morehouse school of medicine
FINANCIAL AID APPLICATION
2014-2015
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PLEASE READ
Additional information and instructions are available in the 2014-2015 Financial Aid Prospectus.  The Prospectus is available in PDF format via the MSM website.  All fields are required.  If a question doesn't apply to you, please enter N/A or 0, if a dollar amount is requested.

Contact Information

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Financial Aid Information

16. List all other Financial Aid that you have applied for (include financial assistance from parents, spouse, spouse's parents, other relatives, etc.).  Please write "N/A", if not applicable.

Spouse's Information

If you are single, skip this section.
0/2000 characters

 

Federal Tax Information

If you answered yes, submit a copy of your tax return, including W-2 and/or 1099 forms received to verify total amount of income earned for the 2013 tax year.
If you answered no, complete the Student Non-Filer Certification form below.

STUDENT NON-FILER CERTIFICATION FOR 2013
(Include spouse, if applicable)

Note:  Whether you filed a tax return or not, you must submit copies of all W-2 and/or 1099 forms received for the 2013 tax year.

Student and spouse (if married) who will not file a 2013 Federal Income Tax Return must complete this form.

Please complete both sections of the form.  Enter “0” if you did not receive any taxable and/or nontaxable income.

 


FAMILY INFORMATION

List the people that your parent(s) will support between July 1, 2014 and June 30, 2015.  Include:

 •    Yourself

•    Your parent(s) and/or stepparent(s)

•    Your parent(s)/stepparent(s) dependent children (if your parent(s) provide more than half support, or if they would be required to give parental information when applying for aid.)

 Include other people as part of your family only if:

•    they lived with your parent(s)/stepparent(s) and received more than half their support from your parent(s)/stepparent(s) at the time you completed your student aid application

     AND

•    they will continue to receive more than half their support from July 1, 2014, through June 30, 2015.

 Full NameAgeRelationshipCollege
Family
PARENT NON-FILER CERTIFICATION FOR 2013
(PARENT(S), STEPFATHER, STEPMOTHER, OR GUARDIAN)

Note:  Whether you filed a tax return or not, you must submit copies of all W-2 and/or 1099 forms received for the 2013 tax year.

Parent(s) who will not file a 2013 Federal Income Tax Return must complete this form.

Please complete both sections of the form.  Enter “0” if you did not receive any taxable and/or nontaxable income.

 

Closing Section

Review your application for completeness, accuracy, and submit.  Review the application instructions and checklist for supporting documentation (i.e. filed tax returns for the current year) that must be submitted directly to the Student Fiscal Affairs Office at the address below.  

Be sure to download the Selective Service Affidavit form (males only). Sign and mail it to:


Student Fiscal Affairs
Morehouse School of Medicine
720 Westveiw Drive 
Atlanta, GA 30310
404-752-1053 (fax)
E-mail:studfisc@msm.edu  

Deadline dates vary by program and class year. Please review deadline dates on the MSM website, specific to your program and class year. You may refer to the
Application Deadlines page for additional information.

Students who fail to follow the instructions for this application and/or do not submit the required information by the established deadline date will not receive maximum consideration for institutional funds. 

Failure to submit all required schedules and verify total amounts of income earned for student and/or parents will prevent you from receiving priority consideration for institutional grants/scholarships support.

* Indicates Response Required