Financial Counseling Application - SWBTS

Financial Counseling Application

Step 1 of 7 - Contact Information

Name*
First Last
Student ID*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you a US citizen?*
- Yes
- No
Phone
Marital Status
Number of Children

Which level of degree are you pursuing?
Which area of study are you interested?
Anticipated Graduation Date

Applicant's Employer(s)*
Monthly Net Income*
Spouse's Employer(s)
Spouse's Monthly Net Income
Other monthly income*
Total Monthly Income*

Tithe
Savings (Monthly Contribution)
Rent/Mortgage
Insurance
Groceries
Phone
Utilities
Credit Card Payments
Loans
Other
Total Monthly Expenses

Tuition and Fees*
Books*
Supplies*
Total Education Expenses*

Mortgage
Loans
Credit Cards
Medical/Dental/Hospital
Car Note
Other Debt
Total Debt

Consent*
I agree to the policy.
I understand this information is private. By agreeing I attest that the information provided is correct to the best of my knowledge and I agree to comply with the provisions therein.