Georgia Institute of Technology Sponsored

GEORGIA INSTITUTE OF TECHNOLOGY OFFICE OF CONTRACT ADMINISTRATION SPONSORED PROJECT INITIATION

Date: 8/20/79

Project Title: Work Study Program

Project No: D-48-518

Project Director: R. F. Rupnow

Sponsor: Atlanta Regional Commission

6/30/80 Agreement Period: From 7/1/79 Until

Type Agreement: Subgrant under U.S. Government Project No. FRC-JF-04-07

Amount: $39,882 ARC 23,110 GIT $62,992 TOTAL

Reports Required: Monthly Progress Reports, Program Evaluation Plan

Sponsor Contact Person (s):

Technical Matters Contractual Matters (thru OCA)

Mr. John W. Vining, Jr. Atlanta Regional Commission 230 Peachtree Street, N.W. Suite 200 Atlanta, GA 30303 656-7700

Defense Priority Rating: none

Assigned to: Architecture (School/Laboratory)

COPIES TO:

Project Director Library,TechnicalRe;mrtsSecsion Division Chief MEW EES Information Office School/Laboratory Director EES Reports & Procedures Dean/Director—EES Project File (OCA) Accounting Off ice Project Code (GTRI) Procurement Off ice Other C. 1 . Smith Security Coordinator (OCA) Reports Coordinator (OCA)

CA —3(W76)

GEORGIA INSTITUTE OF TECHNOLOGY OFFICE OF CONTRACT ADMINISTRATION

SPONSORED PROJECT TERMINATION

Date: 11/20/80 Project Title: Work Study Program

Project No: D-48-518

Project Director: R. F. Rupnow Sponsor: Atlanta Regional Commission

Effective Termination Date: 6/3 f1/Rn

Clearance of Accounting Charges: 6/30/80

Grant/Contract Closeout Actions Remaining: None

Final Invoice and Closing Documents Final Fiscal Report Final Report of Inventions Govt. Property Inventory & Related Certificate Classified Material Certificate Other

Assigned to: Architecture (School/Wm-gm)

COPIES TO:

Project Director Library, Technical Reports Section Division Chief (EES) EES Information Office School/Lboratory Director Project File IOCA) Dean/Director—EES Project Code (GTRI) Accounting Office Other Procurement Office Security Coordinator 10CA)

iyolkeports Coordinator (OCA)

CA-4(1/791 GEORGIA INSTITUTE OF TECHNOLOGY ATLANTA, GEORGIA 30332

GRADUATE CITY PLANNING PROGRAM COLLEGE OF ARCHITECTURE

H.U.D. Minority Work-Study Program

Monthly Report

Report by: Roger F. Rupnow, Professor Georgia Institute of Technolog

Period: July Thru December 1979 Reports 1-6 Contract No. D48-518

The first six months of this contract have been most successful. During this period twelve students have participated in the program. (See table I). These students can be divided into three categories. Category A are those students (6) who began their studies in the Fall Quarter 1979. Category B are those students (3) who began their education during the 1979-80 academic year and Category C are those

--Students who began Fall Quarter 1977 and were completing their academic efforts and certain work responsibilities.

These students, Category C, have been participants in the program for two years and have both benefitted substantially from the program and have contributed much to it. All three have completed all their course requirements, maintained good grade point average and performed admirably with their work agencies. One of them received the M.C.P. Degree in December and the other should receive their degree in March 1980.

Of those students in Category B one of the students took a maternity leave as a September 79. She found it very difficult to continue with her education and work at the same time. A second student, also expecting, was granted a scholarship which provided adequate financial support without the work requirement and she left the program in November 1979. A replacement was sought and joined the program January 3, 1980.

The third student is making excellent progress, but did change work agencies. This change was designed to reduce the time required to commute between the campus and the work agency. The new placement was on campus and thereby reduced travel time and cost as well as provide a second and broadening work experience.

The remaining six students, Category A, began their first quarter in September 1979. They were selected after a review of all eligible applicants by the Work-Study Coordinating Committee. Members of the committee included Mr. Guy A. Landers, Atlanta Regional Commission, Grantee; Miss Cynthia Christmas, student; Professor Roger F. Rupnow, Georgia Tech, Educational Institution. Because of schedule conflicts a representative of the HUD Regional Office was unable to participate in the selection process. These six have been most successful during this first quarter. As Table V shows they have a diverse academic background. However as shown on Table II they have done well academically.

Table III outlines the financial aid provided by student by month. We have attempted to insure that each student receives approximately the same amount of assistance. An analysis of the support of the Category A students indicates that the average support provided amounted to $1084.68 for this period. Four of the six students received within $100.00 or 10% of that amount while one was over 10% and the other received 16.5% less than the average. The cause for this variation is the Holiday break. The student who received less returned home for the holidays while the other student worked.

In all cases we have allowed the students $50.00 each quarter to purchase books. Arrangements have been made at both the Georgia Tech and Georgia State University Bookstores for the student to charge books against the project account. This permits the student to acquire the books without having to advance the funds and then be reimbursed.

Monthly meetings have been scheduled the third Friday of each month. Invitations to participate in these meetings have been extended to representatives of the Grantee and HUD. During these meetings discussions have centered around academic issues, work assignments, and personal problems basically dealing with adjustment to new surroundings.

The students are also required to attend a weekly seminar that addresses current planning issues at all governmental levels. These seminars are developed jointly by the faculty and the Student Planning Society and all students are given ample opportunity for participation and topic development and presentation.

The students are also required to submit monthly reports which outline their duties and responsibilities with the work agency. Table IV provides a summary of the reports received during this period. Copies of these reports are attached in Appendix "A". A review of these reflects the nature and depth of the responsibilities assigned to the students. Requests have been made to the Category C students for a final - summary report of their participation. It is anticipated that this will be available and included in the next report.

Included in APPENDIX B are the following: a roster that was prepared and distributed to all students to assist in their orientation; copies of the "Regulations" and "Work-Study Agreements" given to and executed by and between the students and Georgia Tech and the Work agency. These are the same as those documents used in past years. A copy of the Financial Aid Form that is completed by each student and on file is also attached. In conclusion it is the author's opinicn that the program again has been most supportive of and beneficial to the participating students. They have had good work placements and either have or are getting an excellent education. The prevailing philosophy of the grantee, Atlanta Regional Commission, the educational institution, Georgia Institute of Technology, HUD and the work agencies is that the primary purpose of the program is educational. The work element is subordinate and a means to the end - a graduate degree in city planning. All indications are that that philosophy is being achieved. TABLE I

HUD 701 MINORITY WORK-STUDY PROGRAM July - December 1979 D48-518

STUDENT PARTICIPANTS

STUDENT CATEGORY ENTERED LEFT

ALLEN, BRENDA B 3-26-79 11-12-79 BOYKIN, JOEL A 9-15-79 Cont. CHRISTMAS, CYNTHIA C 9-15-77 8-10-79 GORE, WILLIAM A 9-15-79 Cont. HOGG, SUZANNE B 1-3-79 Cont. HUDSON, -PATRICE (ne HOWELL) C 9-15-77 7-17-79 McCANTS, BERNARD A 9-15-79 Cont. McWHORTER, ANGELA B 5-31-79 9-28-79 QUARLES, SUZETTE A 9-15-79 Cont. SYPHOE, MICHAEL C 9-15-77 8-3-79 WOODARD, PAMELA A 9-15-79 Cont. YOUNG, CYNTHIA A 9-15-79 Cont. TABLE II

HUD 701 MINORITY WORK-STUDY PROGRAM

July - December 1979

"GRADE POINT AVERAGE"

Grade Point Average STUDENT Summer Fall Qtr. Qtr. OVER-ALL 1979 1979

ALLEN, BRENDA Working 3.0 2.8 BOYKIN, JOEL Not 3.0 3.0 Enrolled D CHRISTMAS, CYNTHIA Working Not 3.3 Enrolled GORE, WILLIAM Not 3.4 3.4 Enrolled HOGG, —nZANNE Working 3.3 3.1 HUDSON, PATRICE (HOWELL) Working Not 3.1DA Enrolled McCANTS, BERNARD Not 3.0 3.0 Enrolled McWHORTER, ANGELA Working 2.0 2.4 QUARLES, SUZETTE Not 3.6 3.6 Enrolled SYPHOE, MICHAEL Working Not 2.8DA Enrolled WOODARD, PAMELA Not 3.0 3.0 Enrolled YOUNG, CYNTHIA Not 3.7 3.7 Enrolled

D = Degree Granted - December 8, 1979

DA = Degree Anticipated - March 1980

TABLE III HUD 701 MINORITY WORK-STUDY PROGRAj July - December 1979 D48-518

COMPENSATION (Paid during month of payroll period 20th to 19th)

Sept. Oct. Nov. Dec. TOTAL TOTAL STUDENT July Aug. BOOKS/ BY P.S. TUIT. P.S. BOOKS P.S. BOOKS P.S. TUIT P.S. P.S.* P.S. TUIT. STUDENT

2527 50 298 10 252690 ALLEN, BRENDA $540 00 810 00 777 50 250 50 247 50 4095 152 5° 6"

705 00 300 50 1005 5 ° BOYKIN, JOEL 250 5° 142 5 ' 27 85 195 0 ' 22" 3675° 116000 CHRISTMAS, CYNTHIA 480 00 680 ° ' 1160°' 11289s GORE, WILLIAM 250 5° 20 0 ' 21 9° 202 5° 26 55 507 5° 830 00 298" 286810 HOGG, SUZANNE 382 5° 542 5° 650 °° 250 50 345 0 ' 42 85 255 ° ' 2 25 397 50 2572 5° 295" 24000 HUDSON, PATRICE (HOWELL) 240 ° ' 2400'

775 00 300 50 107550 McCANTS, BERNARD 250 50 240 0 ' 50 0 ' 127 50 40750 217625 McWHORTER, ANGELA 507 5° 76/ 5° 790 ° ' 111 25 2176"

925 00 300 50 1225 5 0 QUARLES, SUZETTE 250 5° 135 ° ' 27 85 230 0 ' 22 15 5600' 96000 SYPHOE, MICHAEL 480 ° ' 480 ° ' 960°° 116714 WOODARD, PAMELA 250 5° 15725 23 2° 196 5° 25" 513 75 867 5° 299" 1500 590 0o 315 50 90550 YOUNG, CYNTHIA 250 5° 125 °° 41 1° 177 5° 8 9° 2875°

TOTAL:by mo. by category $2630°° 3280 0 ' 2217 50 2004 0 ' 1623 50 290 80 1536 5° . 114 79 3041 25 14328" . 2409 59 167385'

* P.S. = Personal Services TABLE IV

HUD WORK-STUDY MONTHLY REARTS D48-518 (1979-1980)

MONTH

STUDENT JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JU

ALLEN, BRENDA X X X X

BOYKIN, JOEL

CHRISTMAS, CYNTHIA 8/10/79

GORE, WILLIAM X X

HOGG, SUZANNE X X X X X X

HUDSON, PATRICE 7/17/79

JOHNSON, JUDE

McCANTS, BERNARD X X 9/28/79 McWHORTER, ANGELA X X X

QUARLES, SUZETTE X X

SYPHOE, MICHAEL 8/3/79

WOODARD, PAMELA . X X YOUNG, CYNTHIA X X

X = Report Received (date) date left program TABLE V

HUD 701 MINORITY WORK-STUDY PROGRAM July - December 1979 D48-518

STUDENT UNDERGRADUATE SCHOOL RACE SEX

ALLEN, BRENDA RUTGERS UNIVERSITY B F (LIVINGSTON COLLEGE) BOYKIN, JOEL MOREHOUSE COLLEGE B M CHRISTMAS, CYNTHIA UNIVERSITY OF ALABAMA B F GORE, WILLIAM MOREHOUSE COLLEGE B M HOGG, SUZANNE ST. ANDREWS PRESBYTERIAN COLLEGE C F HUDSON, PATRICE SPELMAN COLLEGE B F (ne HOWELL) McCANIZ, BERNARD S.U.N.Y. BUFFALO B M McWHORTER, ANGELA PAINE COLLEGE B F QUARLES, SUZETTE HAMPTON INSTITUTE B F SYPHOE, MICHAEL KENTUCKY STATE UNIVERSITY B M WOODARD, PAMELA SPELMAN COLLEGE B F YOUNG, CYNTHIA MIAMI UNIVERSITY OXFORD, OHIO B APPENDIX A

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I am now working for the CSA Project-Community Services Administration tabulating and coding data which was generated through a series of on-site and telephone interviews. The goal of the project is to evaluate several community services in small towns throughout the Southeast. Although the coding and tabulating is general work, I am learning about about many varied community services, and people's experiences with those services. Planner's certainly have a relation to providing and evaluating such services.

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Report on H.U.D. Summer Work-Study Assignment Presented to Roger F. Rupnow by Angela McWhorter

My summer Work-Study assignment was to work with the Georgia Institute of Technology City Planning Program CSA(Community Services Administration) project. The purpose of the project is (present tense used because project yet continues) to do evaluations to measure the impact of the southeast region CAA's (Community Action Agencies) on the community, or more specifically, the clients involved in the various programs. The tasks I performed are as follows by months that I worked: June. I performed on-site interviews at the Clayton County CSA. Valuable information in regards to the structure of the agency and the needs of the clients was acquired. In the office I conducted phone interviews, xeroxed in- terview guides, and sent out mail. I also researched demographic information in relation to the sites to be visited. I made a trip with one of the three teams involved to Salisbury, N.C. where structured interviews were conducted with clients, agency staff and political- -...community leaders. Informal interviews were also taken with some agency staff members. July. I did telephone interviews of Georgia CAA's. I visited the Quality Control Service (the firm which performed the out-of-state telephone interviews for the project) on several occasions for specific purposes. My site visit this month was to the CAA in Burlington, N.C. The same process of interviewing was followed in Burlington as was followed for the June trip to Salisbury. Au ust. The same tasks were performed as were in July; e exception being that I made no trip this month. September. Again the same duties were carried out and the site visit was to Franklin, N.C. this month. Although I plan to have Housing as my area of concentration here at Georgia Tech, this project was of great interest to me pro- fessionally. I acquired specific knowledge about the function and operations of a local government special district (i.e., Community Action Agencies), about the history and landmarks of the municipali- ties I visited, and I was able to enhance my knowledge on the social and economic characteristics of people with backgrounds and cultures different from my own. In addition, I was able to learn some basic coding techniques. Because this project required the efforts of all three teams as one team, I picked up some pointers on working well with groups. Working on this project was a challenge that I both welcomed and appreciated. 10/12/99 S ckto Czsyl\ AuxsA L kr..tAo n o-‘) °(\eviNvLD CV ?lex easloD du9sA qt.Nr.box \-Ict365 as LtDx-\\NINL\o,o_i Wc9-

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A-/.6 '17 C/i./_5., t. - 4 c/ L4-i5" 2,2/ L.!) / tr October 18,1979

My internship with the Atlanta Regional Commission (ARC)

began on October 2, 1979 and has been filled with different

activities. The first day of work began with an orientation.

I met the Director of the department, and many staff people

in public relations, the aging division, and transportation.

I also toured the office building to become acquainted with

the location of the library, graphics, and xeroxing/printing

was.

My first assignment has been to summarize the comments made by several Housing Authority Directors on a question-

aire compiled by ARC. The summary wit be used to update

The Survey of Federally Assisted Housing Programs in the

Atlanta Region. My summary is due on October 30, 1979.

On Thursday (10-11), I attended with Emerson Bryan

a breakfast/reception for the Silver-haired Legislation.

The elderly people were about to convene in a mock legisla-

tion to be observed by the State Representatives so that

they (reps) will become aware of what the elderly needs

are in time for the next session. At the reception, I met

a few state reprosentatives, more people from ARC, and

spoke to many elderly people to see what their concerns were.

My work experience at ARC has been a very good one

thus far.

Ckbihie Young 10-18-79 There has been a delay in my next assignment due to an

error in the collecting of data, (an error in which no one can correct at this timel). Because of this delay, I have been doing mainly bureaucratic tasks in two areas: 1.) updating the housing articles; and 2.) devising forms. Updating housing articles involved reviewing newspaper articles relating to housing, and news items regarding housing that are taking place in the Atlanta region. Secondly, I devised forms for the

Human Service Planning Department in which the division staff members will use to record their time and leave records, and their travel time expenditures, more efficiently.

The only interesting thing that I have done at ARC was to attend an orientation on data processing. At this session, an orientation was given to new staff members in Human Services

Planning on the types of information that ARC has recorded on its computer.

Since our November 16th meeting, I have been working!

I have become involved in the tenative stages of a housing market analysis for the Atlanta region. i will inform you on my progress in the next summary.

HappyHolidpvs.

Jynthia young 11/30/79 APPENDIX B ROSTER AND REGULATIONS and Work-Study Agreements RUPNOW •

1979 - 1980 HUD 701 WORK-STUDY STUDENT ROSTER

NAME YR. UNDERGRAD MAJOR WORK PHONE# HOME ADDRESS: PHONE# SCHOOL Allen, Brenda Rutgers Community Community 894-2352 1605 Terry Mill Rd. 377-4987 Development Services Admin. Atlanta Research Proj.

Boykin, Joel 1 Morehouse Political Central Atlanta 658-1877 215 Piedmont Ave. 659-4435 College Science Progress Atlanta

Gore, William 1 Morehouse Urban Atlanta Regional 656-7421 799 Barnett St. #2 881-1173 College Studies Commission Atlanta Hogg, Suzanne 1+ St. Andrews Political Community 894-2352 363 Candler Street 524-0542 Pres. Col. Science Services Admin. Atlanta Research Proj. McCants, Bernard 1 S.U.N.Y. Environmental Fulton County 572-2781 2900 Camp Creek Buffalo, NY Design Planning Dept. Parkway T-2 C.PK. Quarles, Suzette 1 Hampton Psychology Central Atlanta 658-1877 981 F-37 Clubhouse 296-7820 Institute Progress Circle, W. Decatur Woodard, Pamela 1 Spelman Sociology Central Atlanta 658-1877 70 12th Street, 411 885-1918 College Progress Atlanta Young, Cynthia 1 Miami Univ. Public Atlanta Regional 656-7779 P.O. Box 35671 894-6657 Oxford, OH Administration I Commission 311 Fulmer Dorm Tech Campus DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

WA)MINGTON, D.C. 20410

OFFICE OF THE ASSISTANT SECRETARY R COMMUNITY PLANNING AND DEVELOPMENT IN REPLY REFER TO:

GUIDELINES FOR WORK-STUDY PROGRAM SUPPORTED BY COMPREHENSIVE PLANNING (701) ASSISTANCE These guidelines supercede previous Work Study Guideline and are effective for all projects approved after February 1, 1978

1. Purpose. The purpose of this Work-Study Program is to increase the participation of disadvantaged persons who by virture of their backgrounds have insight into minority and low income concerns in comprehensive planning and community development activities. 2. Objectives. The Department of Housing and Urban Development supports work-study programs, funded through Comprehensive Planning Assistance (701) Grants, to achieve these objectives: a. Assist States, areawide planning organizations, localities, and Indian tribal groups or bodies to carry out comprehensive planning and management including planning for housing, and community development activities by providing a source of trained manpower with insight into minority and low income problems. b. Provide financial assistance for up to two years to qualified disadvantaged students who by virture of their backgrounds have insight into minority and low income concerns in the field of comprehensive planning and community development in order that they may obtain academic preparation and professional on-the-job training. Afro Americans (Blacks), American Indians (including Alaska Natives), Asians (including Pacific Islanders), Hispanics and other persons from low income backgrounds who have demonstrated knowledge of problems and concerns of minority and low income community needs constitute the target populations of this program.

