Santa Clara University

Graduate Progam in Pastoral Ministries

Financial Aid

Financial Aid Application
Please Note:

To be considered for Scholarship Funds this form must be filled out completely each year.



City: State: Zip:

Student ID# (for continuing students)*

Email *

1. How much are you prepared to contribute toward your education this year? (Zero is not an acceptabe response. You are expected to contribute toward your own education.)*

Are you planning to take out a student loan this year? (If yes, you must complete the FASFA)*

2. What was your (and your spouse's) adjusted gross income for 2015? Adjusted gross income is on the IRS Form 1040, line 37; 1040A, line 21; or 1040EZ, line 4.*

3. Enter your (and your spouse's) income tax for 2015. Income tax amount is on IRS Form 1040, line 55; 1040A, line 35; or 1040EZ, line 10.*

4. Enter your (and your spouse's) exemptions for 2015. Exemptions are on IRS Form 1040, line 6a/b or Form 1040A, line 6a/b.*

Wages, salaries, tips, etc.

Questions 5 and 6 ask about earnings (wages, salaries, tips, etc.) in 2014. Answer the questions whether or not a tax return was filed. This information may be on the W-2 forms, or on IRS Form 1040, lines 7+12+15a+16a+18+Box 14 (Code A) of IRS Schedule K-1 (Form 1065); on 1040A, line 7; or on 1040EZ, line 1.

If any individual earnings item is negative, do not include that item in your calculation.

5. How much did you earn from working in 2015?*

6. How much did your spouse earn from working in 2015?*

7. As of today, what is your (and your spouse's) total current balance of cash, savings and checking accounts? DO NOT INCLUDE student financial aid.*

8. As of today, what is the net worth of your (and your spouse's) investments, including real estate? DO NOT INCLUDE the home you live in. Net worth means current value minus debt.*

9. As of today, what is the net worth of your (and your spouse's) current businesses and/or investment farms?*

10. Student's 2015 Untaxed Income (Enter the combined amounts for you and your spouse.)*

a. Payments to tax-deferred pension and savings plans (paid directly or withheld from earnings), including, but not limited to, amounts reported on the W-2 forms in Boxes 12a through 12d, codes D, E, F, G, H and S.*

b. IRA deductions and payments to self-employed SEP, SIMPLE, Keogh and other qualified plans from IRS Form 1040, line 28+line 32 or 1040A, line 17.*

c. Child support received for any of your children. Don't include foster care or adoption payments.

d. Tax exempt interest income from IRS Form 1040, line 8b or 1040A, line 8b.*

e. Untaxed portions of IRA distributions from IRS Form 1040, lines (15a minus 15b) or 1040A, lines (11a minus 11b). Exclude rollovers. If negative, enter a zero here.*

f. Untaxed portions of pensions from IRS Form 1040, lines (16a minus 16b) or 1040A, lines (12a minus 12b). Exclude rollovers. If negative, enter a zero here.*

g. Money received, or paid, on your behalf (e.g., bills), not reported elsewhere on this form.*

Special Circumstances

Do you have any special circumstances that you feel the financial aid committee should know about when considering your application? If so, please tell us about them here.

Please indicate the number of units you plan to take for each quarter in the coming academic year.*

  0 units 4 units 8 units 12 units
Winter 2016
Spring 2016
Fall 2016
By submitting this application you agree to the accuracy of your answers. If asked, you agree to provide information that will verify the accuracy of your completed form. This information may include State or Federal Income Tax forms that you filed.

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