2024-2025 Alternative International Student Financial Aid Application

Please describe the restrictions

During 2022, how much of your household income (before taxes or expenses) came from the following Income Sources

Parent 1 Earnings - Amount in US Dollars

Parent 2 Earnings - Amount in US Dollars

Students Earnings - Amount in US Dollars

Family Business - Amount in US Dollars

Housing, food, or other allowances - Amount in US Dollars

Real Estate Holdings - Amount in US Dollars

Pension/Annuity - Amount in US Dollars

Taxes Paid - Amount in US Dollars

Interests/Dividends - Amount in US Dollars

Other - Amount in US Dollars

Will there be a significant increase or decrease in income for 2024?

Yes

Please explain

Asset Information

Does your family own its home? If yes, complete section below.

Year purchased

Amount owed on home - Amount In U.S. Dollars

Original Purchase Price - Amount In U.S. Dollars

Current market value - Amount In US Dollars

Does your family own a business? If yes, complete section below.

Date business commenced: mm/dd/yyyy

Parents’ share of business value - In US Dollars

Type of business

Parents’ share of business debt - In US Dollars

List the values of the following assets:

Checking/Savings (Amount In US Dollars)

Investments (Amount In US Dollars)

Assets in Siblings Name (Amount In US Dollars)

Assets owned by student (Amount In US Dollars)

Special Circumstances - Use this space to explain any unusual expenses, other debts, or special circumstances that the institution should consider when it is deciding how much financial aid, if any, you will receive.

Support for Educational Expenses

Indicate the dollar amount from each category that will go towards your educational expenses (in U.S. dollars). Enter the combined total at the bottom.

Contribution from Parent Assets - Academic Year 2024-2025

Contribution from Parent Income - Academic Year 2024-2025

Contribution from Your Assets - Academic Year 2024-2025

Contribution from Your Income - Academic Year 2024-2025

Contribution from Relatives & Friends - Academic Year 2024-2025

Contribution from Your Government - Academic Year 2024-2025

Contribution from Agencies/Foundations - Academic Year 2024-2025

Contribution from Private Sponsors - Academic Year 2024-2025

Contribution from Other - Academic Year 2024-2025

COMBINED TOTAL - Academic Year 2024-2025

Certification & Authorization

We declare that the information on this form is true, correct, and complete. Haverford has our permission to verify information reported by obtaining documentation as needed. We understand that providing false information may jeopardize the student’s visa status and may result in revocation of admission.

Electronic signature of applicant

Date

Electronic signature of parent

Date