3. Authority. General Services Administration, Federal Manage-

ment Circular FMC 74 - 4, July 18, 1974: Cost Principles Applicable to Grants and Contracts with State and Local Governments. 2

4. Eligibility. •

a. Work-study funds are available to selected Comprehensive Planning Assistance 701 Grantees.

b. For FY 1978, eligible applicants include States, areawide planning organizations, localities, and Indian tribal groups or bodies. 5. Program Description. The Work-Study Program is a coopera- tive venture between Comprehensive Planning Assistance (701) grantees and institutions of higher education. Students in the program work in part-time professional capacities in State, areawide, local planning agencies and non profit organizations while enrolled in masters training programs in planning or public administration. The 701 grantee is expected to provide overall administrative and management coordination with the work placement agency and the educational institution. The 701 grantee collaborates with one or more educational institutions and/or work placement agencies in the vicinity of the 701 grantee. Tuition stipends and related costs are provided by HUD on a two-thirds Federal and one-third non-Federal share basis. 6. Responsibilities and Roles of Program Participants

a. Grantee

(1) The grantee is responsible to HUD for overall program administration, management, and evaluation. Further, the grantee is responsible for coordination of program activities carried out by other participating agencies and educational institutions.

(2) The grantee shall, in conjunction with the educational institutions, indentify, counsel, and recruit potential student participants for the program.

(3) The grantee shall organize and coordinate a Work- Study Coordinating Committee (WSCC). The function of the WSCC is to provide close coordination among the students, educational institutions, work placement agencies, grantee, and HUD. The committee shall include, at a minimum, representatives from the grantee, educational instutition(s), participating students, work placement supervisors, and a HUD field representative. For purposes of general local policy advising, representatives from the neighborhood, business, disadvantaged, or other community constitu- encies may be on the WSCC. HUD shall participate in the WSCC in an advisory role for purposes of continued monitoring and evaluation. The WSCC shall meet at •{11.••■1 A, • ...,•••••■■••••••••.•■ -•.•••

least once each school term, or more often as need dictates, for the purpose of advising on program policy development and to provide input on student selection. The WSCC shall assist in the preparation of each program application and serve as a forum for ongoing assessment of the program. In cases where a State passes work-study funds through to one or more sub-grantees, the State shall assure that a staff member of the sub-grantee(s) chairs the WSCC.

(4) The grantee shall assign a staff member to coordi- -nate the WSCC and to supervise the program on a day- to-day basis. If the size of the program does not warrant it, the grantee's staff member need not be assigned on a full-time basis. The staff person shall - monitor various work assignments, assist students in structuring and changing their assignments and should be in close contact with students' work and academic supervisors. In cases where a State passes work- study funds through to one or more sub-grantees for program management, the State shall assure that a staff member of the sub-grantee(s) is assigned this responsibility. (5) The WSCC will assist in ranking student applicants and make recommendations on student selection to the grantee.

(6) The WSCC shall also function as a review panel to make appropriate recomma:dations in matters of dis- pute over provisions in ,iritten agreements.

b. Educational Institutions

(1) Participating educational institutions may be graduate schools of planning, public administration, or other acredited educational institutions offering core studies in State, areawide and local comprehensive planning, public management, community development, land use or housing. Other social and humanistic fields such as law, economics, psychology education, and history are not eligible.

The focus of the work-study program is on graduate professional training and may include summer sessions within the budget standards for 12 months. Undergraduate schools may be considered in areas if: (a) there is no graduate program in the vicinity of the grantee; and (b) the undergraduate program is directed at professional training eligible for assistance under these guidelines. In such cases, only undergraduate junior and senior students may participate. 4

(4) Doctoral degree support is ineligible in all cases.

(5) Participating institutions shall conduct regularly scheduled seminars relating the empirical phase of the work-study program to the cognitive processes in the academic program. Some phase of the seminar should be focused on various aspects of career planning and placement for the participating students.

:In addition, some portion of the seminar should allow students to become exposed to intergovernmental relations and interagency policy making. (6) Financial need analysis for students applying to the program shall be conducted by the Office of Financial Aid at the institutions in which students are enrolled. c. Work Placement Agency (1) The work placement agency shall provide the student a practical training experience for future professional leadership responsibilities. The agency should work with the educational institutions and the grantee to insure that the work experience contributes toward realistic professional preparation. The work element is an opportunity for the student to gain experience in and understanding of public sector planning, management and community development. (2) Employment must be with a State, areawide or local agency, Indian tribe or non-profit organization involved in comprehensive planning, land use, community development, or housing activities. Work activities must contribute to the realization of the agency's program objectives. (3) Work assignments shall not be make-work or keep busy assignments. In drawing up work assignments, supervisors should take into account the different backgrounds (knowledge, experience, and maturity) and educational needs/objectives of participating students. A clear understanding of the assignment must be reached among the grantee, educational institution, work agency, and student. Such an understanding must be communicated in writing using such devices as a "contract" or "memorandum of understanding/agreement" signed by each party. This contract/memorandum should cover responsibilities of each participant, 5 assignments, educational objectives, nature of supervision, standards of evaluation, and time commitments.

(4) Students must have enough work time to become thoroughly involved and undertake responsible work. Twelve to twenty hours a week is pre- ferable, including the time needed for seminar attendance.

(5) Job assignments should be rotated to provide students with meaninful experiences in each agency. Depending upon the academic program, flexibility in work periods (during school year or over summer) is acceptable upon HUD's approval.

Criteria for Student Selection and Participation

(1) The Work-Study Program is open to qualified indivi- duals who are members of the following disadvantaged groups:

American Indians Hispanics Bl.acks Pacific Islanders Asian Alaskan Native and other low income people.

The racial and ethnic categories are defined as follows: (a) American Indian or Alaskan Native. A person having origins in any of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition.

(b) Asian or'Pacific'Islander. A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands, and Samoa.

(d) Hispanic. A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race.

(e) Other Low Income Persons. A person having origins in any of the original peoples of Europe, North Africa, or the Middle East and who meets the financial need criteria of the educational institution. 6 (2) In addition to disadvantaged background and low- come status, students are required to demonstrate insight into minority and low income concerns in the field of comprehensive planning and community development. Insight into minority and low income concerns may be demonstrated to the grantee, educational institution, work placement agency, or WSCC through personal interviews, past personal or professional experiences or other relevant indicators.

(3) Students must be enrolled full time in an urban, regional, or area planning, public administration, or related urban core academic program as defined by the educational institution.

(4) Students must demonstrate financial need and come from economically disadvantaged backgrounds based on institutional criteria administered by the educational institutions Office of Financial Aid.

(5) Students must maintain good academic standing and satisfactory work performance. Students may be removed by the educational institutions from the work-study program for failure to meet academic or conduct standards of the educational institution or by the grantee for failure to meet the professional conduct standards of the work placement agency.

7. Budget Standards and Requirements

a. Educational costs vary among educational institutions and regions of the United States. In recognition of such variations, HUD Field Office have authority to negotiate FY 1978 work-study grants with variable cost standards within these ranges: Maximum

(.1) Student stipends based on demonstrated financial need, up to $5,000 (Students should-be paid in accordance with prevailing hourly rate of the area for initial entry positions in the planning field, e.g., planner trainee or planner I. The prevailing hourly rate is used only as a factor for determining local stipend levels.)

(2) Tuition support per student, actual cost up to $2,000 (Where possible, the educational institution should provide free or reduced tuition or scholarship grants to be used as cash match.) 7 (3) Additional support per student for tutoring, books, travel not to exceed 500 (Attendance at conferences of organizations such as ASPO, NAP, ATP, ICMA, and COMPA are eligible expenses.) b. Program administrative and supervisory costs (These costs include such items as program evaluation, employment counseling, extra time spent in student counseling, student recruitment, and other services, including, university supervisory costs unique to the work study program.) Allowances of up to $2,000 per student up to 5 students and up to $1,000 per additional Maximum student over 5 students will be made up to ... $25,000 c. State agencies are not eligible to receive administrative and supervisory costs where the work-study program is administered by a sub-state grantee. d. A grantee may conduct a work-study program on a 9- month cost basis or on a 12 month cost basis. If the program is conducted on a 9 month basis, the administrative and supervisory costs must equal nine- twelfth of the annual estimated costs. e. The 701 grant may not exceed two-thirds of the total cost of the work-study program within the limits of the budget standards. f. Grantees, educational institutions, and work placement agencies contribute the matching non-Federal share in the form of cash and/or in-kind contributions. When authorized by Federal legislation, Federal funds may be used for matching. State, local, or private sources may be used for matching. Services proposed in lieu of cash for matching must be documented in accordance with paragraph 3-21 of Handbook II, 6042.3 REV., Managing A Grant, July, 1973. g. Salaries or stipends paid to students for work during summer months may not be counted as matching funds, If the program is conducted on a 9 month basis.

8. Program Administration a. The work study program will be continued in FY 1973 at an increased level. In order to improve program administration and operation, emphasis will be on strong HUD management and improved program direction by 701 grantees. 8 b. For FY 1978, the work-study program may include first and second year graduate students. Programs may be continued,• deleted or expanded at the option of HUD and the applicant. Continuation of work-study programs in future years will be subject to grantee performance, student placement after graduation, HUD policy and the availability of adequate annual appropriations for the Comprehensive Planning Assistance Program. c. For FY 1978, HUD Field Offices shall develop a work-study strategy for effective use of limited Comprehensive Plann- ing Assistance funds. The strategy should emphasize assistance within the Region for fewer programs, with more students per program and per educational institution, rather than'more programs with single students or only a few students per program. No partial awards may be assigned to educational institutions. d. In order to facilitate future recruitment, beginning in FY 1978 HUD established February as the date by which grantees will receive informal notification of work-study program budget authorizations for the next fiscal year. e. Mal authorizations and allocations however, are contingent upon the review of the grantee's work- study program application and approval of the required Land Use and Housing elements. f. The work-study program application must be submitted to the HUD Field Office. g. The HUD Regional Offices will approve the grants or otherwise confirm the tentative earmarks no later than April 17, 1978 subject of course to approval of the land use and housing elements.

h. Students must be selected and informed of their awards no later than June 5, 1978. i. Grantees must inform HUD about the students selected and confirmed to partiCipate in the work-study program no later than July 5, 1978.

. All awarded grantee work-study programs must be functional no later than the beginning of the fall term, 1978. k. In accordance with the requirements for the 701 program, each grantee will submit to HUD a six month and a final progress report. 9

9. Work-Study Applications. All applications for work-study programs through the Comprehensive Planning Assistance (701) . Grants program must include comprehensive and concise descriptions of the following:

a. Responsibilities and Roles of Program Participants (WSCC)

`1. Applicants (Grantees)

2. Educational Institutions

3. Work Placement Agencies

4. Criteria for Student Selection and Participation b. Program Budget based on Budget Standards

1. Educational costs (including criteria for determining individual financial need and bases for awards) 2. Program Administrative and Supervisory Costs c. Program Evaluation 1. The grantee and the WSCC shall develop and describe a plan to evaluate the work-study program. The plan should include, but is not limited to the following factors: (a) The adequacy of student recruitment;

(b) the adequacy of overall project managment, including provision of practical useful work experience and post program employment counseling; (c) assessment of students performances in meeting the academic and conduct requirements of the participating educational institutions and the job requirements of the grantee agencies;

(d) assessment of advising, professional guidance and career counseling to students by the participating agencies and the educational institutions.

(e) a review of costs and cash contributions (from participating agencies and educational institutions including the extent to which the educational institutions contributed free tuition.) 10

2. The grantee and WSCC shall also develop and describe types of written agreements to be used (e.g. contracts - or memoranda of understanding/agreements among the grantee, educational institution, work agency and student.) The agreements should state the scope of services, duties and responsibilities, and time commitments (see Appendix 1 for sample). (a) The applicant will apply for work-study funds in the same manner used for regular 701 assisted programs, i.e., an applicant that applies directly to HUD for 701 funds will also do so for work-study, or an applicant that applies for 701 funds to the designated State agency will apply to that agency for its work-study funds. The work-study program may by contained within an applicant's regular application for 701 funds or may be submitted separ- ately to HUD.

(b) States that administer 701 sub-grants will be required to obtain HUD approval prior to funding- any work-study projects using 701 funds. GEORGIA INSTITUTE OF TECHNOLOGY

GRADUATE CITY PLANNING PROGRAM

701 WORK-STUDY ASSISTANCE PROGRAM IN

URBAN PLANNING

REGULATIONS

Section I PROGRAM OBJECTIVES

To assist local governments in carrying out planning and management functions by providing a source of trained manpower.

To provide qualified students with academic preparation and professional on-the-job training in urban planning.

To provide financial assistance toward professional education for needy students who might otherwise not pursue professional education because of financial need.

Section II PROGRAM REQUIREMENTS

Applicants must meet minimum academic requirements for the graduate program at the Georgia Institute of Technology. Applicants must meet the financial need criteria as established by the Work-Study Coordinator. Applicants must enroll as full-time students in the Graduate City Planning Program. In addition, applicants must be willing to sign this Agreement (see attachments). This Agreement certifies applicants' receipt and understanding of the Program's policies and requirements. Section III NEW APPLICANTS

Students entering the university for the first time must be admitted officially to the university before being admitted into the Work-Study Program.

Section IV RESPONSIBILITIES OF LOCALGOURNMENTSUPLROR

A. Work assignments of students should be coordinated closely with their educational programs.

B. Students should have a clear understanding of the objectives and purpose of any work assignment performed.

C. A description of duties to be performed by the student should be provided to the Work-Study Coordinator.

D. Students are expected to work between twelve (12) and twenty (20) hours per week during the academic year and forty (40) hours per week during the summer and quarter breaks.

E. The assigned supervisor is not to authorize any time not provided by the student and is to notify the Work-Study Coordinator immediately of any failure on the part of the student to conform to reasonable rules and regulations issued by the supervisor.

F. The supervisor must notify the Work-Study Coordinator in writing if he wishes to employ the student assigned to him, if such employment is in addition to the part-time work provided by the student under this Program. Additional employment of any kind by the assigned local government without prior approval from the Work--Study Coordinator will terminate the student from the Work-Study Program.

G. The supervisor must be willing to cooperate with the matching in-kind service agreement, as indicated upon acceptance of the Work-Study student. The supervisor, by his signature on Attachment B, indicates acceptance and understanding of the policies and agreements of the Work-Study Program.

H. Students are paid by the Georgia Institute of Technology but are under the direction and supervision of the assigned supervisor. Any artion by he student in violation of work-related pHicies should be reported in writing to the Work-Study Coordinator immediately. I. Failure of the local government and/or assigned supervisor to comply with the policies and agreements will result in the assigned student being withdrawn from that agency.

Section V TIME CARDS

A. Time sheets are provided to each student to record the number of hours worked during the pay period. Pay periods are every month. Hours must be approved by the supervisor and returned to the Work--Study Coordinator by the designated date.

B. Tine cards will not be honored without the proper signature of the assigned supervisor. Checks will not be issued without the proper time cards.

Section VI CHECKS

Checks are prepared by Georgia -tech and are available on the last working day of the month. Students will be paid at the rate of $5.00 per hour and appropriate taxes will be deducted by Georgia Tech. No other fringe benefits will be paid or accrued. Total amount to be paid will not exceed $ 5,000

Section VII PROFESSIONAL CONFERENCES

Professional activities and experiences are an integral part of the Work-Study Program. Students wishing to attend a professional conference should submit in writing a description of the conference and estimated expenses. Requests should be directed to the Work-Study Coordinator.

Section VIII TUITION

Tuition will be paid directly by Georgia Tech for students accepted in the Work-Study Program and registered at the University. Any time a student is dropped from the university program because of negligence or fraudulent be- havior, failure to complete a quarter/semester, or faili'e to maintain the minimum grade-point average of 2.7, the student will be terminated from the Work-Study Program. Appropriate course books and feu. will also he paid throuth reimbursement by Georgia Tech.

Section IX AGENCY ASSIGNMENTS AND TRANWRS

Students will be placed to obtain the best experience possible in accordance with his/her professional goals and

to assist those agencies which are understaffed. However, the final determination of work location will be made by the Work-Study Coordinator in cooperation with the Atlanta Regional Commission.

Section X OTHER EMPLOYMENT

Employment in addition to that under the Work-Study Program is severely limited. Students needing additional employment should submit a request for such in writing to the Work-Study Coordinating Conmittee prior to accepting such employment.

Section XI REPAYMENT OF FUNDS

Any student who. violates any of the policies and guidelines of the Program shall repay to Georgia Tech any funds received by him/her, and any funds paid by the university for tuition from the time the violation began to the date of termination. Such student shall be ineligible for re-entry into the Program.

Any student who drops from the university or resigns from

the Work - Study Program of his/her accord shall repay to Georgia Tech any funds received as stipend, and any funds paid to the university for tuition for the semester in which the student is/was enrolled. Special consideration will be given in extreme cases. The Work-Study committee will hear such requests. Final determination will be made by the Work-Study Coordinator.

