:
$
$
Child support for student applicant:
$
$
Alimony:
$
$
* For Child Support paid, please confirm:
-
Name of Individual who paid the child support:____________________________________________
-
Name of individual to whom child support was paid:________________________________________
-
Name(s) of child(ren) for whom child support was paid:______________________________________
5.) Will you have a car on campus for the 2014-2015 academic year? check one):
Yes No
If Yes, please indicate the year, make and model:
Who is the registered owner of the car (name and relationship to student):
G. FERPA PRIVACY ACT WAIVER
The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99) is a Federal law that protects the privacy
of student education records. FERPA prohibits our office from releasing your Financial Aid information to your parents. Please
sign the waiver below if you would like to enable us to discuss your record with the individual(s) listed below. For more
information visit:
I, _______________________________________ give the Lehigh University Office of Financial Aid permission to release information
about my Financial Aid applications and awards to the person(s) listed below. This waiver of my FERPA rights will remain in effect
during the 2014-2015 academic year:
Name:
Relationship to Student:
Name:
Relationship to Student:
Student Signature
Date
H. COMMENTS AND SPECIAL CIRCUMSTANCES
If you feel there are special circumstances that might affect your financial situation, please attach a letter detailing such circumstances.
Anticipated decreases in income should be documented on the Change of Financial Circumstances form located on our website.
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