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
Address: ____________________________________________ ____________________________________________
University’s City and State:_______________________________________
* 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 InformationExtra 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:________________________________________________________ _________________________________________________________
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 ReferenceInternational Alumni Association of Shri Mahavira Jain Vidyalaya, Inc 318 Grant Ave, Nutley, NJ 07110
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 VIDYALAYA318 Grant Ave, Nutley, NJ 07110 ------------------------------------------------------------------------------------------------------------------ RULES, GENERAL INFORMATION AND INSTRUCTIONS FOR LOAN APPLICATION FROM INTERNATIONAL ALUMNI ASSOCIATION OF SHRI MAHAVIRA JAIN VIDYALAYA
Fall Semester: Application Deadline date: September 1st Award Notification date: October 1st.
Award Notification date: March 1st
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 |