Section XII DISMISSAL FROM WORK-STUDY PROGRAM

Students will be dismissed from the Program if they do not comply with the policies and agreements of the Work- Study Program. This includes failure to provide the Work-Study Coordinator with requested information necessary to the administration of the Program; to comply with the assigned local governments' rules and regulations; to comply with the university requirements, which may or may not be included in these and Georgia Tech's policies and agreements; and failure to inform the Work•Study Coordinator of acceptance of employment other than those approved by the Work-Study Coordinator.

Section XIII EMPLOYEE RELATIONSHIP ------It is agreed that notwithstanding the payment by Georgia Tech of the funds hereby provided, t► ,2 student shall be deemed to be an employee of the local government and not an employee of Georgia Tech during all of the time that the student is working under, the supervision of the local government, either on agency property or in the course of agency business.

Section XIV ADDITIONAL RULES

The student agrees to abide by any reasonE!ble subsequent rules or regulations issued by Georgia Tech, the Atlanta Regional Commission, the Department of Housing and Urban Development, and his/her work supervisor. Such additional rules and regulations shall be considered to he a part of this agreement.

Section XV WORK-STUDY COORDINATOR

The Work-Study Coordinator is Roger I. Rupnow, Associate Professor, Graduate City Planning Program Georgia Institute of Technology. The Work-Study Coordinator will assume overall coordination and responsibility for the program.

Section XVI WORK-STUDY COORDINATING COMMITTEE

The Work-Study committee serves as an advisory group to the Work-Study Coordinator. The committee assists in recruiting, selection, evaluation, seminar development, and program development.

ATTACHMENT "A" POLICY AGREEMENT WORK-STUDY PRocrAn GEORGIA INSTITUTE OF TECHNUIOGY

, hereby acknowledge tha inerstm tnerRegdiation7, of the Work-Study Program attached hereto. I also certify that I am enrolled in the Georlia Institute of Technology Graduate City_ Planning Program as a full - time student, and I KeTiFy accept the local government to which I am assigned as a part-time student employee by the Georgia Institute of Technology, (Georgia Tech). It is further agreed that I will not work more than 15 hours per week, including seminar and travel during the academic year and 40 hours per week during quarter break and the summer quarter. I agree to accept no compensation from my assigned agency - except for necessary travel, authorized by such local government. If necessary to accept additional employment, I will seek written consent from the Work-Study Coordinator to accept such employment. I understand that under no circumstances may I accept other employment while a Work-Study student without approval from the Work-Study Coordinator. When at any time my status as a student or assigned employee changes, I agree to notify the Work-Study Coordinator in writing immediately. Dates of employment will be through • It is agreed that, notwithstanding the payment by Georgia Tech of any stipend hereby provided, I shall be deemed to be an employee of my assigned local government, and not of Georgia Tech, during all of the time that I am working under the supervision of the agency, either on agency property of in the course of agency business. I fully understand that upon failure to act in accordance with any of the attached statements, I am responsible for the refund to Georgia Tech of all expenses- tuition, stipends and travel- paid to me or incurred on my behalf.

DATE: 'onatuxe

DATE: ty-study Lbrdlnacur 41:

GEORGIA INSTITUTE OF TECHNOLOGY GRADUATE CITY PLANNING PROGRAM 701 WORK-STUDY ASSISTANCE PROGRAM IN URBAN PLANNING

REGULATIONS

Section I PROGRAM OBJECTIVES To assist local governments in carrying out planning and management functions by providing a source of trained manpower. To provide qualified students with academic preparation and professional on-the-job training in urban planning. To provide financial assistance toward professional education for needy students who might otherwise not pursue professional education because of financial need.

Section II PROGRAM REQUIREMENTS

Applicants must meet minimum academic requirements for the graduate program at the Georgia Institute of Technology. Applicants must meet the financial need criteria as established by the Work-Study Coordinator. Applicants must enroll as full-time students in the Graduate City Planning Program. In addition, applicants must be willing to sign this Agreement (see attachments). This AgreeTent certifies applicants' receipt and understanding of the Program's policies and requiremon1s. 'Section III NEW APPLICANTS

Students entering the university for the first time must be admitted officially to the university before being admitted into the Work-Study Program.

Section IV RESPONSIBILITIES OF LOCAL GOVERNMENT SUPERVISOR

A. Work assignments of students should be coordinated closely with their educational programs.

B. Students should have a clear understanding of the objectives and purpose of any work assignment performed.

C. A description of duties to be performed by the student should be provided to the Work-Study Coordinator.

D. Students are expected to work be twelve (12) and twenty (20) hours per week during the academic year and forty (40) hours per week during the summer and quarter breaks.

F. The supervisor must notify the Work-Study Coordinator in writing if he wishes to employ the student assigned to him, if such employment is in addition to the part-time work provided by the student under this Program. Additional employment of any kind by the assigned local government without prior approval from the Work-Study Coordinator will terminate the student from the Work-Study Program.

H. Students are paid by the Georgia Institute of Technology but are under the direction and supervision of the assigned supervisor. Any action by the student in violation of work-related peiiLies should be reported in writing to the Work-Study Coordinator immediately. I. Failure of the local government and/or assigned supervisor to comply with the policies and agreements will result in the assigned student being withdrawn from that agency.

Section V TINE CARDS

B. Time cards will not be honored without the proper signature of the assigned supervisor. Checks will not be issued without the proper time cards.

Section VI CHECKS

Checks are prepared by Georgia Tech and are available on the last working day of the month. Students will be paid at the rate of $5.00 per hour and appropriate taxes will be deducted by Georgia Tech. No other fringe benefits will be paid or accrued. Total amount to be paid will not exceed $ 5,000

Section VII PROFESSIONAL CONFERENCES

Section VIII TUITION

Tuition will be paid directly by Georgia Tech for students accepted in the Work-Study Program and registered at the University. Any time a student is dropped from the university program because of negligence or fraudulent be- havior, failure to complete a quarter/semester, or failure to maintain the minimum grade-point average of 2.7, the student will be terminated from the Work--Study Program. Appropriate course books and fee ,. will also he paid through reimbursement by Georgia Tech.

Section IX AglipLIISSISNIENIS AND TRANSFERS

Students will be placed to obtain the best experience possible in accordance with his/her professional goals and to assist those agencies which are understaffed. However, the final determination of work location will be made by the Work-Study Coordinator in cooperation with the Atlanta Regional Commission.

Section X OTHER EMPLOYMENT

Section XI REPAYMENT OF FUNDS

Any student who drops from the university or resigns from the Work-Study Program of his/her accord shall repay to 1•-■■•■■ Georgia Tech any funds received as stipend, and any funds paid to the university for tuition for the semester in which the student is/was enrolled. Special consideration will be given in extreme cases. The Work-Study committee will hear such requests. Final determination will be made by the Work-Study Coordinator.

Section XII DISMISSAL FROM WORK-STUDY PROGRAM

Students will be dismissed from the Program if they do not comply with the policies and agreements of the Work- Study Program. This includes failure to provide the Work-Study Coordinator with requested information necessary to the administration of the Program; to comply with the assigned local governments' rules and regulations; to comply with the university requirements, which may or may not be included in these and Georgia Tech's policies and agreements; and failure to inform the Work-Study Coordinitor of acceptance of employment other than those approved by the Work-Study Coordinator.

Section XIII EMPLOYEE RELATIONSHIP

It is agreed that, notwithstanding the payment by Georgia Tech of the funds hereby provided, ti!e student shall be deemed to be an employee of the local government and not an employee of Georgia Tech during all of the time that the student is working under the supervi s ion of the local gov e rn- ment, either on agency property or in the course of agency business.

Section XIV ADDITIONAL RULES

The student agrees to abide by any reasonable subsequent rules or regulations issued by Georgia Tech, the Atlanta Regional Commission, the Department of Housing and Urban Development, and his/her work supervisor. Such additional rules and regulations shall he considered to he a part of this agreement.

Section XV WORK-STUDY COORDINATOR

The Work-Study Coordinator is Roger F. Rupnow, Associate Professor, Graduate City Planning Program Georgia Institute of Technology. The Work-Study Coordinator will assume overall coordination and responsibility for the program.

Section XVI WORK-STUDY COORDINATING COMMITTEE

The Work-Study committee serves as an advisory group to the Work-Study Coordinator. The committee assists in recruiting, selection, evaluation, seminar development, and program development. ATTACHMENT "B"

POLICY AGREEMENT

WORK-STUDY PROGRAM

GEORGIA INSTITUTE OF TECHNOLOGY

As supervisor forfor _ , I hereby certify that I have read and fully understand Regulations and Guidelines of the Work-Study Program attached hereto. I also understand that the assigned student is presently, and will continue to be, a full-time student at the and work in this agency on a part-time basis, not to exceed 15 hours weekly, including seminar and travel, or more than 40 hours during quarter break and summer quarter supported by the Georgia Institute of Technology (Georgia Tech). Dates of employment will be through

I understand this student is to be compensated by Georgia Tech and is to receive no compensation from this agency under any circumstances - except for necessary travel, authorized by the agency. If at any time the agency wishes to employ this student on a full or part-time basis, I will notify Georgia Tech in writing immediately. Such notification will certify that such student is no longer eligrible for continuation in the Work-Study Program.

I agree to accept the duties of supervisor as outlined in the attached Agreement. I will notify the Work-Study Coordinator in writing of any student negligence and/or failure to comply with the Program Regulations and personnel policies of this agency.

I understand that the student is to work under my direction. It is understood that, notwithstanding the payment by Georgia Tech of the stipend hereby provided, the student shall be deemed to be an employee of the agency, and not of the Georgia Institute of Technology, during all the time that the student is working under the supervision of the agency - either on agency property or in the course of agency business.

I hereby certify that the supervisory time used as the local matching requirement for the Work-Study Program was made up of non-Federal funds, and was not committed to matching any other Federal grant.

Supervisor Signature Date

Title work-Study Coordinator rm ACADEMIC YEAR 1979-80 COLLEGE SCHOLARSHIP SERVICE OF THE COLLEGE BOARD

WHAT IS THE FINANCIAL AID FORM? are confidential and are not sent to institutions and programs. Some The Financial Aid Form (FAF) is a document used to collect information institutions and programs may request that you send a copy of your for determining a student's need for financial aid. You submit the FAF to income tax return to them. If so, send it directly to the requesting in- the College Scholarship Service (CSS), an activity of the College Board, stitution. Failure to provide requested documentation may result in de- where it is analyzed. The information you report on the FAF is confiden- nial of aid. tial and is sent only to the recipients you indicate. The CSS does not award financial aid; rather it evaluates your financial WILL THE CSS SEND AN ACKNOWLEDGMENT? ability to contribute to the costs of education beyond high school. If an institution or program is listed in Item 81, the CSS will send you an The FAF may be used to apply for: Acknowledgment when processing of your FAF has been completed. • the Basic Educational Opportunity Grant Program The Acknowledgment includes an Additional College Request (ACR) form for you to submit if you later want copies of the FAF sent to institu- • many state scholarship and grant programs tions or programs not originally listed. The fee for ACR processing is • financial aid administered by colleges and other institutions of edu- $3.50 for the first institution or program later designated to receive a cation beyond high school copy of the FAF and $2.50 for each additional one. The decision to award financial aid rests with the individual institutions and programs, which directly inform students whether or not they WHAT IS MY CSS ESTIMATED CONTRIBUTION? are eligible for financial aid. Some of these may also request completion Your estimated contribution is the amount of money the CSS calculates of separate financial aid applications. you and your family are able to provide for the expenses of college or other education beyond high school. Each institution or program has WHO COMPLETES THE FAF? final responsibility for determining your contribution. This figure may differ from the CSS estimated contribution. The FAF is completed by parents, in behalf of their children, and by stu- The CSS estimate is provided as part of the Acknowledgment and is dents who are applying for financial aid for the academic year 1979-80. sent with explanatory material. If you want to receive the report of CSS If you answer "Yes" to ANY part of Items 13, 14, or 15 for ANY of the Estimated Contribution, add $1.00 to the processing fee and check the years indicated, your parents MUST complete the parents' section (Items 17-48) of the FAF. Refer to the definition of "parents" in the appropriate box in Item 82. Instructions for Completing the FAF. Even if you answer "No" to Items 13, 14, and 15 for all years, the WHAT IS 1IIL FEE FOR FILING THE FM? institution you are applying to may require parents' information. You The CSS processing fee is $4.75 for the first institution or program desig- should follow any specific instructions you receive from the institution nated to receive a copy of the FAF and $2.50 for each additional one. If or program. you are requesting the report of your CSS Estimated Contribution, you When parents' information is required and your parents are separated should include an additional fee of $1.00. or divorced, Items 17-48 should be completed by the parent who has (or The fee covers the costs of analyzing the FAF and sending copies of had) custody of you. Information may also be required of parent's pres- the FAF and the analysis to institutions and programs. Please make your ent spouse, if any. See the Instructions for Completing the FAF. check or money order payable to the College Scholarship Service. Do Student's information (Items 1-16 and 49 and following) should be not send cash. completed by all students. There is no charge for using the FAF to apply for the Basic Educational Opportunity Grant (BEOG) Program. WHEN SHOULD THE FAF BE COMPLETED? The FAF should be completed after January 1, 1979. Mail this form as WHERE TO MAIL THE FM soon as possible, preferably at least one month or more before the Mail your completed FAF in the attached envelope to the appropriate earliest financial aid deadline for the institutions and programs you list CSS office listed below. to receive the FAF. Do not file this FAF after March 15, 1980. COLLEGE SCHOLARSHIP SERVICE OR COLLEGE SCHOLARSHIP SERVICE It is not necessary to delay filing the FAF until the 1978 U.S. income tax Box 3700 Box 380 return is filed. If the 1978 return has not been filed, estimate amounts Princeton, NJ 08541 Berkeley, CA 94701 you expect to report on the return. IF YOU LIVE IN: IF YOU LIVE IN:

Alabama . AL New Hampshire NH Alaska . AK Nebraska .... NE WHAT PROCEDURES ARE FOLLOWED Canal Zone CZ New Jersey NJ American Nevada . NV TO ENSURE ACCURACY? Connecticut CT New York . NY Samoa . AS New Mexico . NM It is important that you provide accurate and complete information on Delaware DE North Carolina. NC Arizona .. AZ North Dakota ND District of Ohio OH Arkansas . AR Oklahoma .. OK the FAF. Failure to do so may jeopardize your request for financial aid. Columbia DC Pennsylvania PA California . CA Oregon .. OR If you use the FAF to establish eligibility for federal student financial Florida. FL Puerto Rico PR Colorado CO South Dakota SD aid funds, you should know that any person who intentionally makes Georgia GA Rhode Island RI Guam . GU Texas TX Indiana . IN South Carolina. SC Hawaii .. HI Trust Territory false statements or misrepresentations on this form is subject to fine, or Kentucky KY Tennessee . TN Idaho . . ID (Marshall, to imprisonment, or to both, under provisions of the United States Crim- Louisiana . lA Vermont VT Illinois .... IL Northern inal Code. Maine . ME Virgin Islands VI Iowa IA Mariana, and In order to ensure accurate reporting of data on the FAF, the CSS may Maryland MD Virginia . VA Kansas .. KS Caroline Is.) TT Massachusetts MA West Virginia WV Minnesota MN Utah . . UT request authorization to obtain an official copy of the parents' or stu- Michigan MI Wisconsin .. WI Missouri ... MO Washington WA dent's 1978 U.S. income tax return from the Internal Revenue Service Mississippi MS Montana .... MT Wyoming WY (IRS). Do not send any income tax returns with the FAF to the CSS. Your If where you live is not listed above, send your FAF to the CSS office in Princeton, authorization and any tax returns obtained by using the authorization NJ.

financial Aid Form (FAF) cademic Year 1979-80 STUDENT'S INFORMATION --N, yEAR M

STUDENT'S I 2 II F NAME I ___1 STUDENT'S LAST NAME STUDEN F IRST NAM M.I 2 STUDE SF IAL SECURITY NUMBER 3 STUDENT'S DATE OF BIRTH — 6 STUDENT'S STATE OF 1 STUDENT'S MARITAL STATUS 8 IS STUDENT LE GAL RESIDENCE (Check only one box I Yes 0 1 i I I I • a U.S citizen? 3TUDENTS ISee instructions.) Unmarried Married Separated No ❑ 2 'ERMANENT NUMBER. STREET, AND APARTMENT NUMBER ❑ I ❑ 2 • a permanent resident vtAILING T - 1 0 3 7 -1 or does student meet 1 ADDRESS i Yes ❑ 1 1 i Date of marriage criteria stated in I __ I. No ❑ 2 D TATE ABBREVIATION ZIP CODE or separation the instructions? %Student's year in college or other education beyond high school during 1979-80: Expected 1 914 Will student h ye received a 10 Name of institution student attended in 1978-79. degree FIRST SECOND THIRD FOURTH FIFTH GRADUATE i j bachelor's deg ee before July 1, (Check only 1979 7 (If "Yes,' see instructions.) If reshman) (sophomore) ilunior) (senior) (undergraduate) PROFESSIONAL Month one box I ❑ ❑ I ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 & Year Yes D I No E 2 If an entering first-time For what academic periodisl in 1979 80 does the student want financial assistance' 12 During 1979 80. I with parents student during 1979-80 CODE NUMBER student plans ic live ❑ enter your high school (Check all 1 ❑ Academic year, 1979-80 3 I: Fall term, 1979 5 ❑ Spring term. 1980 2 ❑ on campus boxes that (Check only one box) 6-digit code number. 2 ❑ Summer term, 1979 4 ❑ Winter term. 1979-80 6 ❑ Summer term, 1980 3 []off campus Otherwise, leave blank. apply I 43 Did (or will) student live with parents for more 14 Did (or will) parents claim student as a U S income tax exempnoo for 15 Did (or will) stn not receive assistance worth 16 Are both student's Student than six weeks during more than $750 from parents during parents deceased' must answer questions 13, 14, 1973? 1979? 1980? 1978? 1979? 1980? 1978? 1979? 1980? and 15 for Yes E I Yes ❑ 1 Yes ❑ 1 Yes ❑ 1 Yes ❑ 1 Yes ❑ 1 Yes El 1 Yes ❑ I Yes ❑ 1 Yes No each year ❑ 1 ❑ 2 No ❑ 2 No ❑ 2 No ❑ 2 No ❑ 2 No ❑ 2 No L.] 2 Na ❑ 2 No ❑ 2 No ❑ 2 PARENTS' CONFIDENTIAL STATEMENT Parents' Annual Income 1977 Father or Stepfather Enter yearly amounts in boxes only. 38 NAME AGE TAXABLE INCOME 17 A Wages, salaries. etc -- father or stepfather STREET ADDRESS CITY( STATE/ZIP NUMBER 1---+ B Wages, salaries, etc -- mother or stepmother OF YEARS WITH I OCCUPATION r' EMPLOYER EMPLOYER C Interest income SOCIAL SECURITY 10, STATE OF LEGAL' NUMBER RESIDENCE I) Dividends Mother or Stepmother OTexabba income other 111811 wages, interest and — dividends (Itemize and mye4011er amounts in EDI 39 NAME

