Application for Financial Aid

(An Application for Admission is also available.)

Friends World Applicants: Please use the special Friends World Forms.

Instructions

Print out this form, and complete it. Please enter all information neatly.
Send the form in along with your Application for Admission.
File the Free Application for Federal Student Aid (FAFSA). Request that a copy be sent to Southampton Graduate Campus (code no. 002755). The FAFSA is available in high school guidance offices or from the Financial Aid Office at Southampton Graduate Campus. Your application for financial aid will not be reviewed until a copy of the FAFSA is received.
Apply as early as possible for Financial Aid: Applications are processed on a rolling basis.

Note: Only students who have been officially accepted will be considered for financial aid.

All material sent by mail along with Admissions material must be addressed to:

The Admissions Office
Southampton Graduate Campus
Long Island University
239 Montauk Highway
Southampton, N.Y. 11968-4198

If you have questions, contact the Financial Aid Office in any of these ways:

Telephone:: 516 287 8321, or
516 283 4000, or
800 LIU PLAN (within the U.S.)
Fax:: 516 287 8125 (attention Susan Taylor)
E-mail:: finaid@southampton.liu.edu
Note: Please be sure to explicitly include your return e-mail address and, also, a telephone number and postal address when contacting us by e-mail.

You may also find what you need on our World Wide Web site (through which you may have already obtained this form) at


http://www.southampton.liu.edu

Name (Last, First, Middle): Mr./Ms.
Address:

City:
State:
Zip:
County Code:
Telephone Number:
Social Security Number:
Do you intend to live in a residence hall on campus? __ Yes / __ No
Intended Major:
When do you plan to begin your studies?
Fall 19____ / Spring 19____ / Summer 19____
Have you filed a Free Application for Federal Student Aid (FAFSA)? __ Yes / __ No
Will you be attending
- Full Time?
- Part Time?
If you are a transfer student, you must submit a Financial Aid Transcript from all previous colleges, even if aid was not received:
```
    Name of Institution                      Dates Attended
```
Statement of Educational Purpose/Registration Compliance
I certify that I will use any money I receive under the Title IV student financial aid programs only for expenses related to attendance at the Southampton Graduate Campus of Long Island University. I further state that I am not in default on any loan made under the GSL, PLUS or Perkins Loan Program (Title IV, HEA loan) for attendance at any institution, and that I do not owe a refund on a grant received under the Pell Grant for attendance at any institution.
Please check one of the following:
- I certify that I am not required to be registered with the Selective Service because (choose one):
  - I am female.
  - I am in the armed services on active duty. (Note: members of the Reserves and National Guard are not considered on active duty.)
  - I have not reached my 18th birthday.
  - I was born before 1960.
  - I am a permanent resident of the Trust Territory of the Pacific Islands (PALAU) or a citizen of the Marshall Islands or the Federated States of Micronesia.
- I certify that I am registered with the Selective Service.
Notice: You will not receive Title IV financial aid unless you complete this statement and, if required, give proof that you are registered.

I declare that the information on this form, to the best of my knowledge, is true, correct and complete and that the Southampton Graduate Campus of Long Island University has my permission to verify the information reported. I understand that my application will not be reviewed until my confidential Financial Aid Form and supporting documents are received by the Financial Aid Office.

Your Signature:

Date: