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Graduate loan scholarship application form


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INTERNATIONAL ALUMNI ASSOCIATION OF SHRI MAHAVIRA JAIN VIDYALAYA

318 Grant Ave, Nutley, NJ 07110 

Ph: (973) 661-3904 Email: icc_gc@hotmail.com

GRADUATE LOAN SCHOLARSHIP APPLICATION FORM

I Personal Information:
Full Name: _________________________________________
Address: __________________________________________
(Current) ___________________________________________
Phone No: _____________________ Date of Birth_______________
Place of Birth:__________________ Religion___________________
E-mail address____________________________________________
Father's Name: ____________________________________________

Address: ____________________________________________

____________________________________________
Father’s Occupation:________________________________________
II Educational Information:
Degree Course taken & passed in India: Degree:_________ Class:________

University’s City and State:_______________________________________




College Year

% Of Marks

Obtained/GPA



Class

Rank


Class

Size*


First










Second










Third










Fourth











* Total number of students in the class
Note: Please submit mark sheets/transcripts.
Proposed Degree Course: _______________ Major ___________ Minor _____________
Name of University: ________________________________________________________

III Financial Information:
Family’s Annual Income (must submit the last 2 income tax returns):_________________

Financial Information(contd.):
Sources of finance :
Scholarship(s)………………………… $ ________

Loan(s)………………………………… $_________

Family Contribution………………… $_________

Assistantship ( College)……………… $_________

Miscellaneous………………………… $ _________

Total - $_________


EXPENSES:
Tuition/year: _____________Books: ___________ Lodging & Boarding:______________
State your financial needs in view of your expenses, family's income and other financial sources:

_________________________________________________________________________

List of family members:


________________________________________________________________________________
________________________________________________________________________________

IV. General Information

Extra Curricular Activities (Games/Cultural/Social etc.):


_________________________________________________________________________
_________________________________________________________________________

Define your objectives and goals after your study is over:


_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

V References ( See ‘Statement from Reference’ attached herewith)
Please provide two references of the people in USA who know you well and are prepared to sign the attached ‘Statement from Reference’
Name: _________________________________________________________

Address:________________________________________________________

_________________________________________________________
Phone number: _________________ Email address _____________________
Name: _________________________________________________________

Address:________________________________________________________

_________________________________________________________

Phone number: _________________ Email address _____________________

The information furnished above is true to the best of my knowledge and belief and I hereby agree

to abide by the terms and conditions of the scholarship. I solemnly declare that I am a Jain student

and if I am awarded this scholarship, I will repay it within two years from the date of my graduation.

I may be charged interest at the then prevailing rate on the loan balance if I fail to do so.

Applicant's Signature: _________________________________ Date _____________________


Print Name: _________________________________

Statement from Reference
International Alumni Association of Shri Mahavira Jain Vidyalaya, Inc

318 Grant Ave, Nutley, NJ 07110


Dear Sirs,

I, the undersigned, agree to keep in touch with the applicant and provide his/her latest address and phone number to I.A.A.M.J.V, INC. if requested.


I understand that it would be my moral responsibility to persuade the applicant to refund the loan as quickly as possible, so that the Association can recycle the funds to help other bright and needy students.
Sincerely,

( Signature)


Print Name: _____________________________________
Address: _____________________________________
_____________________________________
Phone # (Office) : ________________________________
Phone # (Home) : _________________________________
Fax # : __________________________________________
E-mail Address: __________________________________
Date: _________________________

.


Statement from Reference


International Alumni Association of Shri Mahavira Jain Vidyalaya, Inc

318 Grant Ave, Nutley, NJ 07110
Dear Sirs,

I, the undersigned, agree to keep in touch with the applicant, and provide his/her latest address and phone number to I.A.A.M.J.V, INC. if requested.


I understand that it would be my moral responsibility to persuade the applicant to refund the loan as quickly as possible, so that the Association can recycle the funds to help other bright and needy students.
Sincerely,

( Signature)


Print Name: _______________________________________
Address: _______________________________________
_______________________________________
Phone # (Office) : __________________________________
Phone # (Home) : ___________________________________
Fax #: _____________________________________________
E-mail Address: ____________________________________
Date: _________________________

.


INTERNATIONAL ALUMNI ASSOCIATION OF SHRI MAHAVIRA JAIN VIDYALAYA

318 Grant Ave, Nutley, NJ 07110


------------------------------------------------------------------------------------------------------------------
RULES, GENERAL INFORMATION AND INSTRUCTIONS FOR LOAN APPLICATION FROM

INTERNATIONAL ALUMNI ASSOCIATION OF SHRI MAHAVIRA JAIN VIDYALAYA


  1. This program entails awarding a one time loan scholarship of up to $ 2000.00 to bright and needy Jain students arriving in USA for further studies in order to help them tide over initial financial problems on start up. This is a interest free loan scholarship and released on the student’s signing a notarized Promissory note and agreeing to keep IAAMJV informed of his whereabouts, changes in addresses, phone numbers etc. and to repay the loan amount within two years or earlier after completion of the studies. The application deadline and award notification deadline dates are as under:

Fall Semester: Application Deadline date: September 1st

Award Notification date: October 1st.
Spring Semester: Application Deadline date: February 1st

Award Notification date: March 1st




  1. The applicant should carefully follow the following instructions while submitting the application:

Para 1: Address of the Applicant:


The applicant’s address on the application form should be that in USA where the applicant is finally staying and mail can be sent to. Loan is given to students studying on I-20 Student’s Visa at College/ University in USA. The applicant is supposed to be physically present in USA in order to get qualified for the loan. The loan amount will be remitted at the applicant’s final address at the College/University. Applications with (1) student’s address in India & (2) references from individual living in India will not be considered.

Para 2: Educational Information: Transcripts: Attach Transcripts from the College/ University for the last Degree course.

Transcripts from high school are not required. Do not attach with the application.

A copy of I-20 Form from the College/university, the applicant is attending is required to accompany the application.


Copy of admission letter from the college/University the student is going to attend is also required.
Para 3: Financial Information:
Copies of last two Income Tax returns from Parents are required to support

family income stated on the application form. Copies should be on standard 8.5” x 11”

size papers.

Para 4: General Information:


Describe briefly Extra Curricular activities related to social, educational and religious activities especially in regards to Jain religion.
It will be appreciated if one of your stated goal is to support the cause of education- IAAMJV stands for - through early payment of loan and contribution of time to support the activities of the Association.
Para 5: References:
Statements from reference from USA should be attached with the application and mail together.

Do not attach papers like resume, mission statements, copies of certificates from the trustees of Jain Sanghs you may be associated with in India.


Mail application with attachments in 12” x 9” envelope.
The application with incomplete information and / or attachments are likely to result into delayed processing or not getting considered.

Para 6: Contact Information:

Mr. Ketan Shah, Scholarship Committee, IAAMJV, Inc.

318 Grant Ave, Nutley, NJ 07110

Phone No. (973) 661-3904

Email – icc_gc@hotmail.com



Important Note:
Recipient of loan scholarship is required to sign a promissory note in front of Notary Public with Notary Public’s signature and seal.
Check will be released upon return of original promissory note to:
Mr. Vasant G. Shah, Treasurer, IAAMJV. Inc.

47, Parsler Place, Fords, NJ 08863

Phone No. (732) 636-4679

Email – vasantgshsh@hotmail.com and vgshah@iaamjv.org


Upon completion of studies, loan should be repaid within two years.

Make check payable to IAAMJV and mail check to Treasurer at above address.


Ref: D:\doc\per\ Revised: July 12, 2007








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