Online Application
Step 2: Financial Questionnaire

So that we can assist you in determining your payment options, including our guaranteed financing, submit this questionnaire to the Bursar's Office. Once submitted, a representative from the Bursar's Office will email your financial award information. If you have immediate questions, or would prefer discussing your financing options in person, please call the Bursar's Office at (814) 234-4900. Please note: This form must accompany an application for admissions or be submitted after the application for admissions has been accepted. Completion of this form does not guarantee acceptance into any program.

Personal Information
Student
First Name: MI: Last:
Date of Birth: SSN#: Marital Status:
Single
Married
Divorced
Widowed
Citizenship:
U.S Citizen Non-Citizen		 Number of dependents:
Co-Signer
First Name: MI: Last:
Date of Birth: SSN#: Marital Status:
Single
Married
Divorced
Widowed
Citizenship:
U.S Citizen Non-Citizen		 Number of dependents:

 

Address
Student
Address:
City: 		State: Zip:
Phone Number:
Work Phone: 		How long have you lived at this address:
Years: Months:
Co-Signer
Address:
City: 		State: Zip:
Phone Number:
Work Phone: 		How long have you lived at this address:
Years: Months:

 

Financial Information
Student
Employment Job title: Employer:
How long have you worked for this employer:
Years: Months:
Gross Monthly Income: From other sources:
Bank Accounts: Checking Savings
Total monthly rent/mortgage: Mortgage Holder:
Credit Cards: Visa Mastercard American Express Discover Other
Co-Signer
Employment Job title: Employer:
How long have you worked for this employer:
Years: Months:
Income Gross Monthly: From other sources:
Bank Accounts: Checking Savings
Total monthly rent/mortgage: Mortgage Holder:
Credit Cards: Visa Mastercard American Express Discover Other

 

Please click submit to complete the financial questionaire