Financial Aid Application First Name Last Name Program Fall Winter Spring/Summer Provide the following information regarding financial need and resources available to meet the expenses of your education and the Jerusalem Center program. If exact figures are not available, use estimated amounts. Do you currently receive (or expect to receive) any scholarships? Yes No How much per semester? $ Do you currently receive any BYU tuition benefits (ie: faculty dependent) Yes No What type and how much per semester? Do you have a vehicle? Yes No Vehicle was a gift to me Yes No Purchasing car myself. Yes No What is your payment? $ /month What is your payoff balance? $ Do your parents currently provide you any type of financial support? Yes No How much per month? $ Do your parents plan to fund part of your Jerusalem Center expenses? Yes No How much? To apply for a Jerusalem Center Grant, your FAFSA information must be available at BYU in Provo. It's already on file at the BYU Financial Aid Office in Provo (for the same academic year) It's currently being processed (must be available by the financial aid deadline) A copy of my current report will be forwarded from the Federal Government to BYU in Provo Are there any extenuating circumstances that have affected your financial situation (e.g., medical expenses, sudden financial hardships, job loss, etc.)? Yes No Please explain how this grant would help your situation. Have you considered other means to finance your Jerusalem Center Program (e.g., personal savings, part-time employment)? Yes No Please elaborate. By clicking the submit button below, I declare the information on this form to be true and complete. I also authorize the disclosure of necessary information to authorized personnel for the purpose of determining my eligibility for financial aid. While recognizing that I am not legally obligated to do so and that my ability to contribute will depend on the circumstances of my life, I acknowledge my responsibility to replenish the fund by making a contribution in an amount equal to or greater than the amount I have received if I am able to do so. I understand that the amount awarded is to be held confidential and that disclosure by myself or family members to others will necessitate returning the award to the BYU Jerusalem Center. I understand that students who have the extra funds for extended travel to Europe or to other locations immediately following this program are not eligible to receive an award and will be required to return the funds.