Subtotal STREET ADDRESS (Add 17A through 17E1 le Ad'ustments to Income CITY/STATE, ZIP NUMBER (Enter ONLY allowable adiustments from lines 28 and 30 OF YEARS of IRS Form 1040 If none, enter zero I WITH OCCUPATION , EMPLOYER EMPLOYER 19 ADJUSTED GROSS INCOME (Subtract 18 from subtotal.) SOCIAL SECURITY I* STATE OF LEGAL' (line 31 of IRS Form 1040 or line 10 of Form 1048A1 NUMBER RESIDENCE

NONTAXABLE INCOME ISee instructions.1 Parents' Additional Information 2C Social security benefits 40 PARENTS' CURRENT I El Single 3 II Separated 5 III Mather living, father deceased • Other nontaxable income MARITAL STATUS 4 III Divorced 6 • Father living, mother deceased (chile siippon welfare. veterans benefits, etc.) ICheck only one box i 2 I. Married 41 PARENTS' ENTRIES FOR 1978 in 17 through 19, 23 through 27, and 42. Parents 22 TOTAL INCOME Add 19. 20, and 21.1 will not file ► (Check only 1 • are from a completed 1978 2 E are estimated. 3 • a 1978 U.S Parents' Annual Expenses one box I U.S income tax r eturn income tax return 23 U S INCOME TAX PAID 42 TOTAL NUMBER OF EXEMPTIONS claimed on parents' 1978 U.S income tax return 1978 (fine 47 of IRS Form 1040 or line 13 of IRS Form 1040A) -____ 43 TOTAL SIZE OF rARENTS HOUSEHOLD (Include the student named on this form, if a member of parents' household, parents. and other I 24 IRS ITEMIZED DEDUCTIONS Rule 39 of Schedule A, IRS Form 1040) dependent chilnren Include other dependents 4 they meet criteria stated in the instructions.) 1979.80 1

44 IF STUDENT APPLICANT IS NOT INCLUDED IN 43, CHECK HERE 25 STATE AND OTHER TAXES El 45 NUMBER IN COLLEGE a MEDICAL AND DENTAL EXPENSES NOT COVERED BY INSURANCE DJ the number entered in 43, how many will be enrolled in college or other ISee instructions I education beyond high school at least half-time during the 1979-80 academic year' 1979.801

5 CASUALTY OR THEFT LOSSIES1 (See instructions) 46 IF STUDENT APPLICANT IS NOT INCLUDED IN 45, CHECK HERE U

28 UNREIMBURSED ELEMENTARY AND HIGH SCHOOL TUITION AND FEES 47 PROVIDE INFORMATION BELOW FOR ALL CHILDREN AND OTHER DEPENDENTS ENTERED IN 43 FOR DEPENDENT CHILDREN, excluding the student applicant ---T- E. F.F Enrolled: B. C. Name of institution 0 Year xi lUnreonbursed Of you need addi - Half. A Name to be attended school in '(inflect 5 OTHER UNUSUAL EXPENSES banal space, use BO.) Age time time in 1979-80 1979-80 and fees Or more 1 STUDENT APPLICANT and Indebtedness Parents' Assets 2 Enter information in boxes only. Unpaid Mortgage I--- Principal 30 HOME IF OWNED OR BEING PURCHASED or Debts 3

YEAR I PURCHASE' PURCHASED 19 PRICE S 5

D OTHER REAL ESTATE Divorced/Se rated Parents o completed by parent who has filed this FAF) g INVESTMENTS ISTOCKS, BONDS, AND OTHER SECURITIES) 48 A OTHER PARENTS NAME

33 BUSINESS )Include your share of all business assets noted iv HOME ADDRESS instructions I OCCUPATION EMPLOYER

34 FARM (Include your share of all farm assets noted in Instructions.) 8 Date of divorce MONTH TEAR C. Who claimed student cr separation as a tax dependent' 35 CASH, SAVINGS AND CHECKING ACCOUNTS E According to court order, II Total amount of MONTH YEAR child support received when will (did) support I av aoNsitmER Ifrofeerowia for all children in 1978 $ for student end' INSTRUCTIONS I OR ( )MPLETINl, I FIE ME To Avoid delays In processing, it is important that you complete all items on the FAF according to the following instructions: ■ Please type or print all entries in black or dark ink; do not use a pencil. ■ Enter each response in the proper area. Do not make entries outside boxes or enter more than one set of figures in a box. ■ Enter amounts in dollars; omit cents. Do not use commas between dollar values. For example, if wages, salaries, tips, and other compensation are $5,398.24, enter $5398. ■ Do not leave dollar items blank. Enter a zero (0) where appropriate. Do not use such words as "unknown," "none," or "same." ■ Use Item 80 to explain circled items and any unusual circumstances. Attach additional sheets of paper if more space is needed. On any additionai sheets, be certain to give the student's complete identification information and the CSS code numbers of the institutions and programs to receive the FAF.

Certain sec (ions of the FAF are reproduc ed below lo assist you in completing It,. trim. Is eep 'hose instructions and the worksheets for your records.

STUDENT'S INFORM/4116N 11(.1AtEMS' CONFIDENTIAL STATEMENt . TEM 1. Enter student's complete name, giving last name, first name, and middle If student's parents are separated or divorced, provide information for the parent who nitial. has or had custody of the student. If no custody was awarded, or if parents have or had equal custody of the student, provide information for the parent with whom the TEM 2. Enter student's social security number. student resided for the greater portion of the 12-month period preceding the date of TEM 3. Enter student's date of birth, using numbers for month, day, and year. completing this form. If parents are divorced, or if parent is widowed, and the parent has remarried, TEM 4. Indicate student's sex. financial information of student's stepparent may need to be reported. Student's TEM 5. Enter the address where the student can be certain of receiving notification of stepparent's information should be reported (together with parent's information) if he processing of this form Use the state abbreviations on the front cover. either (a) student did or will live with stepparent (and parent) for more than six weeks during 1978. 1979, or 1980; or (b) student did or will receive more than $750 in financial JIM 6. Enter the abbreviation for the student's state of legal residence. Use the state assistance nom stepparent in 1978, 1979, or 1980. bbreviations on the front cover If one of student's parents is deceased, and the surviving parent has not remarried, TEM 7. Indicate student's current marital status. It married or separated, enter the provide 1978 and 1979 income and expense information for only the surviving parent. ate of marriage or separation. If student intends to marry before July 1, 1980, enter The parents' confidential statement (Items 17-481 should not be completed by student ate of intended marriage. or student's spouse. M 8. Indicate student's U.S. citizenship status. Answer "Yes" if student is a U.S. 'then , national or permanent resident; a citizen of the Northern Mariana Islands: a ermanent resident of the Trust Territory of the Pacific Islands; or is in the U.S. for ether than a temporary purpose and intends to become a permanent resident. In Enter yearly amounts In bases only. .der to meet the last criterion, student must possess an 1-171 or an I-464A, both of TAXABLE INCOME iehich are approval notices to apply for permanent residence, or an 1-94 (arrival- 17 A Wages, salaries, etc - father or stepfather $ eparture form) endorsed either: ill conditional entrant status or indefinite parole, or 21 employment authorized and adjustment applicant. In addition. student may answer B Wages salaries, etc mother or stepmother 'Yes" if student has been red asylum and been given voluntary departure for a nod of one year. Note: If student is in the U.S on an F-1 or F-2 student visa, student C Interest income ;

5 not eligible for federal student aid and must answer "No" to this item. 0 Oredends ; TEM 9A. Indicate student's year in college or other education beyond high school (OTexable income other than wages. interest. and .uring 1979-80. Also, enter student's present degree objective and expected data of dividends Iltemon and give doter amounts in se) ; gyaduatio- "Fifth (undergraduate)" means the fifth year of an undergraduate cur- Subtotal ulum that normally requves five years for completion. If "fifth" is indicated, see the Add 17A through 17E.) trx Yic Adjustments to Income O Jack. cover for BEOG eligibility criteria. Graduate students are not eligible for BEOG. (Enter ONLY allowable adnstinents from lines 28 and 30 of IRS Form 1040 11 none, oiler Zero I STEM 9B. If student has already received a bachelor s degree for higher degree) from a 1.15. institution or an equivalent degree from a foreign institution, or if student will 10 ADJUSTED GROSS INCOME (Subtract 18 from subtotal (fine 31 of IRS Form 1040 or lire 10 of Form 1040A1 receive such a degree before luly 1, 1979, answer "Yes" to this item. Note: A student is ► $ I Illot eligible for a BEOG award it he or she has received a bachelor's degree. NONTAXABLE INCOME (See Instructions 20 Social sece,tv benefits $ 10. Enter the name of the institution, if am, that student attended in 1978-79. If ITEM Other nontaxable income O illy student is an entering, first-time student in 1979-150, enter the student's high school sacnon wellare veterans benefits, etc I 5.digit code number. The code number may be obtained from the guidance office of Ithe student's high school. The code number will be used to provide student's name 22 TOTAL INCOME )Add 19, 20, and 21.I and FAF processing status to student's high school.

11. Indicate the academic period(s) for which the student is seeking financial IITEM 23 U S INCOME TAX PAID assistance. Check all boxes that apply. (line 41 of IRS Farm 10.10 or Me 13 of IRS Form 1040AI ITEM 12. Indicate where the student plans to live during 1979-80. "On campus" means residence facilities operated by or for the institution; "off-campus" means residence 24 IRS ITEMIZED DEDUCTIONS line 39 of Schedule A. IRS Form 10401 facilities not operated by or for the institution, but not including the parents' home. If student's choice of institution has not been made, the student should indicate his or 25 STATE AND OTHER TAXES he plans for the first institution listed in Item 81. 0 MEDICAL AND DENTAL EXPENSES NOT COVERED BY INSURANCE (See instrucnons I ITEMS 13-15. These items should be completed with regard to student's parents. For purposes of this form, the term "parents" is defined to be the student's mother and/or father or adoptive parent(s). Foster parents and guardians are not defined as 3 CASUALTY OR THEFT LOSSILSI ISee instructrons parents. 21 UNREIMBURSED ELEMENTARY AND HIGH SCHOOL TUITION AND FEES If both student's parents are deceased, answer ""So - to all questions in Items 13-15. FOR DEPENDENT CHILDREN, excluding the student applicant For Item 15, assistance includes food. housing. clothes, medical and dental care, cash, gifts, cost of education, etc. O OTHER UNUSUAL EXPENSES If you answer "Yes" for any question for any year, the parents' confidential statement (Items 17-48) must be completed. , If you answer "No" to every question for every year with regard to student's par- Enter total annual amounts only. Whenever an individual entry is from more than one ents, the parents' confidential statement (Items 17.48) need not be completed; how- source, itemize and give dollar amounts in Item 80. The IRS references on the FAF are for the 1978 U.S. income tax return. For 1979, provide best estimates. ever, some institutions or programs to which you are applying may require this information. You should tallow any specific instructions you receive from the institution or In completing Items 17-19 and 23-27, it parents are married and file separate U.S. program. income tax returns, add the figures from both returns anti report the total.

ITEM 16. Indicate whether both of student's parents are deceased, ITEMS 17A-B. Enter the amount of wages, salaries, tips, and other compensation earned by (Al father and If)' mother, for 1978, include amounts reported on lines 8, 13, and 19 of ote: Funds received by the student or parents as an award under the Distribution of parents' 1971) U.S. in«mne tax Form 1040, or line 7 of Form 1040A. Also include income from figment Funds Act or the Alaska Native Claims Settlement Act should NOT be employment v% hi c h parents were not required to report on a U.S. income tax return. tported as income or assets on this form. Property should not be reported as an set if: (a) it may not be sold or have loans placed against it without consent of the ITEM 17C. Enter the amount of "interest Income" received by parents. For 1978, include cretary of Interior, or (b) the property is held in trust by the U.S. Government. amount reported on line 9 of parents' 1978 U.S. income tax Form 1040, or line 8 of Form 1040A, ?)Vote: If student or parents filed a 1978 income tax return with a Government outside ':.the U.S., include information corresponding to that requested in any item referring ITEM 17D. I rater the amount of - dividends" received by parents. For 1978, include 'to the U.S, income tax return. amount reported on line 10c of parents' 1978 U.S. income tax Form 1040, or line 9c of Parents' Annual Income and Expenses (continued) In completing Items 30 -34, enter the market value of each asset listed. Market value i the amount for which the asset could currently be sold Do not use such valuations at ITEM 0170 Enter the amount of taxable income other than wages, Interest, and assessed value, insured value, or taxed value. Do not report personal or consume. dividends rec CiVrtl by parents, For 1978, Include amounts reported on lines 11, 12, debts !hal att. not tvlaterl to the assets listed, 14-18, and 20 of parents' 1978 U.S. income tax Form 1040. Itemize and give dollar Do not report any asset or debt more than once. amounts in Item 80. - ITEM 30. Enter the present market value of parents' home. Also, enter unpai ITEM 0 . Enter the amount of "adjustments to income" reported on lines 28 and 30 mortgage principal and related debts on parents' home. of parents' 1978 U.S. income tax Form 1040. Enter only IRS allowable amounts for ITEM . Enter the present market value of parents' other real estate. Also, ente forfeited interest, moving expense, employee business expense, payments to a Keogh unpaid mortgage principal and debts on parents' other real estate. Report business 0 or an individual retirement plan, alimony paid, and disability income exclusion (sick farm assets and debts only in Item 33 or 34. pay). Itemize and give dollar amounts in Item 81). ITEM 32 . Enter the present mar ket value of parents' investments (including stocks ITEM 19. Enter the amount of "adjusted gross income" reported on line 31 of parents' bonds, and other securities). Also, enter unpaid debts on parents' investments. Repor 1978 U.S. income tax Form 1040, or line 10 of Form 1040A. If parents will not file a 1978 business or farm assets and debts only in Item 33 or 34. U.S. income tax return, be certain to include in this item parents' employment earnings, interest, dividends, and any other income received in 1978 that would normally be subject ITEM 33. If parents own all or part of a business, enter the present market value c to tax. Do not include any amount reported in Item 20 or 21. Amount should equal the sum business. Also, enter the present mortgage and related debts for which the busines, of Items 17A through 17E, minus Item 18. assets are used as collateral. Do not include value of home even if part of busines , property; report value of home only in Item 30. If parents are not the sole owners c ITEM 20. Enter the amount of social security benefits received by parents and student. the business, enter only the amount of their share of the total business market valu! The student's benefits are also to be reported in Items 63 and 64. and debt. Some institutions require that parents reporting business assets complete ITEM (21) . Enter the total of all other nontaxable income received by parents. Business Supplement form, available where you obtained this FAF. Include: • Child support, welfare benefits, and unemployment compensation. • Veterans benefits except educational benefits. • Any other income which is not subject to income tax, such as interest on BUSINESS WORK SHEET • tax-free bonds; untaxed portions of pensions and capital gains; and military, clergy, and other subsistence and housing allowances. Do not A. Percentage of ownership include: • Amounts received from student aid programs (educational loans, work-study B. Current assets (cash and other current earnings, grants, or scholarships). assets less reserve for bad debts) • Social security benefits. • Veterans educational benefits (GI Bill or War Orphans' and Widows' Educa- C. Fixed assets (present market value of land, tion Assistance). buildings, equipment, and other fixed assets) • "Adjustments to income" reported in Item 18. D. Total assets (Add B and C.) • Any income reported in Items 17A through 17E. ITEM 22. If the amount entered for 1978 is different by $2,000 or more than that entered E. Multiply total assets by percentage of ownership. for 1977, complete the shaded 1977 column for Items 17-21. Also, if the amount en- (Enter amount in Item 33, market value.) tered for 1979 is different by $2,000 or more from that entered for 1978, explain in Item 80. F. Total indebtedness (mortgage on land and ITEM 23. Enter parents' U.S. income tax paid as reported on line 47 of 1978 U.S. income buildings and other business indebtedness) . tax Form 1040, or line 13 of Form 1040A. Do not copy from a W-2 Form tax withheld. If G. Multiply total indebtedness by percentage parents will not file a 1978 U.S. income tax return, enter zero. of ownership. (Enter amount in Item 33, debts.) ITEM 24. If parents ilejaajze deductions on their 1978 U.S. income tax return, enter the amount of "total deductions" reported on line 39 of Schedule A, Form 1040. If parents do not itemize deductions, enter a zero. ITEM 34. If parents own all or part of a farm, enter the present market value of farm ITEM 25. If parents itemize deductions on their 1978 U.S. income tax return, enter the Also, enter the present mortgage and related debts for which the farm assets are use amount of state and other taxes reported on line 17 of Schedule A, Form 1040. If as collateral. Do not include value of home even if part of farm property; report valu parents take a standard deduction or will not file a 1978 return, enter the total of state of home only in Item 30. If parents are not the sole owners of the farm, enter only th , and local income, real estate, gasoline, sales, personal property, and other taxes. Do amount of their share of the total farm market value and debt. Some institution not include U.S. income tax. require that parents reporting farm assets complete a Farm Supplement form, avail able where you obtained this FAF. ITEM(126; . If parents itemize deductions or. their 1978 U.S. income tax return, enter the total of medicine, drugs, and other medical and dental expenses reported on lines 2 and 6 of Schedule A, Form 1040. If parents take a standard deduction or will not file a 1978 return, enter the amount of medical and dental expenses for parents' household FARM WORK SHEET paid in 1978 which were not covered by insurance. Do not include the cost of medical and dental insurance premiums. A. Percentage of ownership ...... ITEM 2 . If parents itemize deductions on their 1978 U.S. income tax return, enter the amount of casualty or theft loss(es) reported on line 29 of Schedule A, Form 1040. If B. Total assets (present market value of land and parents take a standard deduction or will not file a 1978 return, determine the amount buildings [excluding farm home]; bank accounts and of each loss not covered by insurance, due to theft or damage by fire, storm, or accounts receivable; livestock, grain, hay, and accident. Subtract $100 from the amount of each loss; add the net amount of each of other products; machinery and other assets) $ these losses and enter the total. C. Multiply total assets by percentage of ownership. ITEM 28. Enter the amount of elementary, junior high, and senior high school tuition (Enter amount in Item 34, market value.) . . and fees parents paid in 1978 for all dependent children (other than the student) included in Item 43. Do not report any amounts which were paid by scholarships or D. Total indebtedness (mortgage on farm other forms of student aid. [excluding farm home]; debts on machinery and equipment; other debts) $ ITEM 0 . Enter the total amount of other unusual expenses such as payments for child support, expenses associated with a handicap, funerals, legal fees, and water, E. Multiply total indebtedness by street, and sewer assessments. Itemize and give dollar amounts in Item 80. percentage of ownership. (Enter amount in Item 34, debts.) .

