Financial Aid Application
Student First Name:
Student Last Name:
Last Four Digits of SSN:
Student ID #:
Local Address:
City:
State:
Zip Code:
Phone:
 ( )
Cell/Work Phone:
 ( )
Parent(s) Name:
Parent Email:
Parent Phone:
 ( )
Which Webster University campus will you be attending?
When was the last time you received financial aid from Webster University?
What is your expected date of graduation?
What is your major?
During the 2012-13 academic year will you be:
Which degree will you pursue in the 2012-13 academic year:
Where will you live during the 2012-13 academic year? 

Section A. Other Aid
Will you be receiving any outside assistance?   Yes    No
If yes, please fill in the appropriate tuition remission sources and amounts below:

Tuition reimbursement from employer $ per
Tuition remission from Webster University $ per
Tuition remission from other source $ per
Vocational Rehabilitation $ per
Veteran’s Benefits $ per
Military Housing $ per
Other: Name of program: $ per
Please Note: If you receive outside assistance anytime during the academic year, please send notification to the Financial Aid Office. Outside assistance may affect your financial aid award.
Section B. Projected Enrollment
Write the number of credit hours you intend to enroll in each semester or 8-week term of the 2012-13 academic year. Please fill in all that apply.

Enter Credit Hours by Semester:
Summer 2012  |  Fall 2012  |  Spring 2013

Enter Credit Hours by Term:
Summer 2012  |  Fall 1 2012  |  Fall 2 2012
Spring 1 2013  |  Spring 2 2013

Please Note: Your financial eligibility is based in part on this projected enrollment. If you enroll differently than indicated here, your financial aid could be reduced or canceled.
Section C. Financial Aid History
Financial aid history is required from any College or University you attended after May 20, 2012. Even if no aid was received, you will need to notifiy the Financial Aid office of the school(s) and dates attended.
Do you plan to attend any post-secondary institution after May 20, 2012 (other than Webster University)?:
    Yes    No
Section D. Webster University Entrance Loan Counseling
If you are a first time loan borrower at Webster University you must complete on-line entrance loan counseling at: https://studentloans.gov. After you sign in, select "Complete Entrance Counseling."

I acknowledge that I understand the following:
Grace periods
Average anticipated monthly payment
Academic progress
Exit interview
Deferment
Default
Repayment options and debt management strategies
Obligation to notify lender of enrollment status or mailing address changes
I affirm that I have been counseled regarding my rights and responsibilities under the Federal Direct Student Loan Program. Date completed on-line
Section E. Certification
I certify that all information on this form is complete and accurate. I further understand that I am responsible for all necessary forms needed by the Financial Aid Office, and that my eligibility cannot be determined if information is missing from my file. I further understand that it is my responsibility to notify the Financial Aid Office in writing of any enrollment changes.