8/13/2019 Ha the Phong_Financial Form

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Year ofattend-

anceAgeFull name of family member Tuition andfees

Room andboard

Financialaid

Amount of Parents

contribution

Name of schoolor college

9. How many persons, including you, depend on the income of your parents for daily living? ____________________________

10. How many of these persons depend on the family income for their educational costs? ____________________________

Relationship to you

Students who wish to be considered for nancial assistance by Franklin & Marshall College for the 2014 15 academic year must complete and returnthis form, with the admission application, to the Ofce of Admission, Franklin & Marshall College, P.O. Box 3003, Lancaster, PA 17604-3003, USA.

Please Note: The admission process for international students may be inuenced by their ability to be nancially self-supporting.

1. Your name ________________________________________________________________________________________________________________________________________________________________last (family) rst middle

2. Permanent home address (your familys home) ____________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________

3. Your date of birth ________________________________

4. Country of citizenship __________________________________________________

5. Your fathers name __________________________________________________________________________________________________________ Age __________________________________

His occupation/title _____________________________________________________________________________________________________________________________________________________

His employer _____________________________________________________________________________________________________________________________________________________________

His home and business e-mail addresses home _____________________________________________ bus. ______________________________________________________

6. Your mothers name _________________________________________________________________________________________________________ Age __________________________________

Her occupation/title _____________________________________________________________________________________________________________________________________________________

Her employer ____________________________________________________________________________________________________________________________________________________________

Her home and business e-mail addresses home _____________________________________________ bus. ______________________________________________________

7. Your parents marital status: [ ] married [ ] divorced/separated If parents live separately, a separate form must be completed for each household (you may duplicate this form).

8. Name the members of your family living in your parents household (including ALL dependent members of the household):

EDUCATIONAL INFORMATION, 2014 15

AFA1

Of ce of Admission Franklin & Marshall CollegeP.O. Box 3003 Lancaster, PA 17604-3003

(717) 291-3951FAX # (717) 291-4389

www.admission.fandm.edu

Application for Financial Assistancefor the 2014 15 Academic Year

INTERNATIONAL STUDENTS

month/day/year

08 25 1996

Vietnam

Ha Trong Kieu 43

Teacher

Hanoi College of Education

Nguyen Thi Hoai Le

Tailor

self-employed

x

Ha Phong The

12/450 Bach Dang, Hoan Kiem, Hanoi, Vietnam

43

Ha Trong Kieu 43 Father

Nguyen Thi Hoai Le 43 Mother

Ha The Phong 17

Ha The Duy 13 Brother Trung Vuong

Secondary School

8 800 0 0 800

4

2

8/13/2019 Ha the Phong_Financial Form

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AFA2

PLEASE CONVERT ALL ANSWERS TO UNITED STATES DOLLARS

11. What is the present exchange rate of your countrys currency to the U.S. dollar (for example, 0.7485 Euro = $1)? _____________ = $1.

12. During the past year, how much of your household income (before taxes or expenses) came from the following sources? fathers work $ ______________________ mothers work $ ______________________ your work $ _________ family business/real estate $ ______________________ interest or dividends $ ______________________ other $ __________ pension/annuity/retirement $ ______________________

13. What did your parents spend or parents employers provide to meet your living expenses during the past year? Specic amounts are needed.

rent or mortgage/housing $ ________________ $ ________________ automobile (not fuel) $ ________________ $ ________________ food $ ________________ $ ________________ medical expenses $ ________________ $ ________________ clothing $ ________________ $ ________________ entertainment $ ________________ $ ________________ household necessities $ ________________ $ ________________ vacations $ ________________ $ ________________ utilities $ ________________ $ ________________ servants $ ________________ $ ________________ insurance (health or property) $ ________________ $ ________________ educational expenses $ ________________ $ ________________ taxes $ _______________ $ ________________ retirement/savings $ ________________ $ ________________ social club memberships* $ _______________ $ ________________ other (specify) $ ________________ $ ________________

*List social clubs to which your parents belong: _______________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________

14. Does your family own its own home? __________________________________________________________________________________________________ [ ] yes [ ] noWhat was the original purchase price? $ _____________________ What year was it purchased? ________________________ What is the present sale value? $ _____________________ What is owed on home? $ ______________________

15. a. Give the present value of other family assets in your country: land and buildings (other than family home) $ ______________________ savings $ ______________________

investments (such as stocks and bonds) $ ______________________ family business $ ______________________ money owed to your family (explain*) $ ______________________ other (explain*) $ ______________________

b. Do you or your parents have money, properties or assets in another country? [ ] yes [ ] no If yes, in which countries are these assets held? ___________________________________________________________________________________________________________

List the assets and their values in U.S. dollars ____________________________________________________________________________________________________________ If the assets above produce no income in 12, please explain.*

*Explanations ______________________________________________________________________________________________________________________________________________________

16. Does your family employ other people? [ ] yes [ ] no If yes, how many in the home? ______________ In the family business? _______________

17. If your family owns automobiles, please report the make (VW, Fiat, etc.) and the year of manufacture: ______________________________________________________________________________________________________________________________________________________________________________

18. What amounts will be available for your education in the United States per year (excluding travel to and from the U.S.)?

Explain: ___________________________________________________________________________________________________________________________________________________________________

19. List agencies/foundations/government to which you are applying for nancial aid and amount applied for:

______________________________________________________________________________________________________________________________________________________________________________

20. List other U.S. colleges to which you are applying:

______________________________________________________________________________________________________________________________________________________________________________

CERTIFICATION We declare that the information on this form is true, correct, and complete. This form should be accompanied by a certi-cate/tax form from employer, bank or government verifying salaries listed above. WARNING: Providing false information may jeopardize astudents visa status and furthermore may result in Franklin & Marshall revoking its initial decision to enroll the student.

signature of father _______________________________________________________________________________________________ date _____________________________________________

signature of mother _______________________________________________________________________________________________ date _____________________________________________

signature of student _______________________________________________________________________________________________ date ______________________________________________

Family savingsRelatives/friends

SponsorFamily income

Government

FIRST YEAR SECOND YEAR THIRD YEAR FOURTH YEAR

PARENTS EMPLOYERS PARENTS EMPLOYERS

3,97800

000

x

94,719

47,848000

00

x

0

Huyndai, 2010

VND 21,115

16,000

0

5,4001,400

1,4001,300

6000

1,500

800600800

2,000

02,000

inherited inherited

x

11,000 11,000 11,000 11,000

2,000 2,000 2,000 2,000