• Educational Opportunity Fund Program

    2015-2016 Reply Form

    The Educational Opportunity Fund Program (EOF) is a state funded scholarship program providing access to students with a genuine desire, capacity and commitment to learn but who are faced with a history of economic/financial hardship. The EOF Program at Monmouth University is available for incoming freshmen. Information submitted on this document is preliminary, does not guarantee acceptance into the EOF Program and will be considered confidential.

    After receipt of this form, we will contact you about whether you may qualify for EOF at Monmouth University. Questions? Please contact Emma Cabán Admission Counselor at 732-263-5882 or e-mail ecaban@monmouth.edu. Si nececitan mas assistencia por favor en communicarse con Emma Cabán.

    INCOME ELIGIBILITY SCALE
    Elegibilidad de ingreso
    2015-2016
    Household Size Gross Income Limit
    1 $23,340
    2 $31,460
    3 $39,580
    4 $47,600
    5 $55,820
    6 $63,940
    7 $72,060
    8 $79,260

    IMPORTANT: Before completing the information below, please see the income eligibility requirements at right. If your income exceeds these limits up to 15%, you may still qualify for EOF.


  • First Name:  Last Name:   
    Telephone:  Cell Phone:  
    Email:           High School: 

     


    SAT (all three sections): 

           SAT Critical Reading Score:
           SAT Math Score:                   
           SAT Writing School:            

    ACT:  

    GPA:  on 4.0 scale


    Are you a U.S. Citizen?

    Yes   No

    If you are not a US Citizen, do you have a permanent resident card (Green Cards)?

    Yes   No

    Is either parent deceased?

    No  Mom  Dad  

    At any time since you turned age 13, were both your parents deceased, were you in foster care or were you a dependent or ward of the court?

    Yes    No

    As of today, do you have a legal guardian as determined by a court?

    Yes   No

    Do you or any of your siblings receive free or reduced price lunch?

    Yes   No

    Do you have a sibling who received EOF funding?

    Yes   No 

    If "YES," please provide sibling's name, college, and graduation date:

    Sibling's Name:    
    College:                
    Graduation Date:  

    With whom do you reside?

    Mother & Father   Mother Only   Father Only   Legal Guardian   Other

    If other Please explain:

     


    *FINANCIAL INFORMATION
    Information Financiero
    Year Household Size Gross Income
    2012    
    2013    
    2014 (Estimated)    


    *SOURCE OF INCOME FOR 2014

    Ingreso Para 2014 

    Household Information 

    Parent 1 or Legal Guardian 

    Full Name: 

    Phone:       

    Address:    

    City:          

    State:          
    Zip Code:  


    Parent 2 

    Full Name: 

    Phone:       

    Address:    

    City:          

    State:          
    Zip Code:  


    Other 

    Full Name: 

    Phone:        

    Address:     

    City:          

    State:           
    Zip Code:   


    *Your Marital Status:  

    Never Married
    Unmarried/parents living together
    Married/remarried
    Divorce/Separated
    Widowed

    * Whose information are you providing?
    (Please include the total household income).
    : 
     Parent 1    Parent 2    Legal Guardian     Self    Other


    PARENT 1 or LEGAL GUARDIAN:

    Please provide income amounts from the following sources, rounded to the nearest dollar. Enter 0 if this is not an income source.

    *SALARY & WAGES: $

    * DIVIDENDS & INTEREST: $

    * SOCIAL SECURITY: $   Not a Social Security Number

    *CHILD SUPPORT ALIMONY: $

    * TANF OR WELFARE: $

    * INCOME FROM OTHER SOURCES: $

    Please Identify other sources of income: 
    Por favor identifique otros ingresos


    PARENT 2:

    Please provide income amounts from the following sources, rounded to the nearest dollar. Enter 0 if this is not an income source.

    *SALARY & WAGES: $

    * DIVIDENDS & INTEREST: $

    * SOCIAL SECURITY: $   Not a Social Security Number

    *CHILD SUPPORT ALIMONY: $

    * TANF OR WELFARE: $

    * INCOME FROM OTHER SOURCES: $

    Please Identify other sources of income: 
    Por favor identifique otros ingresos


    SELF

    Please provide income amounts from the following sources, rounded to the nearest dollar. Enter 0 if this is not an income source.

    *SALARY & WAGES: $

    * DIVIDENDS & INTEREST: $

    * SOCIAL SECURITY: $   Not a Social Security Number

    *CHILD SUPPORT ALIMONY: $

    * TANF OR WELFARE: $

    * INCOME FROM OTHER SOURCES: $

    Please Identify other sources of income: 
    Por favor identifique otros ingresos


    OTHER (Please Specify).

    Please provide income amounts from the following sources, rounded to the nearest dollar. Enter 0 if this is not an income source.

    *RELATIONSHIP:

    *SALARY & WAGES: $

    * DIVIDENDS & INTEREST: $

    * SOCIAL SECURITY: $   Not a Social Security Number

    *CHILD SUPPORT ALIMONY: $

    * TANF OR WELFARE: $

    * INCOME FROM OTHER SOURCES: $

    Please Identify other sources of income: 
    Por favor identifique otros ingresos

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