GLOBAL MASTER OF ARTS PROGRAM (GMAP) Application for GMAP Scholarships

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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:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
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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
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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)
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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
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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
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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.
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
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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
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