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TEL: +82-32-626-1122 FAX: +82-32-626-1199
119 Songdo Moonhwa-Ro, Yeonsu-Gu, Incheon, Korea
Affirmation
Name: ____________________________________ Date: ______________________________________
I am applying for □ SUNY Korea-SBU Scholarship / □ SUNY Korea-SBU Financial Aid
□ Therefore, as of the submission date of my Scholarship / Financial Aid Application, I hereby affirm that
I have read and will adhere to the scholarship and financial aid terms stated above and the university policies
and procedures contained in all official university publications.
Signature: _________________________________
SUNY Korea-SBU Scholarship / Financial Aid Application
For Continuing Students
Scholarship / Financial Aid Terms and Conditions
Students are responsible for reviewing, understanding, and abiding by the university's regulations, procedures,
requirements, and deadlines as defined in official publications. This includes, by way of example only, the
University Conduct Code, the Student Handbook, and class schedules.
Acceptance of scholarship/financial aid means that the recipient agrees to the terms and conditions of the
award as well as all policies governing SUNY Korea-SBU scholarship / financial aid. Each student’s financial
award package is subject to audit with the final determination to be made by the SUNY Korea Scholarship
Committee in compliance with university rules and regulations. A student’s funds may not exceed direct costs
(i.e. tuition, fees, room and board). If the student also receives non-SUNY Korea-SBU funds (including all
forms of external assistance), the total of all funds cannot exceed the total direct and indirect costs of
education. Indirect costs include allowances for personal expenses and transportation. The value / amount of
scholarship / financial aid is determined by the SUNY Korea Scholarship Committee in consideration of the
student’s academic excellence, extracurricular activities, individual talents and external factors such as
financial circumstances, and may vary.
Full-time enrollment at SUNY Korea-SBU is required for all SUNY Korea-SBU Scholarship / Financial
Aid recipients.
It is the duty of each recipient to act as a role model in the SUNY Korea community and be
demonstrative of good character as well as academic excellence; the university reserves the right to
terminate a scholarship if it regards a student’s behavior as not meeting the criteria of the scholarship /
aid.
Recipients have the responsibility to abide university expectations and those of the Residential College
(RC) Program.
Recipients must give permission for their information to be shared with scholarship donors if the latter
request it.
SUNY Korea-SBU reserves the right to adjust individual scholarship amounts after letters have been sent
to recipients to ensure effective use of university funds.
For any incidents that may affect the scholarship such as intermission or leave of absence, recipients bear
the responsibility to report such possibilities to Academic Affairs before any incidents occur.
Even after the scholarship has been given, if a recipient is found guilty of academic misbehavior or
violations of the university’s conduct code, the university reserves the right to terminate the scholarship
and obligate the student to return the received funds to the university.
Renewable awards are contingent upon: maintaining the minimum grade point average designated in the
offer letter, completing the donor appreciation letter if it is required, participating actively in advancing
the university community, maintaining campus residency status, and meeting all conditions of the
renewal criteria as specified for each scholarship / financial aid.
Any amendments in terms and conditions or in any university policies and laws will be applied and must
be abided by all scholarship recipients. Recipients are responsible for staying abreast of any amendments
made in terms and conditions.and conditions.
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TEL: +82-32-626-1122 FAX: +82-32-626-1199
119 Songdo Moonhwa-Ro, Yeonsu-Gu, Incheon, Korea
A. Personal Information
Last Name
First Name
Date of Birth
MM/DD/YY
Student ID#
CURRENT STUDENTS ONLY
Country of
Citizenship
Department
□ Applied Mathematics & Statistics
□ Business Management
□ Computer Science
□ Mechanical Engineering
□ Technology & Society
Preferred
Phone
[+ ]( ) -
@
Permanent
Address
__________________________________________________________________________
Address Line 1
__________________________________________________________________________
Address Line 2
__________________________________________________________________________
City (State/Province) Country ZIP/Postal Code
B. Academic History
The Most
Recent Term
GPA
/4.0
Cumulative
GPA
/4.0
RC Grade
Letter Grade(s) by Semester:
1st
2nd
3rd
4th
C. Non-Academic Records
Volunteer/
Work
Experience
Description Employer/Organization Dates Average Hours/Week
_________________ __________________ _______________ _________________
_________________ __________________ _______________ _________________
_________________ __________________ _______________ _________________
_________________ __________________ _______________ _________________
Activities
Description Grades Participated Leadership Position
___________________________ __________________ ________________________
___________________________ __________________ ________________________
___________________________ __________________ ________________________
___________________________ __________________ ________________________
Honors/
Awards
Honors/Awards Description Grades Achieved
_______________________________________________ ________________________
_______________________________________________ ________________________
_______________________________________________ ________________________
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TEL: +82-32-626-1122 FAX: +82-32-626-1199
119 Songdo Moonhwa-Ro, Yeonsu-Gu, Incheon, Korea
Personal
Statement
Please provide any additional information that will help us better understand your academic
performance and your financial circumstances. Please explain why you qualify for the
financial aid for which you are applying and how you plan to contribute to the SUNY Korea
community as a role model. You may attach your essay in a separate file, if you wish.
D. Parent/Guardian Information [*Financial Aid Applicants ONLY*]
Parent/Guardian
Last Name
Parent/Guardian
First Name
Preferred Phone
[+ ]( ) -
@
Relationship to Student
Job Title
Name of Company
Annual Income (Retirement Income)
$US _________________________________
Deposit in Available Funds
$US _________________________________
No. of Dependents
Yearly Household
Living Expenses
$US ___________________
Affirmation
I(Parent/Guardian) affirm that the above information is true and correct, and I
authorize the release of the documents presented to the student and/or government
officials if requested.
_______________________________ _________________________
Parent/Guardian’s Signature Date
※ Documents Submission:
International: Submission of 1) proof of family relation; 2) proof of refugee record or low-income status
Domestic: Submission of 1) proof of family relation 2); Certificate of Income and Certificate of National
Health Insurance Fee; 3) Certificate of National Basic Livelihood Recipients(기초생활수급자증명서-Optional)
E. Affirmation
I understand that this application cannot be processed if it has not been completed correctly, honestly, and
accurately and that knowingly falsifying or omitting data may result in denial of admission or dismissal. I
pledge that all the information presented herein is true and accurate to the best of my knowledge. With my
signature, I authorize the release of my information to the SUNY Korea Scholarship Committee for the purpose
of scholarship review.
Signature ______________________________________ Date __________________