ITEM 35. Enter the present amount of parents' cash, savings, and checking accounts. Parents' Asseti, and Indebtedness ITEM 36. Enter the present amount of parents' consumer indebtedness (such as debt Enter Information In noses only. Unpaid Mortgage Present for purchase of automobiles, appliances, and other consumer durables; and retai Market Value Prind 30 HOME. IF OWNED DR BEING PURCHASED or Debts store and bank charge accounts). • YEAR PURCHASE ITEM 3 . Do not include any expenses already entered in Items 23.29 or any de PURCHASED 19 PRICE S entered in Items 30-34 and 36. Include only debt outstanding from 1977 or before • Include such past debts as medical and dental expenses; remaining business indeb 0 OTHER REAL ESTATE edness if business dissolved; funeral expenses; legal fees; unreimbursed job-rela moving expenses; natural disasters not covered by insurance; liens; living expenses ® INVESTMENTS (STOCKS, BONDS, AND OTHER SECURITIES) business failure, prolonged illness, or unemployment has depleted assets and fore 33 BUSINESS (Include your share of all busmess assets noted in indebtedness; and educational indebtedness of parents or other family member matructional except the student. Enter student's educational indebtedness in Item 73. Do not includ any other type of debt outstanding. 34 FARM (Include your share of all farm assts noted in instruchons.1

35 CASH, SAVINGS, AND CHECKING ACCOUNTS. ITEM 38. Enter appropriate information for father or stepfather. OS CONSUMER INDEBTEDNESS . ITEM 39. Enter appropriate information for mother or stepmother. FITNe.R INDEBTEDNESS (Debts from 1977 or before On not incleslt 'my debts entered • above I

41. Indicate whether the 1978 U.S. income tax return figures provided in Items 1040A. Also include income from employment which student's spouse was not re- I, 23.27, and 42 are (1) from a completed return, (21 estimated, or (3) parents will quired to report on a U.S. income tax return. Do not include any income received as a ile'a 1978 U.S. income tax return. result of employment provided by student aid programs. de: If parents file a U.S. income tax return, the amounts reported on this form ITEM 41) - Enter all other taxable income, including "interest income" (line 9 of student's Id be the same as reported in the corresponding items of parents' return. Parents U.S. income tax Form 1040, or line 8 of Form 1040A); "dividends" (line 10c of Form 1040, be required to provide a copy of their return (and other documentation) before or line 9c of Form 1040A); and income other than wages, interest, and dividends (lines 11, icial aid is awarded. 12, 14-18, and 20 of Form 1040). Itemize and give dollar amounts in Item 80. I 42. Enter the number of exemptions reported on line 7 of parents' 1978 U.S. ITEM 52. Enter the amount of "adjusted gross income" reported on line 31 of student's me tax Form 1040, or line 6 of Form 1040A. If parents did not and will not file a 19 78 1978 U.S. income tax Form 1040, or line 10 of Form 1040A. If student (and spouse) will 'n, enter zero. not file a 1978 U.S. income tax return, be certain to include in this item student's (and I 43. Enter the total number of persons for whom parents will provide more than spouse's) employment earnings, interest, dividends and any other income received in half support between July 1, 1979, and June 30, 1980. Include the student if a 1978 that would normally be subject to tax. Do not include any income received as a tber of parents' household, parents, and parents' dependent children. Include result of employment provided by student aid programs. Do not include any amount I persons only it they now live with and receive more than one-hall their support reported in Item 53 or Items 63-66. I the parents. Do not leave blank and do not enter zero. List children and other IT EM (53) . Enter all nontaxable income and benefits received by student (and spouse) >ndents in Item 47. except social security benefits or veterans educational benefits reported in Items 63-66. 44. Indicate whether student is included in number reported in Item 43. Include: 1 45. Enter the appropriate number of persons reported in Item 43 who will be • Veterans benefits, except educational benefits reported in Items 65-66. tiled in a college, university, vocational or technical school, or other education • Child support for student's children, student's welfare benefits, and unemployment end high school, on at least a half-time basis, during the 1979-80 academic year. If compensation. nts are included in this item, provide in Item 80 the same educational information • Any other income which is not subject to income tax, such as interest on tax-free quired for children and other dependents in item 47. bonds; untaxed portions of pensions and capital gains; and military, clergy, and other subsistence and housing allowances. 1 46. Indicate,whether student is included in number reported in Item 45. Do not include 1 47. Enter appropriate information for student and all children and other depen- • Amounts received from student aid programs (educational loans, work-study earn- s included in the number entered in Item 43. Do not list parents. ings, grants, or scholarships). 148. If student's parents are separated or divorced, enter appropriate information • Social security benefits. rding the other parent. • Veterans educational benefits (GI Bill or War Orphans' and Widows' Educational Assistance). • "Adjustments to income - reported on student's 1978 U.S. income tax Form 1040, .,Student's Information (continied lines 28 and 30. • Any income reported in Items 49.52. itudents should complete all items. Do not leave Items blank. Enter zero where opriate. ITEM 54. Enter the total amount of assistance estimated to be available from student's parents, including cash, gifts, and expenses paid by student's parents (such as food, clothing, and insurance). Do not include welfare benefits or child support received by parents for the student ITEM 55. Enter the total amount of assistance estimated to be available from Estimsled spouse's Aria sic You parents, including cash, gifts, and expenses paid by spouse's parents (such as food, Do not *•w mu rely sinsuata 1117S-16 clothing, and insurance). maths ITEM (56) . Enter the total amount of grants, scholarships, educational loans, and STUDENT'S WAGES SALARIES, TIPS. etc 'before run and deducoonal IDo not include wort -study earnings) earnings fromstudent employment, including work-study, which has actually been awarded. Do not include any student aid for which you are now applying. SPOUSE'S WAGES SALARIES. TIPS. etc lbetore rain and deductions) (Do not include wort-study eamings.1 ITEM 57. Enter U.S. income tax paid as reported on line 47 of student's (and spouse's) 1978 U.S. income tax Form 1040, or line 13 of Form 1040A. Do not copy from a W-2 OTHER TAXABLE INCOME Interest dr...6,nd'. ets Form tax withheld. If student (and spouse) will not file a 1978 U.S. income tax return, ADJUSTED GROSS INCOME Dine 31 of IRS Form enter zero. 1040 or 10 of IRS Form 101041 100 not include worlr•studv earnings See instructions I ITEM SB. If student itemizes deductions on the 1978 U.S. income tax return, enter the amount of "total deductions" reported on line 39 of Schedule A, Form 1040. If NONTAXABLE INCOME AND BENEFITS IS.. onstrvotiont Oo not include social securny or veterans educational benefits student does not itemize, enter a zero. reported in €3461 ITEM . If student itemizes deductions on the 1978 U.S. income tax return, enter the tots of medicine, drugs, and other medical and dental expenses reported on lines FINANCIAL ASSISTANCE FROM STUDENT'S PARENTS 2 and 6 of Schedule A, Form 1040. If student takes a standard deduction or will not file a 1978 return, enter the amount of medical and dental expenses for student's house- FINANCIAL ASSISTANCE FROM SPOUSE'S PARENTS hold paid in 1978 which were not covered by insurance. Do not include the cost of GRANTS, SCHOLARSHIPS. EDUCATIONAL LOANS. medical and dental insurance premiums. WORK-STUDY (Include only lad KM" awarded ITEM . If student itemizes deductions on the 1978 U.S. income tax return, enter U S INCOME TAX PAID the amount of casualty or theft loss(es) reported on line 29 of Schedule A, Form 1040. If Ihna 47 of IRS Form 1040 or hne 13 of IRS Form 1040A1 student takes a standard deduction or will not file a 1978 return, determine the amount IRS ITEMIZED DEDUCTIONS of each loss not covered by insurance, due to theft or damage by fire, storm, or Dine 39 of Schedule A, IRS Farm 10401 accident. Subtract $100 from the amount of each loss; add the net amounts of each of MEDICAL AND DENTAL EXPENSES the losses and enter the total. NOT COVERED BY INSURANCE ISee instructional ITEM 61. Enter the amount of elementary, junior high, and senior high school tuition

CASUALTY OR THEFT LOSSIESI (See instructions I and fees that student paid in 1978 for dependent children included in Item 75. Do not report any amounts which were paid by scholarships or other forms of student aid. UNREIMBURSED ELEMENTARY AND HIGH SCHOOL TUITION AND FEES FOP DEPENDENT CHILDREN ITEM*2:,1 . Enter the total amount of expenses for housing, food, transportation, child care, taxes, etc., which are considered extraordinary. Also include the total amount of OTHER UNUSUAL EXPENSES other unusual expenses such as payments for child support and alimony, expenses associated with a handicap, funerals, legal fees, and water, street, and sewer assess- if total amounts according to the column headings. Whenever an individual entry ments. Itemize and give dollar amounts in Item 80. om more than one source, itemize and give dollar amounts in Item 80. The IRS rences on the FAF are for the 1978 U.S. income tax return. For summer 1979 and lemic year 1979-80, provide best estimates. Student's Bertefits student is married, Items 51-62 apply to both student and student's spouse. If lent is separated or divorced, provide only that information which applies to the lent. 53 AMOUNT OF SOCIAL SECURITY BENEFITS to be wowed pm ass* completing Items 49 - 52 and 57 -60, if student is married and student and spouse separate U.S. income tax returns, add the figures from both returns and report the 54 NUMBER OF MONTHS social security bens is to be reserved LI. iS AMOUNT OF VETERANS EDUCATIONAL BENEFITS to be reserved math t49. Enter the amount of student's wages, salaries, tips, and other compensation w ned (or to be earned) by student. For 1978, include amounts for student reported lines 8, 13, and 19 of 1978 U.S income tax Form 1040, or line 7 of Form 1040A. Also I4 NUMBER OF MONTHS veterans educational benefits to be received ude income from employment which student was not required to report on a U.S. ITEM t. Enter the amount of social security benefits per month the student (and Dine tax return. Do not include any income received as a result of employment spouse) received during calendar year 1978 and expects to receive between July 1, .vided by student aid programs. 1979, and June 30, 1980. M 50. Enter the amount of spouse's wages, salaries, tips, and other compensation ITEM 64. Enter the number of months that benefits reported in Item 63 were received ned (or to . be earned) by student's spouse. For 1978. include amounts for spouse during calendar year 1978 and are to be received between lull/ 1 1 7

EM 65. Enter the amount of seterans educational benefits per month the student ITEM 77. Enter the appropriate information for the student. pects to receive between July 1, 1979, and lune 30, 1980. Include only amounts that ITEM 78. Inter the appropriate information for the student's spouse. dent (not other members of the student's household) will receive from the Cl Bill War Orphans' and Widows' Education Assistance Program. If you are unsure of ITEM 79. Enter appropriate information for spouse, dependent children, and other ese amounts, contact your local Veterans Administration office. dependents included in the number entered in Item 75. Do not list the student.

EM 66. Enter the number of months between July 1, 1979, and June 30, 1980, that ITEM 80. Explain all circled items and any unusual circumstances. If more space is nefits reported in Item 65 are to be received. needed, attach additional sheets of paper.

' Institutions; and Programs to Receive This FAf 7 CASH, SAVINGS, ANO CHECKING ACCOUNTS (Do not leave blank.' 81 8 you are applying for financed lud from immtutions, static, and other programs and went them to receive your FAF, enter their complete names, addresses, end CSS code numbers and enclose appropnate fee. Obtain code numbers from the enclosed CSS Coda Litt If a code number is not available, leave the CSS code number box Stank. Present Unpaid Market Woo Mortgage PrIncleel Do not enter the BEOG Program in this nem. It you are applying ONLY to the BEOG Program, leave duo item and 82 M HOME. IF OWNED OR BEING PURCHASED or Debbi blank and complete 83 and 84 YEAR PURCHASSE • NAME CITY STATE CSS CODE NO 9 I PRICE E 1 s INVESTMENTS (STOCKS, BONDS. AND OTHER SECURITIES) • AND OTHER REAL ESTATE S*

70 BUSINESS (Include your share of all business assets noted in • instructions 1 $

71 FARM 'Include your share of all farm assets noted in instructions.) ;

72 CONSUMER INDEBTEDNESS

OTHER INDEBTEDNESS 10o not include any debts entered above I 82 Check the box next to the number of institutions and programs entered in 81, above and mail student is married, Items 67-79 apply to both student and student's spouse. If this FAF with check or money order for appropriate amount to the College Scholarship Service. udent is separated or divorced, provide only that information which applies to the 1 • 64.75 2 II 57.25 3 II $9.75 4 IIIII1225 5 IN 614.75 6 III 517.25 tudent.

In completing Items 68 - 71, enter the market value of each asset listed. Market value ■ If you wish to receive a report of your CSS Estimated Contribution, the amount for which the asset could currently be sold. Do not use such valuations check here and add St to the amount checked above • $1.00 s assessed value, insured value, or taxed value. Do not report personal or consumer ehts that are not rei.ted to the assets listed. Do not report parents' assets. Do not report any asset or debt more than once. ITEM 81. If you are applying for financial aid administered by institutions, states, and other programs and want them to receive copies of this FAF, enter their complete TEM 67. Enter the present amount of student's cash, savings, and checking accounts. names, addresses, and CSS code numbers unless otherwise instructed. (Some states )o not include any amounts received through educational loans, grants, or scholarships. have special editions of the FAF.) Obtain code numbers from the CSS Code list. If you TEM 68. Enter the present market value of student's home. Also, enter unpaid are unable to obtain a code number, leave the CSS code number box blank. nortgage principal and related debts on student's home. Do not enter the BEOG Program in this item. It you are applying ONLY to the BEOG Program, leave this item and Item 82 blank and complete Items 83 and 84. TEM tq91,r. . Enter the totaLwesent market value of student's investments (trusts, ;locks, bonds, and other securities) and other real estate. Also, enter total debts and ITEM 82. Check the box next to the number of institutions and programs entered in snpaid mortgage principal on student's investments and other real estate. Report Item 81. Also, if you wish to receive a report of your CSS Estimated Contribution, )usiness or farm assets and debts only in Item 70 or 71. check the appropriate box. Be certain to enclose a check or money order for the appropriate amount when you mail the FAF to the CSS. TEM 70. If student owns all or part of a business, enter the present market value of )usiness (including land, buildings, machinery, equipment, inventories, etc.). Also, Inter the present mortgage and related debts for which the business assets are used as :ollateral. Do not include value of home even if part of business property; report ialue of home only in Item 68. If student is not the sole owner of the business, enter 83 On you authorize Information from this FAF to be released to the BEOG Program in order to be considered for BEOG assratenceT (There is no charge for applying to the BEOG Program.) Yes 1 No El 2 )nly the amount of his or her share of the total business market value and debt. If yes, enter your first two nstitutionai choices, paths; the 8E0G Program can notify these institiroons of your BEOG slabs. TEM 71. If student owns all or part of a farm, enter the present market value of farm Itf you wart institutions to receive your FAF, be sure to list them at 81 above and enclose the 'pompous fee.) including land, buildings, machinery, equipment, animals, inventories, etc.). Also, NAME CITY STATE enter the present mortgage and related debts for which the farm assets are used as :ollateral. Do not include value of home even if part of farm property; report value of iome only in Item 68. If student is not the sole owner of the farm, enter only the 'mount of his or her share of the total farm market value and debt. H Do you authorize the BERG Program to release the appropriate information provided on this form 'including TEM 72. Enter the present amount of student's consumer indebtedness (such as debts any new information or corrections for the 1874-80 academic year' to Me agency adminietering financial aid or purchase of automobiles, appliances, and other consumer durables; and retail programs in your state of legal residence for the purpose of calculating stele awards, verifying data provided on state student aid applications, and conducting research? tore and bank charge accounts). Yes 1:3 1 No Ei 2 ITEM t4) . Do not include any expenses already entered in Items 57-62 or any debt entered in Items 68.72. Include only debt outstanding from 1977 or before. Include TEM 83. The FAF may be used to apply for the BEOG Program. Indicate whether you ;uch past debts as medical and dental expenses; remaining business indebtedness if authorize the CSS to release information from the FAF to the Program. There is no )usiness dissolved; funeral expenses; legal fees; unreimbursed job-related moving charge for applying to the BEOG Program. If you authorize this release, you may list expenses; natural disasters not covered by insurance; liens; and living expenses if your first two institutional choices, so that the Program can notify these institutions of )usiness failure, prolonged illness, or unemployment has depleted assets and forced your BEOG status. Enter complete names, addresses, and CSS code numbers of in- ndebtedness; and educational indebtedness of student or other family members. Do stitutions. Obtain code numbers from the CSS Code List. If you are unable to obtain a tot include any other type of debt outstanding. code number, leave the CSS code number box blank.

ITEM 84. Indicate whether you authorize the BEOG Program to release appropriate 'Student's Additional Information information from the FAF (including any new information or corrections for the 1979- ITEM 74A. Indicate whether the 1978 U.S. income tax return figures provided in Items 80 academic year) to the agency administering financial aid programs in your state of 19-52, 57-60, and 748 are (1) from a completed return, (2) estimated, or (3) student will legal residence for the purpose of calculating state awards, verifying data provided on not file a 1978 U.S. income tax return. state student aid applications, and conducting research. Note: if student files a U.S. income tax return, the amounts reported on this form (Note: Failure to provide this authorization will have no effect on your consideration ;hould be the same as reported in the corresponding items of student's return. Stu- for a BEOG award, but may result in a delay of aid from your state.) dent may be required to provide a copy of the return (and other documentation) )efore financial aid is awarded.

