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First Name *
Middle Initial
Last Name *
Address Line 1 *
Address Line 2
City *
State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Fmr Yugoslav Rep of Macedonia France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Korea, Democratic People's Rep Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Rep Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St Vincent and the Grenadines Sth Georgia and Sth Sandwich Is Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Republic of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
Country of Citizenship * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Fmr Yugoslav Rep of Macedonia France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Korea, Democratic People's Rep Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Rep Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St Vincent and the Grenadines Sth Georgia and Sth Sandwich Is Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Republic of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
Postal Code *
Student ID# *
Birthdate * Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Current Telephone Number *
SAIC Email *
United World College Location * Li Po Chun UWC Hong Kong SAR, China Pearson College UWC Victoria, Canada UWC Adriatic Duino, Italy UWC Atlantic College Llantwit Major, UK UWC Changshu, China UWC Costa Rica Santa Ana, Costa Rica UWC Dilijan Dilijan, Armenia UWC in Mostar Mostar, Bosnia and Herzegovina UWC Maastricht Maastricht, the Netherlands UWC Mahindra College Pune, India UWC Red Cross Nordic Flekke, Norway UWC Robert Bosch College Freiburg, Germany UWC South East Asia Singapore UWC-USA Montezuma, New Mexico, USA Waterford Kamhlaba UWC Mbabane, Swaziland
Graduation Date * Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Start Date at SAIC *
 Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
If you have been or are expecting to receive grants, scholarships or loans, please check as applicable: * Grant or scholarship from an outside entity including governmental or international organization.
Loan(s) from an entity such as a bank/lending institution in the US or in your home country.
If yes, please give details of the source, the amount and the semester for which the aid is intended: *
List number of persons in your Chicago household who are financially dependent upon you: * 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
List number of persons in parents' household (including parents) who are financially dependent on them: * 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
During the 2014–2015 academic year I will live: * with my parents
with other relatives
with my working spouse
in an SAIC Residence Hall
in other off-campus housing
Your Parent's Expected Total Income in US Dollars: *
Parent's expected annual income in US dollars during the 2014–2015 academic year
Student's Expected Total Income in US Dollars: Summer 2014 (3 months): *
Earned from work by student
Student's Expected Total Income in US Dollars: Summer 2014 (3 months): *
Earned from work by spouse
Student's Expected Total Income in US Dollars: Summer 2014 (3 months): *
Student's other taxable income
Student's Expected Total Income in US Dollars: Summer 2014 (3 months): *
Student's nontaxable income and benefits
Student's Expected Total Income in US Dollars: School Year 2014–2015 (9 months): *
Earned from work by student
Student's Expected Total Income in US Dollars: School Year 2014–2015 (9 months): *
Earned from work by spouse
Student's Expected Total Income in US Dollars: School Year 2014–2015 (9 months): *
Student's other taxable income
Student's Expected Total Income in US Dollars: School Year 2014–2015 (9 months): *
Student's nontaxable income and benefits
Your expected resources in US dollars June 1st, 2014–May 30, 2015: *
Indicate all financial resources in US dollar available for tuition/living expenses
Expected resources: *
Contribution from savings and other assets
Expected resources: *
Contribution from parent(s)
Expected resources: *
Contribution from other family member
Expected resources: *
Contibution from non-family sponsor
Other resources: *
List Agency/Foundation award, Government aid, SAIC Scholarship, or Other (please specify)
Please list any unusual expenses in US dollars you may have for the 2014–2015 academic year:
Explain in detail
Information Certification * I certify that all information provided on this application is accurate and complete.