Graduate Student Loan Application

Which academic year/session are you applying for?

Where will you reside?

On Campus
Off Campus
With Parents

Degree program enrolling in:

Department enrolling in:

Anticipated graduation quarter:

Anticipated graduation year:

Will you be enrolled in the Honors Cooperative Program (HCP) at the Stanford Center for Professional Development?

Yes No

Autumn Qtr

Winter Qtr

Spring Qtr

Adjusted Gross Income

Additional Financial Amount

Your Spouse's Earnings

Untaxed Income Amount

Adjusted Gross Income

Additional Financial Amount

Your Spouse's Earnings

Untaxed Income Amount

Hrs per wk in pre- or after-school, or day-care programs

Monthly cost for these school programs

Hrs per wk in pre- or after-school, or day-care programs

Monthly cost for these school programs

Hrs per wk in pre- or after-school, or day-care programs

Monthly cost for these school programs

List non-discretionary expenses:

Comments or suggestions:

Please select the following option that best reflects your application request:

I am completing this application to determine my eligibility for federal student aid.
I am my applying for graduate federal work-study only.
I am applying for a private loan only.

To meet satisfactory academic progress standards as defined by the University;

To register for a minimum of 6 units per quarter and meet all enrollment requirements as established by the University Registrar's Office;

If selected for verification, to provide the FAO with a completed, signed verification form and supporting documentation to verify data reported on your FAFSA application(s);

That information provided on this form may be forwarded to outside agencies, particularly to update address and enrollment status for students who have obtained federal loans;

That information in the application may be used to establish eligibility for federal student aid funds and that the Department of Education takes the position that false information could subject you to a fine or imprisonment, or both, under provisions of the US Criminal Code;

That the information reported on this form, is true, correct, and complete, and that I will provide the FAO with a signed copy of my federal income tax return(s) and any other documentation necessary to verify the data, if requested by the FAO;

That any change in my financial circumstances could be grounds for repayment of funds received;

To notify the FAO if I enroll in fewer units than were used to establish eligibility for federal funds; receive funding in addition to any reported here such as internal or external fellowships, tuition allowance, health insurance subsidy, stipends of any kind including support for research costs, conference attendance, etc; move to on-campus housing during the award period.

By submitting this financial aid application, I hereby consent to Stanford University’s collection and processing of any sensitive personal data contained in my application to evaluate my application for the other purposes described in Stanford University’s Online Privacy, Offline Privacy Policy, and the Privacy Notice for Admissions and Financial Aid which can be found at privacy.stanford.edu

Financial Aid Office