.TEM 74B. Enter the number of exemptions reported on line 7 of student's 1978 U.S. Gertifitaticm and Authorization ncome tax Form 1040. or line 6 of Form 1040A. If student did not and will not file a 1978 All persons providing information on the FAF should sign the Certification and Air 'Cum, enter zero. thorization section. This form must be signed by the student, the student's spouse Of married) and, if parental information ITEM 75. Enter the total number of persons for whom the student (and/or student's is provided, at least one of student's parents. Signatures in this item confirm ipouse) will provide more than one-half support between July 1, 1979, and June 30, that all information entered on this form is correct and that those signing agree to provide any 1980. Include the student, student's spouse and dependent children. Include other documents requested to verify the informalion provided. Documentation may be requested persons only if they now live with and receive more than one-half their support from before financial aid is awarded. Those signing should retain in their files all documents (copies he student. If student plans to marry, do not include future spouse in this item. Do of U.S. income tax etc.) used to complete this form. not leave blank and do not enter zero. List spouse, children, and other dependents in Enter the date the FAF is Item 79. completed. Also enter the telephone number whew student may be reached in the event institutions or programs receiving the FAF ITEM 76. Enter the appropriate number of persons (including the student) reported in to obtain additional information or clarification. Item 75 who will be enrolled in a college, university, vocational or technical school, or To assist in the determination of financial need, it Is presumed that those sir** IsAnAnt•mi Maui. •••• r. L.A.. .• ria ■ rine el.e 107411/1 CSS CODE I IST ode list wdl assist you in completing items 81 and 83 of the Financial Aid Form (FAF). A dash (--) to the left ol an institution indicates that it is a campus or branch of a college or st, but not all, institutions and programs listed below use the FAF Institutions are listed university system. ietically within the state in which they are located. If a state has one or more state scholarship If the name of en institution or program you list on the FAF does not appear in the code list, be ms, they are printed at the beginning of the state's listing in bold type. certain to enter its complete name and address, but leave the CSS code number box blank. DO NOT USE ANY CODES IN ITEMS 81 AND 83 OTHER THAN THOSE LISTED HERE.

