GLOBAL MASTER OF ARTS PROGRAM (GMAP) Application for GMAP Scholarships All applicants seeking scholarship aid from The Global Master of Arts Program (GMAP) must complete this form IN FULL and submit it with the application for admission. All parts of this form are required to be completed. Scholarship decisions are made by the GMAP Admissions & Financial Aid Committee based on a combination of merit and need. U.S. citizens and U.S. permanent residents requesting federal loans must complete and submit the Free Application for Federal Student Aid (FAFSA) as well. The Tufts University/Fletcher School code number for the FAFSA is 002219. PART 1: PERSONAL AND FAMILY INFORMATION Full Name: ____________________________________________________________________________________________________ Today’s Date (MM/DD/YYYY): ____________________________ Date of Birth: __________________________________________ Submitting a GMAP Application for Admission for (please choose one): July Class of 2016-2017 - Priority Deadline for GMAP Scholarship Consideration is April 1, 2016. July Midyear Class of 2016-2017 - Priority Deadline for GMAP Scholarship Consideration is October 1, 2016. Will you be receiving a full or partial government or other scholarship? Yes No Please list government or other scholarship details (organization, amount): _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Please list all external fellowships/scholarships to which you have applied: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Page 1 of 7 GLOBAL MASTER OF ARTS PROGRAM (GMAP) Application for GMAP Scholarships If you are a U.S. citizen or U.S. permanent resident, did you or will you complete the FAFSA form? Yes; Date submitted: _____________________________ No; Expected submission date: ________________________ If you are a non-U.S. citizen, what is your country of citizenship? _____ Current U.S. immigration status (i.e. visa type, etc): _____ Marital Status: ____________________________Actual or anticipated date of marriage: (MM/DD/YYYY):___________________ Spouse’s citizenship(s): __________________________________________________________________________________________ Will your spouse be a student during the academic year? Yes No If yes, where? _______________________________________________________________________________________________ Full-time enrollment Part-time enrollment Please list the amount of all scholarship aid that will be received by your spouse: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ DEPENDENTS FOR ACADEMIC YEAR NAME AGE RELATIONSHIP TO APPLICANT Page 2 of 7 GLOBAL MASTER OF ARTS PROGRAM (GMAP) Application for GMAP Scholarships PART 2: PREVIOUS EDUCATIONAL FINANCIAL AID AND SCHOLARSHIPS Please outline how your undergraduate education was financed. (e.g. What percent and amount was covered by loans, scholarships, parental/family contributions, work, or other) (Example: Scholarships: 50%, Family: 35%, Loans: 15%). _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Please provide all previously attended institutions, dates attended, and amount of loans and scholarships received. TYPE OF PROGRAM INSTITUTION (SPECIFY UNDERGRADUATE, GRADUATE, OR OTHER DEGREE) DATES ATTENDED LOANS (SPECIFY ORIGINAL TOTAL AMOUNT & OUTSTANDING BALANCE) SCHOLARSHIP AID RECEIVED (TOTAL FOR DURATION OF STUDY) Page 3 of 7 GLOBAL MASTER OF ARTS PROGRAM (GMAP) Application for GMAP Scholarships PART 3: APPLICANT’S (AND SPOUSE’S) EXPECTED INCOME AND EXPENSES Are you currently employed? Yes No STUDENT’S (AND SPOUSE’S) EXPECTED INCOME AND EXPENSES Please itemize projected income and expenses for the academic year. STUDENT’S GROSS ANNUAL SALARY NAME OF EMPLOYER SPOUSE’S GROSS ANNUAL SALARY NAME OF EMPLOYER STUDENT’S (AND SPOUSE’S) OTHER INCOME EXPECTED LIVING EXPENSES Page 4 of 7 GLOBAL MASTER OF ARTS PROGRAM (GMAP) Application for GMAP Scholarships PART 4: APPLICANT’S (AND SPOUSE’S) ASSETS AND LIABILITIES Please itemize your, and if married, your spouse’s current assets and liabilities. Please provide all amounts in U.S. dollars. You may use an additional sheet if necessary. Please be sure to type your name on any additional documentation. ASSETS LIABILITIES APPLICANT CASH, CHECKING, OUTSTANDING SAVINGS EDUCATIONAL LOANS HOME EQUITY (VALUE LESS UNPAID MORTGAGE) OTHER REAL ESTATE EQUITY INVESTMENTS (STOCKS, BONDS, ETC.) RETIREMENT FUNDS AND PENSION PLANS VALUE (IRA, KEOGH, ETC.) TRUSTS NON-EDUCATIONAL INDEBTEDNESS (SPECIFY) BUSINESS ASSETS OTHER INVESTMENTS (SPECIFY) OTHER INVESTMENTS (SPECIFY) TOTAL ASSETS SPOUSE MORTGAGE AUTO LOAN OTHER (PLEASE SPECIFY) OTHER (PLEASE SPECIFY) OTHER (PLEASE SPECIFY) OTHER (PLEASE SPECIFY) OTHER (PLEASE SPECIFY) TOTAL LIABILITIES Page 5 of 7 GLOBAL MASTER OF ARTS PROGRAM (GMAP) Application for GMAP Scholarships PART 5: ACADEMIC YEAR FINANCIAL PLAN The total program cost for GMAP for the 2016-17 academic year is $73,278.00, U.S. dollars. This includes tuition and other educational expenses, an Apple MacBook Air laptop and software, room and full board for all three residency sessions, and all books and course materials. The program cost is split into three payments: (1) $5,000.00 enrollment deposit, (2) first semester fee of $31,639.00, (3) second semester fee of $36,639.00. The entire program cost must be paid before the final residency. Please detail your plan for financing your Fletcher education during your GMAP academic year. This section must be filled out completely and accurately as possible. Itemize resources for you and, if married, your spouse and any dependent children during your GMAP year. Personal funds you will contribute to your education: (Savings, cash, checking investments, etc.): $ _____________________ Scholarships and grants you have been awarded already: $ _____________ Parental or other family contributions: $ _____________ Estimated earnings from work: $ _____________________ Estimated earnings of spouse: $ _____________________ Loans: $ _____________________ Veteran’s benefits: $ _____________________ Other (specify): $ _____________________ Total projected resources: $ _____________________ Please use the space below to provide us with information on how you plan to finance your education. _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Page 6 of 7 GLOBAL MASTER OF ARTS PROGRAM (GMAP) Application for GMAP Scholarships _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ PART 7: ADDITIONAL STATEMENT (OPTIONAL) Please feel free to attach an additional 1-2 page statement to help us better understand your financial circumstances, especially if you have other information that might be pertinent to this application for financial assistance. Be sure type your name on all additional documentation. PART 8: CERTIFICATION I hereby certify that the information given by me on this application is complete and accurate in every aspect, and that the information I have submitted as an applicant for admission is my work. I understand and agree that any misrepresentation may be cause for denial or revocation of admission and/or scholarship aid. _________________________________ SIGNATURE DATE Page 7 of 7