Admission

Slug: 
/admission
Media Path: 
admission
Menu: 
menu-6000
Theme Key: 
mtholyoke

Early Financial Aid Estimate (Merit Scholarship Only)

(Last, First, Middle)
City
Select country, if not U.S.
(Last, First, Middle)
(Last, First, Middle)
Which parent/guardian does the student live with (more than 50% of the time)
Are student's parents: Married, Separated/Divorced, Never Married, or Widowed?
Parent/Guardian Signature (please type above)

Early Financial Aid Estimate (Merit Scholarship and Need-Based Aid)

(Last, First, Middle)
Select country, if not U.S.
(Last, First, Middle)
(Last, First, Middle)
Which parent/guardian does the student live with (more than 50% of the time)
Are student's parents: Married, Separated/Divorced, Never Married, or Widowed?
Please list all family members (including parents) in the household as of September of 2015. List all dependent children expected to be enrolled at least half-time in college during the 2016-2017 academic year. Name, Age, Relationship to Student, If attending college in 2016-2017 (please list the name of the school and the grade level).
Parent(s)/Guardian(s) adjusted gross income (line 37 on IRS Form 1040) - estimate for 2015
Adjustments to income (line 36 on IRS Form 1040) - estimate for 2015
Total Tax Due (line 55 on IRS Form 1040) - estimate for 2015
Parent(s)/Guardian(s) other taxable income (interest, dividends, pensions, annuities, rents, royalties, partnerships, estates, trusts, alimony, etc. Income can be positive OR negative)
Parent(s)/Guardian(s) unemployment compensation (if unemployed, please list date of unemployment and date benefits end)
Parent(s)/Guardian(s) untaxed income (social security benefits, TANF (Temporary Assistance for Needy Families), child support, IRA, Keogh, annual contribution to tax deferred pension/savings plans, pension distributions, veterans benefits, etc.)
Parent(s)/Guardian(s) cash, savings, checking account funds (as of the date of this application)
Current market value of home (renters enter "0")
Unpaid debt on home, principal only (renters enter "0")
Original home purchase price (renters enter "0")
Renters enter "0"
Monthly home mortgage or rental payment
Parent(s)/Guardian(s) other investments (real estate equity, stocks, bonds, trusts, money market, mutual funds, rental property equity, 529 accounts, etc.) Do not include value of retirement assets, if held in a retirement fund.
Business value of all businesses owned wholly or in part
Business debt
Will you or your sibling(s) be the first in your family to graduate from a four-year college or university?
Student's wages and other taxable non-wage income
Student's untaxed income and benefits
Student's assets (cash, savings, checking accounts, real estate, stocks, bonds, trusts, money market, mutual funds, etc.)
Parent/Guardian Signature (please type above)
Date

Focus on Diversity Registration

Parent/Guest Registration

If more than two guests will be attending the program, please email admevents@mtholyoke.edu
Please note a confirmation will be sent to this email address.
In preparation for your visit, we would like to know if you require any special accommodations (e.g, dietary, allergies, accessibility, etc.) of which we should be aware. Please provide details.