A 4399 --Los Angeles 4584 Orange Coast College CONNECTICUT 5218 Florida Southern College 5491 North Georgia College 4707 -Northridge 5219 Florida State Univ , Tallahassee Lama A & la University 4394 Otis Art Ins! of Los Angeles Co 0409 Accreditation & Setialarstip 5507 North Georgia Technical & 4082 --Pomona (Polytechnic) 5233 Florida Technological Univ xama Chnsban College 4591 Oxnard College Com. ter Hines Education Vocational School 4671 -Sacramento 4614 Pacific Christian College 5171 Ft Lauderdale College mma State University 3001 Albertus Magnus Corege 5521 Oglethorpe University 4099 -San Bernardino 4612 Pacific Oaks College 5265 Gaines Commercial College 5186 Oxford College versify 3006 Annhurst College 4682 -San Diego 4600 Pacific Union College 5211 Gull Coast Community College Paine College uburri 3121 Briarwood School for Women 5530 4684 -San Francisco 4602 Palomar College 5304 Hillsborough Community College lontgoinery 3104 Bridgeport Hospital 5537 Piedmont College, Demorest 4687 -San lose 4604 Pasadena City 5322 Indian River Community College ningham Southern College College 3898 Central Connecticut State Con 5543 Piedmont Hospital, Atlanta 4038 -San Luis Obispo (Polytec he icl 5327 International Fine Arts College Pepperdine University: 3312 Connecticut Business Inst,tute 5568 Reinhardt College we State Jr Coll 4 723 --Sonoma 5337 Jackson Memorial Hospital iel Payne College 4326 - Los Angeles 3284 Connecticut College 5609 Savannah State College 4713 Stanrslaus 5331 Jacksonville University 4630 Malibu 3966 Eastern Connecticut State Coll 5616 Shorter College site state Juno. College 4802 Caiiforma Western Sch of Law 5377 Lake City Community College 4 619 Bitter College 3390 Fairfield University 5619 South Georgia College lallace State Comm Coll 4109 Canada College 5376 Lake Sumter Community College 4605 Point Loma College 3421 Greater Hartford Comm Coll 5672 South Georgia Vocational & othan 4145 Central Calif. Commercial Coll 5373 Lakeland College of Business 4607 Pomona College 3431 Hartford College for Women Technical School alma 4083 Cerritos college 4608 Portervide College 5427 Manatee Junior College 5626 Southern Technical Institute itingdon College 4027 Cerro Coso Community College 3768 Hartford Slate technical Colt 4655 Reedley College y College Miami Dade Community College 5628 Spelman College • ,soeviile State University 4725 Chabot College 1 446 Housatonic Communit 4663 Rio Hondo College 1544 Manchester Community College 5465 Medical Center 5795 Tilt College arson State Junior College 4046 Chaftey Community College 4658 Riverside City College 5457 - New Wood 5799 ToeCoa Falls College C Calhoun St Comm Coll 4047 Chapman College 3550 Mattatuck Community College 4670 Sacramento City College 3551 Middlesex Community College 5160 - North 5798 Truett McConnell College son Slate Community College 4150 Christian Heritage College 4747 Saddleback Community Coll. 5458 - South 5813 University of Georgia, Athens ngslon University 3556 Middlesex Memorial Hospital a051 Citrus College 46 7 5 Saint Mary's Coll. of California 5506 New Coll of the U of So Florida 5855 Valdosta State College is College 4052 City College of San Francisco 3528 Mitchell College 4750 Samuel Merritt Hospital 3558 Mohegan Community College 5503 North Horde Junior College 5889 Waycross Junior College wow College 1 4053 Claremont Graduate School 4679 San Bernardino Valley College 5514 Nova University 5895 Wesleyan College abed University 3652 Northwestern Conn Comm Coll 1 4054 Claremont Men's College 4681 San Diego City College 5553 Palm Beach Atlantic College 5900 West Genrea College then Benedictine College 4057 Cogswell College 3678 Norwalk Community College 4669 San Diego Evening College 3699 Peer School or Art 5531 Palm Beach Jueim College 5990 being Ho s College ing HIP College 4118 College of Alameda 4735 San Diego Mesa College keen College 3698 Post College Pasco Hernando Commumty College 4117 College of the Canyons 4036 San Francisco Art Institute 5578 Brooksville adega College 4085 College of the Desert 3712 Quinnimac College HAWAII 4744 San Francisco Consery of Music 3780 Sacred Heart University 5562 Dade City State University, Troy 4061 College of Mann 4106 Brigham Young University 4706 San Joaquin Delta College 3781 Sarni Francis Hospital 5559 --New Port Richey kegee Institute 4063 College of Notre Dame 4 3.1, 4 Cannon s International 4686 San Jose City College 3754 Saint Joseph College 5535 Pensacola Junior College If Alabama 4100 College of the Redwoods 4689 Santa An College Business College ❑ 3798 Saint Mary's Hospital 5572 Rollins College mingham 4070 College of San Mateo 4690 Santa Barbara City College 5641 Saint Johns River Junior College 4105 Cheo-nade Univ of Honolulu chool of Dentistry 4071 College of the Sequoias 3789 Saint Vincent's Medical Cfr 4351 Hawaii Lou College 4691 Santa Monica College 3792 South Central Community Coll 5638 Saint Leo College chool of Medicine 1 4087 College of the Siskiyous 4692 Santa Rosa Junior College 4 , 52 Hawaii Pacific College (tool of Optometry 1 1108 Columbia Junior College 3662 Southern Connecticut St Coil Saint Petersburg Junior College 4693 Scripps College 3654 Thames Valley State Tech Coil 5658 Clearwater University of luntsville ' 4078 Compton Community College 4894 4714 Sequoia Institute 3899 Trinity College 5606 St Petersburg Hawau Community College Iniversity 4943 Contra Costa College 4869 4696 Shasta College 3897 Links Community College 5653 Santa Fe Community College --Hilo College versify of Montevallo 1 4101 Cuesta College 4350 469 7 Sierra College 3914 University of Bridgeport 5662 Seminole Community College Honolulu Community Coll versify of North Alabama 4104 Cypress Wier 4377 4698 Simpson College 3915 University ol Connecticut 5621 South-Easlern Bible College Kamolan, Community Coll versify of Soutr eiatama 4286 De Anza College 4378 4753 Skadron College of Business 3938 School of Dental Medicine 5630 Stetson UnlversIty - Kauai Community Coll. 4295 Diablo Valley College 4410 4746 Skyline College 3934 -- School of Medicine 5794 Tallahassee Community College Leeward Community Coll 4284 Dominican Coll of San Rafael 4867 4930 Solana Community College 3436 University of Hartford 5 791 Tampa Technical Institute At Manna 4279 Don Bosco Technical Institute 4701 Southern California College 4510 Mai, Community Coll. adon Jackson College 4296 East Los Angeles College 3663 University of New Haven 5841 United Electronics Institute • Southland College of Medical & Dental 4976 -Windward Community Coll. of Alaska 4302 El Camino College 3978 Waterbury State Technical Coll 5812 Univ of Florida, Gainesville Assistants University of Miami knchorage 4273 Evergreen Valley College 3959 Wesleyan University 5815 4766 Downey 3350 Western Connecticut Stale Co' 5802 School of Medicine IDAHO Iairbaeks FashUristitute of Design 4'6 Los Angeles 3987 Yale University. 5490 University of North Florida Juneau 14457 Los Angeles 0137 kW* State Boyd it 4726 Southwestern College 3993 School of Epidemiology & 5828 University of South Florida Educated' 1 4461 - San Francisco 4703 Southwestern Univ School of Law Public Health 5819 University of Tampa 4018 Boise State University 4460 Sherman Oaks 4704 Stanford University A 5833 University of West Florida 4060 College of Idaho . 4315 Foothill College 4820 Tatt College tiona State University. Tempe 5869 Valencia Community College 4355 Idaho State Univ , Pocatello 4311 Fresno City College 4901 United Health Careers Institute DELAWARE reti, litute ul Technology 4385 Lewis Clark Stale College 4616 Fresno Pacific College 4039 United States Internatl Univ 5081 Brandywine College Arizona University 4314 Fullerton College 4539 North Idaho College Zf university of California 5153 Delaware State College eftersity at Amara. Tucson 4678 Gavilan College GEORGIA 4544 Northwest Nazarene College 4833 Berkeley, Undergraduate Div Delaware Technical & Community Coll 4327 Glendale Ccenmunity College 0472 4657 Ricks College 4908 -Berkeley, Graduate Division 5201 Dover Georgia Mistier Education Maidens 4129 Golden Gate University 4843 University of Idaho, Moscow 4834 - Davis 5169 --Georgetown Admits SAS 4339 Golden West College 4902 School of Law, Davis 5001 Abraham Baldwin Agri Coll wan College of Commerce 4336 Graduate Theological Union 5204 -- Newark 4886 - School of Medicine, 5002 Agnes Scott College ILLINOIS atiareasE34181st College 4334 Grossrront College Davis 5154 --Wilmington 4859 Irvine 5255 Goldey Beacom College 5026 Albany Junior College 1025 Augustana College Mod State University 4340 Mennen College 4884 5004 Albany State College 1027 Aurora College EngdoCcilelle 4.141 Harvey Mudd College -School of Medicine, Irvine 5811 University of Delaware 4837 -Los Angeles 5894 Wesley College 5009 Andrew College 1052 Beret College it College 4342 Hastings College of Law 5012 Armstrong State College Smi Collegeollege 4879 -Sch of Medicine, Los Angeles 1057 Belleville Area College Institute Healers Business College. 4839 -Riverside 5429 Art Institute of Atlanta 1483 Black Hawk College. Moline Electronics DISTRICT OF COLUMBIA 5030 4452 -Hayward 4836 - San Diego Atlanta Area Technical School 1065 Blackburn College IlitanSas; 4451 --Oakland 4840 --San Francisco 5007 American University 5029 Atlanta Christian College 1070 Bradley University tteville 5014 Atlanta College of Art Faye 4453 - -Sacramento 4835 -Santa Barbara 5104 Catholic University of America 1082 Central YMCA Comm. Coll. Reek 4458 --San Francisco 5705 Corcoran School of Art 5041 Atlanta College of Medical and 980 Chicago College of Commerce to 4860 -Santa Cruz 4459 -San Jose 4381 University of La Verne 5240 Gallaudet College Dental Assistants 113 Chicago College of Blatt 4059 Holy Names College 4065 University of the Pacific 5246 George Washington University 5725 Mania Junior College Osteopathic Medicine ol Central Arkansas 5015 Atlanta University 4357 Immaculate Heart College 4892 --School of Dentistry 5280 -School of Medicine 115 Chicago-Kent College of Law 5336 4358 Imperial Valley College 4848 University of Redlands 5244 Georgetown University Augusta College 118 Chicago State University 4361 Indian Valley College 4848 - Johnston College 5297 Howard University 5062 Bainbridge Junior College 083 College of DuDage 4406 Laney College 4849 University of San Diego 5422 Mount Vernon College 5070 Bauder Fashion College 983 College of Lake County 5059 Berry College 4383 Lassen Community College 4891 -School of Law 5622 Southeastern University 130 College of Saint Francs 011M•Calberal 5643 Branell Waiver's College 4386 Lincoln University 4850 University of San Francisco 5632 Strayer College 135 Columbia College geneleommit grail Lorna Linda University. 4851 University of Santa Clara 5796 Trinity College 5066 Brenau College 140 Concordia Teacher's College iegmlehi 4062 -Loma Linda 4852 Univ of Southern California University of District of Columbia 5068 Brewton-Parker College 157 Cook County Hospital College 4380 - Riverside 4893 --School of Dentistry 5155 Harvard-Georgia 5078 Brunswick Junior College 155 DP Paul Untversity College 4418 -School of Medicine 4882 -School of Medicine 5209 Mt Vernon 5110 Clark College 199 Eastern Nil/lois University fib Institute 4683 Lone Mountain College 4899 University Without Walls 5929 Van Ness 5145 Clayton Junior College 203 Elgin Community College 114110)11er 4388 Long Beach City College 4931 Ventura College 5007 Washington College of Law 5123 Columbus College 204 Elmhurst Csiiege 5167 Dalton Junior College College 4411 Los Angeles Baptist College 4932 Victor Valley College 206 Eureka College 439 1 Los Angeles City College West Hills C.ollege FLORIDA De Kalb Community College 248 George 'Williams College of Design 4405 Los Angeles County Medical Cir. 4964 West Los Angeles College 5165 Clarkston 263 Governors State University 5040 Art Institute of Fort Lauderdale College 4395 Los Angeles Harbor College 4958 West Valley College 5694 Community Campus 756 Greenville College Sege 4404 Los Angeles Mission College 5053 Barry College 5711 - Decatur 707 limps Benedictine College Western State University: 5712 Bauder Fashion College 4398 Los Angeles Pierce College 4969 Fullerton 5157 Draughons Business College 315 Ilinces College 5061 Bethune-Cookman College 5184 Emmanuel College COMP 4409 Los Angeles Southwest College 4973 -San Diego 316 Ilinces Coln ol Pediatric Med 5076 Biscayne College 5200 Emmanuel County Junior College 4400 Los Angeles Trade Tech Coll 4950 Westmont College 318 nois Institute of Technology 5703 Biscayne Paramedical Institute 5187 Emory University lb% Beech 4401 Los Angeles Valley College 4952 Whittier College 320 Minos Wesleyan University 5045 award Community College 5197 - School of Medicine achy 4396 Los Medaoos College 4028 -Beverly School of Law ;346 olet Juror College Reporting Broward Community College 5237 Floyd Junior College 4403 Loyola Maryrnount University 4955 Woodbury University 1351 udson College 5074 5220 4391 Loyola University Law School 4994 Yuba College Fort Lauderdale Fort Valley State College 1766 Kendall College 4414 Lyles Colleges of Beauty 5135 Pompano Beach 5273 Gainesville Junior College 1910 Kennedy King College Ogler 4515 Marymount Palos Verdes College 5116 Business Unnersity of Tampa 5247 Georgia Baptist Hospital 1372 Knox College 5252 Georgia Cofer glAltsi Crafts 4517 Mendocino Colin. COLORADO Charren Williams College 1392 Lake Forest College 4483 Menlo College 5 7 20 - Fort Lauderdale 5248 Georgia Institute of Technology 1404 Lewis University GI the Arts 4500 Merced Coney 4001 Adams State College 5717 - Miami 5249 Georgia Military College 1405 Lincoln Christian College Technology 4523 Merit Coll of Court Reporting 4072 Colorado College 5718 Paramedical 5253 Georgia Southern College 1406 Lincoln College College 4502 Merritt College 4073 Colorado School of Mines 5719 - Winter Park 5250 Georgia Southwestern College 1089 Loop College Auden') 4485 Mills College 4075 Colorado State University 5106 Chrpola Junior College 5251 Georgia Slate Limy . Atlanta 1412 Loyola University of Chicago Pkrh 44136 Modesto Junior College 4076 Colorado Women's College 5437 College of Boca Raton 5256 Gordon Junior College 1755 Niles College 4507 Monterey Inst of Foreign Studies 4310 Fort Lewis College 5159 Daytona Beach Community Coll 5263 Grady Memorial Hospital 1426 School of Dentistry 4490 Monterey Peninsula College 4390 Loretto Heights College 5223 Eckerd College 5300 Hall School of Nursing 1420 Stritch Scholl of Medicine 4512 Moorpark College 4656 Regis College 5191 Edison Community College 5359 Kennesaw College 1520 MecCormac Junior College Mont Saint Mary's College 4668 Ron Bailie Sch of Broadcasting 5190 Embry-Riddle Aeronaut tcal U 5362 LaGrange College 1435 Mac Murray College &Cdleges 4520 -Doheny University of Colorado - 5235 liege-, College 5439 Macon Junior College 1144 Malcolm College 4493 -Los Angeles 4841 -Boulder 5215 Florida A & M University 5406 Medical College of Georgia 1456 Mc Kendree College 4494 Mount San Antonio College 4874 -. Colorado Springs 5229 Florida Atlantic University Mercer University 3232 Michael Reese Hospital 4551 Nairobi College 4875 Denver 5216 Florida College 5025 Atlanta Medical Center 4557 National University 4877 --Medical Center 5080 Florida Institute of technology 5409 Macon 1470 Univers i ty 4555 New College of California 4842 University of Denver 5206 Florida International University 5623 Southern School of Pharmacy 1484 Monmouth College 4549 Nortlyop University 4074 University of Northern Colorado 5232 Florida Junior Coll Jacksonville 5411 Middle Georgia College 1486 Moody Bible lmt,lsilg tonal College of Education 6047 Buena Vista College 368 Kentucky State University 5230 Fiedeock Community College 3488 Lawrence Memorial Hospital 1421 Lake Superior State College 724 Chicago (Urban Campusl 6087 Central College 369 Kentucky Wesleyan College 5402 FrostCurg Slate College 3483 Lesley College 3127 Lansing Business University 51 Evanston 6099 Clarke College 402 Lees Junior College 5279 Garrett Community College 3540 Malden Hospital 1414 Lansing Community College '55 r Niles College el Loyola Univ 6100 Clinton Community College 474 Lexington Technical Institute 5257 Goucher College 3294 Massachusetts Bay Comm Con 1399 Lawrence Ins! of Technology 755 North Central College 6101 Coe College 409 Lindsey Wilson College 3227 Hagerstown b u siness College 3516 Massachusetts College ot Art 1425 Lewis Busness College iiCl' North Park College 6162 Coll of Osteopathic Med 8 Surg 419 Louisville School of Art 5290 Hagerstown Junior College 3512 Massachusetts Coll of Pharm. Macomb County Community College CFO Northeastern Illinois University 6119 Cornell College 544 Madisonville Community Coil 5303 Hayford Community College 3513 Massachusetts General Hospital 1521 - Mount Clemens 59 Northern Illinois University Des Moines Area Community College 3 610 Mayo State Voc Tech School 5296 Hood College 3514 Massachusetts Inst of Tech 1722 -Warren College ulnwestern University 6177 - Ankeny 1 545 Maysville Community Collie 5308 Howard Community College 3515 Massachusetts Maritime Acad A3 Continuing and Returning 6044 -Boone 467 Midway College Johns Hopkins Universche 3549 Massasoit Community College 1452 Marygrove College Students 6174 Divine Word College 487 Morehead State University 5312 Arts and Soiree, s 3541 Memorial Hospital 4193 Mercy Central Sch of Nursing, Evening Division 6171 Doidt College 494 Murray State University 5 154 Evening Cootie 3525 Merrimack College Grand Rapids 4 t Medical School 6168 Drake University 574 Northern Kentucky University 5346 Medical School 1554 Middlesex Community College 1460 Mercy College of Detroit 65 New Students 6193 Ellsworth Community College 574 -Chase Law School 5532 Peabody Institute 3529 Mount Holyoke College 3126 Mercy Sch of Nursing, Detroit 94 Physical Therapy 6249 Graceland College 620 Paducah Community College SO' of Adv Intern1 Studies 3530 Mount Ida Junior College 1516 Michigan Christian Junior Coll. '3 CAW Community College 6251 Grand View College 625 Pikeville College 5353 School ol Health Services 3545 Mount Wachusett Comm Con 1465 Michigan State University '14 Olive Harvey College 6252 Grinnell College 1650 Prestonsburg Community Coll 5352 Sch of Hygiene & Pub Health 3676 New England Baptist Hospital 1464 Michigan Technological Univ. 96 Oliver Nazarene College 6289 Hamilton Business College 1690 Saint Catharine College 5370 Loyola College 3659 New England Corners ol Music 1523 Mid-Michigan Community Coll. 19 Parkiana College 6288 Hawkeye Inst of Technology 1779 Somerset Community College 6309 Maryland Inst College of Art 3611 New England Deaconess Hosp 1514 Monroe County Cornm Coll. 21 Parks Coll of Saint Louis Um Indian Hills Community College 3613 Somerset State Voc Tech Sch Montgomery Community College 3645 New England Sch of Art & Design 1522 Montcalm Community College Prairie Sr, to College 6083 --Centerville 1770 Southeast Community College 5393 Germantown 3639 Newbury Junior College 152 7 Muskegon Business College 10 Poncipla r si lege 6312 -Ottumwa 1552 Spalding College 5440 his Irvine 3672 Newton Wellesley Hospital 1495 Muskegon Community College 45 Quincy College Iowa Central Community College 3249 Spencerian College 5414 Tak,scla Pak 3666 Nichols College 1554 Nazareth Coll at Kalamazoo 1741 Sue Bennett College /4 Rock Valley College 6185 -Eagle Grove 5416 Morgan State University 3521 North Adams State College 1569 North Central Michigan Coll. , ol Business Rockford Business College 6217 -Fort Dodge 3250 Sullivan Jr Col 54:1 Mount Saint Mary s College 3651 North Shore Community College 1 560 Northern Michigan University o5 Rockford College 6932 -Webster City 1876 Thomas More College 5545 Prince Georges Community Coll 3641 Northeast inst of Indust Tech 1564 Northwestern Michigan Coll. 66 Roosevelt University 1808 Transylvania University 3661 Northeastern University Iowa Lakes Community College 5598 Saint John's College 1568 Northwood Institute C7 Rosary College 1825 Union College 3674 Northern Essex Community Coll 6195 --Emmetsburg 5601 Saint Mary's Coll of Maryland 1607 Oakland Community College 2 Rush University Coll of Nursing 4171 United Electronics Institute 3697 Peter Pent Brigham Hospital 6196 Estherville 5602 Saint Mary's Seminary & Univ 1497 Oakland University i. I Sarni Mary ol Nazareth Hospital 1837 University of Kentucky 3689 Pine Manor Junior College 6301 Iowa Methodist Hospital 5403 Salisbury State College 1595 O 09 'idiot Xavier College 1888 College of Dentistry 3715 Quincy City Hospital 6306 Iowa State University, Ames 5404 Towson State University 185 Parsons Business School i Sr Soo! Art Ins( of Chicago 1968 School of Medicine 3713 Quincy lunior College 6308 Iowa Wesleyan College 5810 University pl Haiti inure 3868 Pontiac Business institute 'snow Gorge 1818 University of Louisville 3714 Omnsigamond Community Coll Iowa Western Community College University of Marylana RITS Electronic Schools Linen , Illinois University 196 , School ol Medicine 3723 Rego College 6098 . Clarinda Haitimore City Can'pus 3219 • Detroit t Ga, 00ndale 1929 Warterson College 3140 Roxbury Community College 6302 -Council Bluffs 5755 Dentistry 1658 Wyoming t-a Edwardsville 3614 West Kentucky St hoc Tech 3773 Saint Elizabeth's Hospital 6313 Jenny Edmondson Memorial 5848 Graduate School 3238 Saginaw Business Institute 81 Medical School Sch 3295 Saint Johns Seminary College Hospital 5757 law 1766 Saginaw Valley State College 49 Stale Community College 1901 Western Kentucky University 3775 Saint Vincent Hospital 6027 Kirkwood Communny College 5151 -Medicine 1628 Saint Clair CountyComm Coll. 736 Thornton Community College 5759 - Nursing 3776 Salem Hospital 1753 Saint Mary's College 3 T,In 6370 Loras College , t) Christian College LOUISIANA 5 7 60 Pharmacy 3522 Salem State College 1764 Schoolcratl College 13 Trinity College 6375 Luther College 3764 Salter Secretarial School 449' Maharishi International Univ 5:61 Undergraduate Programs 1789 Shaw College at Detroit 2 t 1 riton College 0389 Louisiana Stale Shekel Imitative 3794 Sch of the Museum of Fine Arts 6394 Marshalltown Community Coll 5835 Baltmore County 1719 Siena Heights College i2 University of Chicago greet Program 3779 Sch of Worcester Art Museum 6397 Marycrest College 6082 Centenary College of Louisiana 5814 - College Park 1 783 Southwestern Michigan Coll • iversity of Illinois: 3761 Simmons College 1132 Spring Arbor College 6415 Morningside College 6154 D Jays School of Beauty 5400 Eastern Shire .51 Chicago Circle 3795 Simons Rock 6417 Mount Mercy College 6164 Dillard University 5804 University Coliege 1 7 43 Suomi College Gt3 Medical Center 5856 Villa Julie College 3762 Smith College 1/96 Thomas M Cooley Sch of Law 6418 Mount Saint Clare College 6250 Grambling State University 3799 Somerville Hospital 16 Sabana 6422 Muscatine Community College 5884 Washington Bible College 1835 University of Detroit Louisan State University 3186 Southeastern Mass Univ 55 Wesley Passavant Sch of Nursing 6400 North Iowa Area Comm Coll 5888 Washington College University of Michigan 6373 -Baton Rouge 3763 Springfield College 30 Western Illinois University 5898 Wesiera Maryland Corage 1839 Arm Arbor Northeast Iowa Area Voc Tech School 6385 Medical Center, New Orleans 3791 Springfield Tech Comm Coil 05 Wheaton College 1961 --Dearoorn 6751 --North (Calmar) 6372 Louisiana Tech University 3770 Stonehill College 25 Wilbur Wright College 1853 -Flint 6754 --South (Dubuque 6374 Loyola University MASSACHUSETTS 3771 Suffolk University 17 William Rainey Harper College 1894 Walsh College of Accounting 6504 Northwest Iowa Voc School 64 7 1 Newcomb Coll of Tulane Univ 0558 Massachusetts Stale Scholarship 3803 Swain School of Design &Busines.s Administration 6490 Northwestern College 6482 Northeast Louisiana University Programs 3812 Sylvania Technical School 1935 Washtenaa Community Coll. DIANA 6548 Ottumwa Heights College 6689 Saint Joseph Seminary College 3002 American International College Tufts University 193 , Wayne County Community Coll. 64 State SWAM assistance 6593 Palmer Conege of Chiropractic 6633 Saint Mary's Dominican College 3003 Amherst College 3896 - Medical School 1898 Wayne State University Cairrelisirie rd Indiana 6617 Saint Ambrose College 3005 Anna Maria College Southern University 3901 - Tufts-Jackson Colleges 1949 -Social of Medicine IS Anderson College 6746 St Joseph Mercy Hospital, Sioux 6663 -Baton Rouge Aquinas Junior College 3911 University of Lowell 1941 West Snore 51 Bali State University City CommUnIty 6 7 11 -New Orleans 3011 Mateo University of Massachusetts. 