Concordia University River Forest

OFFICE OF UNDERGRADUATE ADMISSION
7400 AUGUATA STREET, RIVER FOREST, ILLINOIS 60305-1499 708-209-3100

INTENT TO APPLY FOR FINANCIAL ASSISTANCE

Interest in Financial Assistance (Please check all appropriate boxes and complete requested information.)

Merit Awards Only

I would like to be considered for merit scholarships. I do not intend to file a confidential need analysis.

Need-Based Financial Aid (This includes merit awards as part of a financial assistance package.)

I would like to be considered for any form of assistance for which I may qualify. I understand that it is necessary to file the Free Application for Federal Student Aid (FAFSA) by April 15th in order to meet the priority award deadline of June 1.

Concordia Music Scholarships

I plan to audition for a Music Scholarship. As a result, I understand that I will not be notified of my scholarship until after the audition deadline.

I have a bachelor's degree and am seeking a second degree or certification. I am interested in educational loan programs.

STUDENT INFORMATION

Today's Date __________________

Miss Ms. Mrs. Mr.

Last Name ____________________ First Name _____________________ Middle ___________

Social Security Number ____ - ____ - _______

Home Street Address _______________________________________________________

City______________________ State _________ Zip Code ______________

PARENTAL INFORMATION (Students age 24 and older do not need to complete this section.)

Please check boxes which may apply to you: Parents Divorced Parent(s) Deceased

Father's Full Name ____________________________________________________________

Home Street Address (If different from applicant's) ____________________________________

City _______________________ State ____________________ Zip Code _______________

Home Telephone Number(____)___________ Work Telephone Number (____)_____________

Occupation and Employer ______________________________________________________

Mother's Full Name ___________________________________________________________

Home Street Address (If different from applicant's) ___________________________________

City _______________________ State ____________________ Zip Code _______________

Home Telephone Number(____)___________ Work Telephone Number (____)_____________

Occupation and Employer ______________________________________________________

OPTIONAL INFORMATION
Because some assistance may be available to you through your congregation and/or district, we invite you to complete the optional information requested below. This information may be helpful to us as we investigate all sources of financial assistance available to you.

Congregation Name ____________________________ Pastor's Name _____________________

Congregation Address _________________________________________________________

City ____________________ State ___________________ Zip Code ________________

Synodical District of The Lutheran Church-Missouri Synod (If applicable.) ________________________________

Do you have an insurance policy with Aid Association for Lutherans? Yes No
Student Policy Number ______________________________

Do you have an insurance policy with Lutheran Brotherhood? Yes No
Student Policy Number ______________________________