The Pohnpei State Scholarship Application form serves as a crucial tool for students seeking financial assistance for their education. It is designed not only for those applying for the Pohnpei State Scholarship (PSL) funds but also for other available funding sources. Applicants are required to provide comprehensive personal information, including their last name, first name, social security number, contact details, and information about their marital status, citizenship, and dependents. Additionally, the form requests details about the applicant’s education, including secondary education attended, the institution for post-secondary education where the aid will be used, the field of study, expected dates of attendance, and academic standing. Financial information is also a major part of the application, requiring candidates to estimate their education expenses for the year, the financial assistance they expect to receive, and the total financial aid they are applying for. Applicants must also include their most recent transcripts, insurance information, and, if applicable, an acceptance letter from their educational institution. The form emphasizes the importance of accuracy and completeness, with the requirement that it must be certified, sealed, and signed by the school the applicant will be attending. For new students, submission of an acceptance letter is mandatory. This comprehensive form ensures that all necessary information is gathered to assess the applicant's eligibility and financial needs comprehensively.
| Question | Answer |
|---|---|
| Form Name | Pohnpei State Scholarship Application Form |
| Form Length | 5 pages |
| Fillable? | Yes |
| Fillable fields | 111 |
| Avg. time to fill out | 23 min 31 sec |
| Other names | pohnpei state scholarship, pohnpei form, pohnpei state scholarship application, what kind of scholorship on pohnpei foraign affairs office |
APPLICATION FOR POHNPEI STATE SCHOLARSHIP FUNDS
INSTRUCTIONS:
1.This form is to be used by applicants for PSL Scholarship funds as well as funds which may be available from other sources.
2.A Copy of your MOST RECENT TRANSCRIPT must be submitted with your application.
3.Copy of your Insurance Policy or Card must be submitted with your application.
4.Application MUST be certified, sealed and with signature of the school you will attend.
5.Please type or print in ink clearly, pleas N/A in all blanks which do not apply.
6.Submitted, a copy of your acceptance letter if you are a New student.
A. PERSONAL INFORMATION
1.Last Name___________________________________ First Name________________________________ 2.Social Security # ________________________
3.Mailing Address:_____________________________________City_______________________________________State______________________________
Zip code____________ 4.Telephone_________________ Fax_________________ Email____________________________ Parent Phone # ______________
5.Sex_________ 6.Date of Birth___________________ 7.Birth Place__________________________ 8.Status_________Married _________Single
9. Citizen of State |
10. If Married Name of Spouse |
11. Number of Dependents |
12. Spouse Income |
___Madolenihmw |
__________________________ |
___________________ |
______________ |
___U |
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___Kitti |
13. Father’s (Guardian) Name |
14. Name and Address of Father Employer |
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___Sokehs |
& address:_____________ |
______________________________________ |
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___Nett |
______________________ |
______________________________________ |
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___Kolonia |
______________________ |
______________________________________ |
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___Pingelap |
15. Mother’s (Guardian) Name |
16. Name and Address of Mother Employer |
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___Mwoakilloa |
& address______________ |
_____________________________________ |
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___Sapwuahfik |
_______________________ |
_____________________________________ |
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___Nukuoro |
_______________________ |
_____________________________________ |
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___Kapingamarangi |
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17. Parent’s Annual Income: __________________________ |
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B.EDUCATION INFORMATION
18. |
Name and address of Secondary attended: |
19. Date Transcript Requested:________________________ |
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_________________________________________ |
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_________________________________________ |
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_________________________________________ |
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20. |
Specify State in which you wish your Application |
21. Date by which financial aid requested ______________ |
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Considered for State Aid ___________________ |
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22. |
Name and address of |
23. Field of Study:___________________________________ |
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where financial aid will be used: |
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_________________________________________ |
24. ___Applied to enter |
___Admitted 25.______Academic Year |
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_________________________________________ |
26. During: ___Fall ___Winter ___Spring ___Summer ___Quarter |
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_________________________________________ |
27. Date Term: Begin_________ _______ End__________ ______ |
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28. Estimated Post date of graduation_________________________ |
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29. |
Name & Adderess of School Official who should be |
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Notified Of the amount and term of your financial aid: |
____________________________________________________ |
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____________________________________________________ |
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____________________________________________________ |
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____________________________________________________ |
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30. |
College standing at time financial aid will be used: ___Freshmen ___Sophomore ___ Junior |
___Senior ___Graduate ___Other |
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C. FINANCIAL INFORMATION |
Fall |
Spring |
Total |
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35. Estimate Education Expenses per Academic Year |
_____________ |
_____________ |
____________ |
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A. |
Testing Application Fee ……………………………. _____________ |
_____________ |
____________ |
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B. |
School Tuition Fees ………………………………… _____________ |
_____________ |
____________ |
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C. |
Books and School Supplies ………………………… |
_____________ |
_____________ |
____________ |
D. |
D. Room and Board ………………………………… _____________ |
_____________ |
____________ |
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E. |
Personal Expenses …………………………….. ___________ |
___________ |
__________ |
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F. |
Transportation Expenses ……………………... ___________ |
___________ |
__________ |
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G. |
Others (Specify) ………………………………... ___________ |
___________ |
__________ |
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H. Total Education Expenses (sum of fall |
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Spring). |
___________ |
___________ |
______ ____ |
36. Estimated Financial Assistance per Academic Year |
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A. Personal Funds (Cash, Savings, etc) ………….. ___________ |
___________ |
__________ |
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B. Private Loan …………………………………… ___________ |
___________ |
__________ |
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C. Earning While in School ………………………. ___________ |
___________ |
__________ |
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D. Parental Support ………………………………. ___________ |
___________ |
__________ |
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E. Spouse’s Support ………………………………. ___________ |
___________ |
__________ |
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F. Other (Specify) …………………………………. ___________ |
___________ |
__________ |
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G. Federal Pell Grant (place X if Applied) ……… ___________ |
___________ |
__________ |
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H. |
Federal Supplementary Educational |
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Opportunity Grant (SEOG) …………………... ___________ |
___________ |
__________ |
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I. |
Federal Work Study Program ……………….. ___________ |
___________ |
__________ |
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J. |
Total Financial Assistance Aid Available |
___________ |
___________ |
__________ |
37. Amount of Financial Assistance required to |
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meet Educational Expenses …………………….... ___________ |
____________ |
____________ |
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___________ |
____________ |
____________ |
I hereby apply for Financial Assistance in the Amount of $________________ for Academic School Year
_________________ under Financial Assistance sources from Pohnpei State Government and other
Sources to help meet my Educational Expenses. I have applied Aid to Financial Assistance Programs and from the Institutional Financial Aid Programs for which I am eligible.
______________________________ |
______________________ |
Student Signature |
Date |
D. CERTIFICATION
38.Have you and School Officials review this application before the school Financial Aid Director will Complete and sign?____________________
I have reviewed this form with the applicant and believe that the information is complete and accurate. The Student is in good standing and has applied for aid to Federal and Institution financial assistance programs From which the student is eligible to receive funding.
_______________________________ |
__________________________________ |
______________ |
Name of Director of Financial Aid |
Signature of Director of Financial Aid |
Date |
(Print Name Clearly) |
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School Official Seal