5th Year MIDS Need-Based Fellowship ApplicationLoading...Please note that only students admitted to the 5th Year MIDS program for Fall 2023 are eligible for this award. Please complete ALL sections of this application. Please be sure to declare any amount over $10.00 USD. If you have no funds in any given category, please indicate $0.00 (zero). Be prepared to provide documentation, if requested, to verify the numbers that you submit. Incomplete fellowship applications will not be considered. In Section E, please answer this essay prompt: Please explain your financial circumstances and describe how you believe your background and life experiences will contribute to our goals of creating an educationally beneficial and diverse class. Fellowship Application Deadline: April 3, 2022We care about the privacy of your personal and financial information and will securely store your information within our database. Only our 5th Year MIDS Need-Based Fellowship review committee will have access to this information. SECTION A: Applicant InformationFirst NamePreferred NameLast NameEmail AddressApplication IDMarital StatusMarital StatusSingleMarriedIf you have any children, please enter the children(s) age(s).Current Job StatusCurrent Job StatusFull TimePart TimeUnemployedStudentOtherJob TitleCompany/OrganizationDo you plan to receive financial support from your employer?YesNoUncertainIf yes, what are the terms and amount of your support?Section B: Personal ResourcesThis section covers all personal financial resources that belong to you. For income, enter gross pre-tax amounts, include resources in the U.S. and abroad. If the answer is $0, please enter $0Personal Cash and SavingsInvestments and AssetsNet Value of Property OwnedIncome Earned from work for last calendar year (through December 31)Section C: Family and Sponsor Resouces for the Academic YearPlease provide the amount of support from other individuals or sponsors. All amounts should be listed in U.S. DollarsPlease provide the amount of support you are receiving from housing, meals, and other itemsIf married, enter any support from your spouse's family or sponsorsPlease provide the total sum of support you expect to receive from other family and sponsorsSection D: Other Resouces for the Academic YearList all other resources not listed previously. Indicate whether you have applied or reasonably expect to receive the resource; list the source name and the amount of the award (or gross income). Include all loans. For all these sections, we refer to scholarships, fellowships, and other financial awards. All responses should be provided as a U.S. Dollar amount.Graduate Division Awards:Graduate Division Awards:AppliedAwardedNot ApplicablePlease provide the funding source and any details you wish to include.Graduate Division Source/NotesGraduate Division AmountOutside Awards:Outside Awards:AppliedAwardedNot ApplicablePlease provide the funding source and any details you wish to include.Outside Source/NotesOutside AmountsForeign Government Funding (this can include loans and other types of assistance):Foreign Government Funding (this can include loans and other types of assistance):AppliedAwardedNot ApplicablePlease provide the funding source and any details you wish to include.Foreign Government Source/NotesForeign Government AmountsOptional: Feel free to share your FAFSA loan eligibility amount.Section E: EssayThis essay is very important in the selection process of need-based fellowship recipients. Please explain your financial circumstances and describe how you believe your background and life experiences will contribute to our goals of creating an educationally beneficial and diverse class. Specifically, please address the following, if applicable.Have experienced financial hardship as a result of family economic circumstances.Part of an underserved group such as youth in foster care, historically underrepresented minority student, first in family to pursue a college degree.Belong to a low income family and have had limited access to educational resources.How the award money would contribute towards your success in 5th Year MIDS. You do not need to repeat numbers entered in other parts of the application.By checking the box below, I certify that, to the best of my knowledge, all information provided in this application is complete and accurate. I agree to notify the School of Information in writing immediately of any change to my financial circumstances which involves the receipt of $10,000.00 or more in other financial resources not initially projected in this application. I will provide, if requested, official documentation necessary to verify information provided in this application (tax returns, bank statements, etc.).By checking the box below, I certify that, to the best of my knowledge, all information provided in this application is complete and accurate. I agree to notify the School of Information in writing immediately of any change to my financial circumstances which involves the receipt of $10,000.00 or more in other financial resources not initially projected in this application. I will provide, if requested, official documentation necessary to verify information provided in this application (tax returns, bank statements, etc.).I agreeSubmit