1902 Western Michigan. University 7 9 Bethel College 6723 St. Lukes Medical Center 6832 Tulane University 3917 Amherst 7 3 Buller University 6727 St Lakes Methodist Hospital 6379 University ol New Orleans 3013 ArtNien'Voinstitute Boston 3924 -Boston '6 Calumet College 6712 Scott Community College 66 7 2 Limy of Southweatern Louisiana 3009 Assumption College MINNESOTA 6650 Simpson Caller 3936 - Medical School 7 2 Clark College 6975 Xavier University of Louisiana 3010 Atiarti, Un io College 3 7 69 - Stockbridge School of Agr 6014 Augsburg College 42 Deaconess Hospital 6706 Sioux Empire College 3075 Babson College 3957 Wellesley College 6616 Bernidi, State University 66 DePauw University Southeastern Commurity College 3078 Ba y Patn Jun or College 3958 Wentworth Inst of Technology 6038 Bethel College 95 Fartnam College 6340 --Keokuk MAINE 3120 Bay State Jr Con of Business 3962 Western New England College 6081 Carleton College Fort Wayne Bible College 6048 -West Burlington 0514 Maine MGM*, Schelarte in 3'8 7 Baystate Medical Center 3523 Westfield State College 6104 College of Saint Benedict 21 iranknr College of Indiana 6122 Southwestern Community Coil Private Becker Junior College 3963 Wheaton College 6105 College of Saint Catherine • 1 Goshen College 1015 Andover Institute 6748 Spencer School of business 3482 Leicester 3964 Wheelock College 6107 College of Saint Scholastica 52 Stale Tbeeioeical Seminary 6869 University of Dubuque 3930 Bangor Community College 30 7 9 Worcester 3965 Williams College 6108 College of Saint Teresa and Grace College 6681 University of Iowa, Iowa City 3014 Bangor Theological Semi nary 1096 Bentley College 3972 Worcester Ctly Hospital 6110 College of Saint Thomas od Ha 'over college 6909 --College of Medicine 30 7 6 Bates College 310' Berklee College of Music 3979 Worcester Hahnemann Hospital 6113 Concordia College, Moorhead HemJn School ol Art 6307 University of Nortnern Iowa 3114 Beal College 3195 Berkshire 1..17 1 sitar College 3968 Worcester Junior College 6114 Concordia College, SI. Paul 09 He y Cross Junior College 6885 Upper Iowa University 3089 Bowdom College 3102 Berkshire Community College 3969 Worcester Polytechnic Institute 6253 Gustavus Adolphus College 04 Hostingtor College 6094 Vennard College 3700 Casco Bay College 3115 Blue Hills Regional Tech Inst 3524 Worcester State College 6265 HarnlIne University 21 Indiana Central University 69211 Waldorf College 3302 Central Maine General Hospital 3100 Boston City Hospital 6371 Luther Theological Seminary 3 onanainsfitute of Technology 6926 Wartburg College 3309 Central Marne hoc Tech Ins' 3083 Boston College Chei tout Hill 6390 Mataiester Colkage MICHIGAN 1,3rld UllVerSIty 6950 Western Iowa Tech Comm Coll 3280 Colby College 3084 Boston Conservatory CI Music 6677 Mankato State University "assvine 6936 Westmar College 3305 College of the Atlantic 3086 Boston State College Poston 0428 Stole el Michigan 6462 Medical Institute of Minnesota 22 Terre Haute 6943 William Penn College 33:2 Eastern Maine Voc Tech Inst 3087 Boston Unive ,sity Scholarship/ Want Program 6411 Minneapolis C. of Art & Design liana 5 ,',YerS:t ■ 3440 Husson College 7 100 College& t ngineering 1001 Adrian College 6678 Moorhead State University :4 Bloomington 3415 Kennebec Valley Voc Tech Inst 3118 Graduale School ol Arts 1007 Albion College 6489 Northwestern College 38 Garr KANSAS 3505 Maine Maritime Academy & Sciences 1010 Alma College 6516 Northwestern College 3552 Mercy Hospital, Portland Kokomo 6031 Baker Universny '094 Graduate Sch of Nursing 1011 Alpena Community College of Chiropractic 14 New Albany 3655 Nasson College 3088 Sargent Co lege 1030 Andrews University 6491 Northwestern Lutheran 6056 Benedictine College 3631 Northern Maine Voc Tech Inst 94 Richmond 6034 Bethany College 3 116 --School of Medicine 1018 Aquinas College Theological Seminary 29 South Bend 3701 Portland School of Art 3101 Schoo, of Social Work 237 Baker Business University 6610 Rochester Community College 6037 Bethel College 3727 Ricker College Iowa Purdue Universities. 3122 School of Theoior 1049 Bay de Noc Community College 6679 Saint Cloud Stale University 6335 Emporia State University 3751 Saint Francis College 3b - Fort Wayne 3091 Bradford anlege 1074 Blodgett Memorial Hospital 6624 Saint John's University 6218 Fort Hays State University 3755 Saint Joseph's College 25 Indianapolis 3092 Brandeis ilinyemny 1044 Butterworth Hospital 6632 Saint Mary's College 6274 Hesston College 3802 Saint Mary's General Hospital 35 School ol Medicine 3517 Bridgewater ; tate Ccilege 1095 Calvin College 6638 Saint Olaf College 6334 Kansas State Univ Manhattan 3535 Southern Maine Ore Teo Ins! 1 I indiana taxational Technical 1110 Bristol Community College 1035 Center for Creative Studies 6639 Saint Paul Bible College 6337 Kansas Wesleyan 3903 Thomas College College All Campuses 6404 McPherson Culler 3112 Brockton Hos,i tal 1106 Central Michigan University 6 1 03 Southwest State University 7925 Unity College 1 2 25 Charles Stewart Mott Comm C act intersational Jr Coll of Bus 643 7 Mid. America Nazarene College 1123 9, [Ike, Hsi Cyrrimonity LoFege University of Minnesota University of Maine 18 Lockyear College 6541 Ottawa University ,.098 Burbank Innsolta , 1123 Cleary College 158 7 3 -"Duluth Augusta 1094 Concordia College 40 Manchester College 6336 Pittsburg State University 3929 3099 Burdett Scs'vo 6614 --Minneapolis 3506 --Farmington 1156 Cianbrouk Academy of Art Maiian Cralege Indianapolis 6630 Saint Mary College 3289 Cape Cod Cceoriu y College 6890 Morris 3393 - Fat Kent 4e Marion College Marion 6684 Sterling College 3308 Cenbal New I ngland Colleges 1183 Davenport College of Business 6393 - Technical Coll , Crookston :27' 1816 70 Northwood institute 6815 Tabor College 3956 -Mathias Charnoenarrs Juno, College Della Coleae • 749 -Technical College, Waseca 1916 -Orono 4 2 7 9 Clark linirres Ill Detroit College Business land ^h Caine University ol Kansas. e o680 Winona State University 3691 - Portland-Gorham 32412 Cd 'age the Hu ' Cross 8 r .ta. Deming Dly 6871 - Lawrence 1181 Llea, bors 3008 -Presque Isle 3283 Con of Our lady 01 the Finis 1190 F fist 15 Park sea Memorial Hose La , 6895 --Medical Center 3461 Washington Co Voc Tee Inst 1295 Curry College 1168 Detroit College of Law MISSISSIPPI toe on versa. 6928 Washburn University 3960 Westbrook College 4352 Lean know :oiiege 1188 Detroit Engineering Institute 38 Hammond 6884 Wichita State University 1008 Alcorn State University A ,eilayette 3371 last Coast .er.o Tech 5 thool 1177 Detroit Institute of Commerce 1055 Belhaven College A est,ite MARYLAND 3365 F Nazarene Colleg- 1170 Detroit instaute of Technology 1122 Clarke College 336; Emerson ColIrge 1201 Eastern Michigan University 1126 (canon ' Junior College O-8 Pose Holman Inst of Technology 0298 KENTUCKY Maryland Awe Scholarship 3368 Emmanuel College 1222 Ferris State College 1142 Copiah-Lincoln Junior College Sa r E lizatieth Hospital Program 1098 Alice Lloyd College 3369 Endicott College 1246 General Motors institute 1163 Delta State University • Sant FrW.. S College 5028 Allegany Community College 1019 Aybury College 33'5 Essex Ago & Tech Institute 1261 Glen Oaks Community College 1296 HindsJunior College Saint Juseph s College 5019 Anne Arundel Community Con Marvot the W 1023 Ashland Community College 3391 Fisher Junior G liege 1250 Garble Community College 1341 Jackson State University Antioch College • Mary s College 1056 Beliarmine College 3518 Fitchburg State College 1260 Grace Hospital 1347 }ones County Junior College 5032 -Baltimore s "se u M•i• had Coilege 1060 Berea College 3392 Forsyth Soh for Dent Hygienists 1253 Grano Rapids Baptist College 1450 Mary Holmes Junior College 5740 -Homestead Montebello I aria Unwersity 3223 Bowling Green Business College ;519 Framing.- 3111 State Co. i.ege 1254 Grano Rapids Junior College 1471 Minsaps College 5739 -Columbia T , State Uri yeryiry 071 Brescia College 339 7 Framingham Union Hospital 1258 Grand Valley State College 1477 Mississippi College 5401 Bowie State College 08 s Evansville 09 7 Campbellsville College 3394 Franklin Institute of Boston 3252 Hawkey Hospital 1478 Mississippi Industrial College 5884 Capitol Seminary 41 University of Notre Dame 1109 Centre College of Kentucky 3417 Gordon College 1293 Henry Fad Community College 1480 Mississippi State University 5137 Catonsville Community College ka , paraiso Urcversity 1145 Cumberland College 3300 Grahm Junto College 1294 Highland Park Community Cop 1481 Mississippi Univ for Women 4199 5144 Charles County Commonly Coll. .•,annes Universit, Draughons Business College 3420 Greenfield Community College 1295 Hillsdale College 1482 Mississippi Valley State UAW. 5143 Chesapeake College. inuoash College 1200 Eastern Kentucky University 3441 Hampshire College 1301 Hope College 1562 Northwest Mississippi Jr, Cog. 1211 Elizabethtown Community Coll 5114 Coll of Notre Dame of Maryland 3434 Harvard Radcliffe 1 340 Jackson Community College 1669 Rust College 5890 Columbia Union College WA 1249 Georgetown College 3449 Hellenic College 1601 John Wesley College at Owosso 1807 Tougaloo College 12'5 Hazard Community Col legs Community College of Baltimore 3630 Holl.ston lumor College 1952 Jordan College University ol Mississippi o roes Cohere Aid j 3607 Hazard State kV Tech School 5131 Harbor 3437 Holyoke Community College 1365 Kalamazoo College 1840 - University CONIMIUNS 5051 11307 Henderson Community. College - Liberty s4 7 3 Katharine Gifts School 1318 Kalamazoo Valley Comm Coll Medical Center Alien Memorial Hospital , 12 7 4 Hook insville Com:name/ Caaikapi 5122 Copptn Stale College 3696 Kenyon & Campbell Bus School 1375 Kellogg Community College 1857 -Graduate =" 7 7'f: 14M "'"q'lss Jefferson corertilauta College 5178 Oundaa( Community Colinge 129: talseure Junior Collette 1382 Kialaruirnmernr,..— 100d tined of Southern Mississippi, New Hampshire Voc Tech. College 2015 Albany Medical Center 2593 School of Soc ial Work NORTH CAROLINA 1162 Defiance College Hattiesburg 3646 --Berlin 2005 Alfred University 2594 - School of the Arts 1164 Denison University 0742 Node Carolina %dont Utica Junior Coheir 3684 -Claremont 2603 American Acad. of Dramatic Arts 2595 Gallatin Division 1178 Dyke College Incentive Greets (College Wieiam Carey College 3683 --Laconia 2016 Arnot-Ogden Memorial Hospital Graduate Students only 1599 Edgecldf College Fouodatioo let 3660 Manchester 2035 Bank Street Coll of Education 2596 Arts & Sciences 3253 E iectionic Technology Institute 5010 Appalachian State University DURI 3643 -Nashua 2037 Bard College 2597 -Dentistry (DDSI 1223 Findlay College 3661 -Portsmouth 2038 Barnard College 2598 - Dentistry (other) 5016 Atlantic Christian College 1229 Franklin University Avila College 3670 Notre Dame College 2064 Berkeley School 2569 -Gallatin Division 5052 Barber Scotia College 1259 Good Samaritan Hospital Central Bible College 3690 Plymouth State College 2031 Beth Israel Medical Center 2507 Public Administration 5055 Belmont Abbey College 1244 Grant Hospital Central Methodist College 3728 River C,ollege 2901 Boricia College 2582 -School of Business Admm 5058 Bennett College 1292 Heidelberg College Central Missouri State Univ. 3748 Saint Anselm's College 2048 Broome Community College 2556 - School ol Educ , Health. 5043 Blue Ridge Technical Inst 1297 Hiram College Columbia College 3918 University of New Hampshire: 2058 Bryant and Stratton Bus. Ins). Nursing & Arts Prof 5067 Brevard College 1822 Hocking Technical College Concordia Seminary 3912 -Merrimack Valley 2060 Buffalo General Hospital 2600 School of Law 5100 Campbell College 1333 Jefferson County Technical Inst. Concordia Seminary in Exile 3977 White Pines College 2073 Canisius College 2599 - School of Law UM 5094 Cape Fear Technical Inst 1342 John Carroll University 5092 Carteret Technical Institute Culver-Stockton College 2075 Cathedral College of the 2581 School of Medicine Kent State University- Drury College Immaculate Conception 2508 - School ol the Arts 5103 Catawba College 5708 Cecils College 1367 - Keel Evangel College NEW JERSEY 2010 Cayuga County Community Coll. 2506 Social Work 1381 - Warren Fontbonne College 5102 Central Piedmont Comm. Colt 2024 Atlantic Community College 2078 Cazenona College 2505 -Special Programs 1370 Kenyon College Harris-Stowe College 5107 Chowan College 2032 Bergen Community College 2601 Central City Business Inst 2568 Niagara County Community Cott 139; Lake Erie College Kansas City Art Institute 5133 College of the Albemarle 2044 Bloomfield College 2084 Clarkson College of Technology 2558 Niagara University :422 Lakeland Community College Lincoln University 5148 Craven Community College 2181 Brcokdale Community College 2135 Chntoe Community College 2571 North Country Community Coll 1241 Lima Technical College Lindenwocd Colleges 2086 Colgate University 2560 Nyack College 5150 Davidson College 2180 Burlington County College 5170 Davidson County (Mewl Coll 1417 Loam County Community Coil. Logan College of Chiropractic 2112 College of Insurance 2623 Olean Business Institute 1439 Malone College Maple Wools Community Coll 2072 Caldwell College 5156 Duke University 2121 Camden County College 2088 College ol Mount Saint Vincent 2627 Onondaga Community College 1444 Marietta College Maryville College 5162 Durham College 2080 Centenary College for Women 2089 College of New Rochelle 2625 Orange County Community Coll 3240 Mercy Hospital, Canton Missouri Inst of Technology 5180 East Carolina University 2090 College of Saint Elizabeth 2091 College of Saint Rose Pace University . 1463 Miami University Missouri School 5629 Elizabeth City State University Ion Doctors 2124 County College of Morris Columbia University- 2276 College of White Plains all campuses) Assistants 5183 Elon College 2118 Cumberland County College 2116 -Columbia College 2635 - New York City 1643 Michael J. Owens Tech. Coll Missouri Valley College 5212 Fayetteville State University 2203 Dewy Technical Institute 2137 --Phys Therapy & Occupational 2685 -PleasantolleiBriarcliff 1502 Mount Carmel Hospital Missouri Western State Coll. 5234 Forsyth Technical Institute 2193 Drew University Therapy 2644 - White Plains Graduate Div 1492 Mount Union College Northeast Missouri State Univ. 5242 Gardner-Webb College 2111 -School of Engineering and 2638 Parsons School of Design 1531 Mount Vernon Nazarene Coll. Northwest Missouri State Univ 3205 Electronic Computer 5260 Greensboro College Programming Institute Applied Science 2640 Paul Smith's Coll of Ads& Sc 1535 Muskingum Area Technical Coil Park College 5261 Guillord College 2239 Elizabeth Gen Hosp. & Dispens. 2095 -School of General Studies 2668 Polytechnic Ins! ol New York. 1496 Musk ingum College Penn Valley Community College 5275 Guilford Technical Institute 2219 Englewood Hospital Association 2142 --School of Nursing Brooklyn 1575 North Central Technical Cog Research Medical Center 5293 High Point College 2237 Essex County College 2138 Columbia-Greene Comm. Coil. Institute 2669 Pratt 1235 Northwest technical College Rockluirst College 5330 Jefferson College 2134 Community Coll. of Finger Lakes 2574 Phoenix School of Design 3260 Northwestern Business College Saint Louis College of Pharmacy Fairleigh Dickinson University: 5333 Johnson C. Smith University 2232 -Edward Williams College 2096 Concordia College 4182 Programming & Systems Inst 1566 Notre Dame College outs Community College 5356 King's College, Raleigh 2262 -Madison Concourse Beauty School: 2776 Rabbinical Seminary of America 5387 Lafayette College 1587 Oberlin College --Florissant Valley 2757 Rensselaer Polytechnic Institute 1131 Ohio Dominican College -.Forest Park 2255 -Rutherford 3158 -Bronx 5364 Lees-McRae College 2249 -School ol Dentistry 3159 --Flushing 3163 Robert Fiance Beauty School 1605 Ohio Institute of Technology -Meramec 5365 Lenoirlihyne College 2097 Cooper Union 2759 Roberts Wesleyan College 1591 Ono Northern University Saint Louis University 2263 -Teaneck 5367 Livingstone College 2119 Cornell Medical Coll. of Nursing 2760 Rochester lust of Technology 1592 Ohio State University -School of Medicine 2253 -Wayne 5369 Louisburg College 2321 Felician College 2098 Cornell University 2767 Rockland Community College 1593 Ohio University Saint Mary's Call of °Tinton 5395 Mars Hill College 2274 2106 Corning Community College 2764 Russell Sage College 1611 Oh. ,0 Valley Hospital Saint Paul's College Georgian Court College 5410 Meredith College 2109 Crouse-Irving Hospital 2793 Saint Bonaventure University 1594 Ohio Wesleyan University Southeast Missouri State Univ 2515 Glassboro State College 5426 Methodist College 2281 Gloucester County College 3301 Culinary Institute of America Saint Elizabeth Hospital 1597 Otterbein College Southwest Missouri State Unw. 5423 Montreal-Anderson College 2304 Holy Name Hospital 2762 Daernen College 2847 Nursing 1348 Pontifical College Josephinum Stephens College 5435 Mount Olive College 2190 Dominican College of Blauvelt Radiology 1663 Rio Grande College Tarkio College 2291 Hudson County Community Coll. 4192 5003 North Carolina A & T State Univ 2516 Jersey City State College 2011 Dowling College 2796 Saint Francis College 1695 Saint Elizabeth Hospital ty of Missouri- 5495 North Carolina Central Univ 2517 Kean College of New Jersey 2198 flute hess Community College 2798 Saint John Fisher College 5512 North Carolina Sch of the Arts 1790 Shawnee St. Gen. & Tech Coll. -Columbia 2386 Luther College 2197 D'Youville College 2894 Saint Johr 's Riverside Hasp 1720 Sinclair Community College - Kansas City 5496 No Carolina St Univ., Raleigh 2444 Mercer County Community Cull. 2224 Eastman School of Music 2 799 Saint John s University 5501 North Carolina Wesleyan College 1794 Southern Ohio C,onege - Rolla 2441 Middlesex County College 2236 Eisenhower College Saint Joseph's College 5533 Peace College 1752 Southern State Comm. Coll - SI Lours 2416 Monmouth College 2231 Elizabeth Seton College 1688 Stark Technical College Washington University 2841 Brentwood 5534 Pembroke State University 2520 Montclair State College 2226 Elmira College 2802 - Brooklyn 5536 Pfeiffer College 1817 Tiffin University Webster College 2427 Mountainside Hospital 2214 Empire State College 2825 Saint Joseph's Hospital Center 555b Pitt Technical Institute 1823 Toledo Hospital Westminster College 2452 Muhlenburg Hospital 1829 University of Akron William Jewell College Erie Community College: 2848 Saint Josephs Hospital, Elmira 5560 Queens College New Jersey Inst. of Technology 2213 --City Campus 2805 Saint Lawrence University 5579 Rice Business College 1833 University of Cincinnati :William Woods College 2 Northeastern Bible College 2228 -North Campus 2807 Saint Thomas Aquinas College 5582 Rockingham Community Coll 1834 University of Dayton 2630 Ocean County College 2211 -South Campus 2834 Saint Vincent's How 112th St 1 5595 Sacred Heart College 1845 University of Toledo ANA 2694 Passaic Co. Community Coll. 2257 Fashion Institute of Technology 2810 Sarah Lawrence College 5214 Saint Andrews Presbyterian Coll 1847 Urbana College 8.11ings Business College 2719 Plaza School 2259 Foedham University 2879 Schenectady Co Comm Coll 5596 Saint Augustine's College 1848 Uouline College .2arrol I College 2672 Princeton University 2248 Friends World College 2835 School of Visual Arts 5607 Salem College 1926 Walsh College College of Great Falls 2884 Ramapo College of New Jersey 2254 Fulton-Montgomery Comm. Coll 2814 Siena College 5612 Shaw University 1897 Washington Technical College pawson College 2758 Rider College 2272 Genesee Community College 2837 Sisters of Charity Hospital 5651 Southeastern Community Coil 1906 Wilberforce University 1909 Wiimington College ::astern Montana College 3207 Roberts Walsh Business School 2286 Hamilton College 2815 Skidmore College 5667 Southwestern Technical lnst 1922 Wittenberg University iathead Valley Community Coll Rutgers-The State University: 2311 Harriman College State University of New Yolk 5656 Surry Community College 1179 Wright State University Dayton treat Falls Commercial Coll. 2092 --Camden College of Arts 2288 Hartwick College 2522 Agr & Tech Col at Alfred Unive sity of North Carolina. 1965 Xavier University 'does Community College & Sciences 3160 Heffley & Browne Secretarial Sch 2523 - Agr & Tech Col at Canton 5013 - Asheville 1975 Youngstown State University vlontana College of Mineral 2737 .-New Brunswick Colleges (Cook. 2302 Helene Fuld School 2524 Agr & Tech Col at Cobleskill 5816 Chapel Hill Science & Technology Douglass, Engineering, 2316 Herkimer County Comm Coll. 2525 Agr & Tech Co at Delhi 5105 Charlotte aontana State Univ Bozeman Livingston. Pharmacy, 2334 Hilbert College 2526 Agr & Tech Col at 5913 Greensboro vorehern Montana College Rutgers/ 2294 Hobart College Farmingdale 5907 Wilmington Llocky Mountain College 2512 -Newark College of Arts end 2295 Hofstra University 2527 Agr & Tech Col at Morrisville 5885 Wake Forest University• OKLAHOMA Sciences and Nursing 2299 Houghton College. Houghton Jniversity of Montana, Missoula 2532 -Center at Albany 5084 Bowman Gray Sch of Meet 6091 Central State University western Montana College 2875 Saint Frances Comm. Health Ctr., 2300 Hudson Valley Community Coii. 2535 Center at Binghamlon 5937 School ot Law Jersey City 2324 Iona College 6361 Langston University 2925 Center at Buffalo-Amherst 5886 Warren Wilson College University 2806 Saint Peter's College 2325 Ithaca College 6541 Oklahoma Baptist ASKA 2925 Health Science Center 5897 Western Carolina University 6543 Oklahoma City University 2811 Seton Hall University 2346 Jamestown Business College 2548 - Center at Stony Brook 5921 Wilkes Community College State College 6546 Oklahoma St. Stillwater .hadrun 2826 -School of Law 2335 Jamestown Community College 2891 -Health Science Center 5908 Wingate College 'Ogiege of Saint Mary 6552 Oral Roberts University 2867 Somerset County College 2345 Jefferson Community College 2537 College at Brockport 5943 Winsalm College .oncordia Teachers College 6559 Oscar Rose Junior College 2819 Stevens Institute of Technology 2339 Jewish Theological Seminary 2533 --College at Buffalo 5909 Winston-Salem State University .reighton University 2889 Stockton State College 2340 liolhard School 6579 Phillips University 11300 Elmwood) 6640 South Oklahoma City Jr Coll School of Medicine 2911 Teterboro Sch of Aeronautics 2343 Junior College of Albany College at Cortland •na College 2538 6749 Spartan School of Aeronautics 2519 Trenton State College 2355 Katharine Gibbs School College at Fredonia mane College 2539 6839 Tulsa Junior College 2921 Union College 2350 Keuka College 2540 College at Geneseo listings Col loge NORTH DAKOTA 6962 United Electronics Institute 2941 Union County Technical Inst. 2352 KingsCollege 2541 College at New Peitz ,eamey State College 2930 Upsala College 2380 Laboratory Inst of Merchandising 0018 North Debate Semler Financial 6879 Linn of Oklahoma. Norman 2866 College at Old Westbury 6883 University of Tulsa Man Technical Comm Coll 2974 Westminster Choir College 2360 Ladycliff College 2542 College at Oneonta Assistoece hero Fort Omaha 2518 William Paterson COI. of N. J. 2366 Le Moyne College 2543 College at Oswego 6474 North Dakota State University Southwest 2377 Long Island College Hospital 2544 - College at Plattsburgh University of North Dakota Aidland Lutheran College Long Island University 2545 -College at Potsdam 6878 Grand Forks kebraska Methodist Hospital NEW MEXICO 2369 - Brooklyn 2878 - College al Purchase 6905 Williston OREGON iebraska Wesleyan University 4220 Albuquerque Tech Voc Sch 2070 -C W. Post Center 2896 - College at Utica,Rome Northeast Nebraska Tech. 0410 Oregoettote WINK*. 4676 College of Santa Fe 2068 - Schwartz Coll. of Pharmacy 2530 -College of Environmental Cosemissiee Community College 2853 -Southampton Science & Forestry Peru State College Eastern New Mexico University 4231 Bassist Institute 4290 -Clovis 2604 -Suffolk 2534 - Downstate Medical Center 4025 Blue Mountain Comm COL .ty of Nebraska 2395 Manhattan College, Riverdale 2536 Maritime College OHIO 4249 - Portales 4244 Bryman School. Portland -Lincoln 1662 -Roswell 2396 Manhattan School of Music 2547 - Upstate Medical Center 1017 Antioch College 4090 Central Oregon Comm. Coll. -Medical Center 4422 Luna Voc Tech School 2397 Mantialtanville COL, Purchase 1652 --Yellow Springs Intl 4745 Cheineketa Community Coll. -Omaha 4532 New Mexico Highlands Univ 2398 Mannes College of Music Suffolk County Community College 1021 Ashland College 4111 Clackamas Community Coll -School of Tech. & Av. 4533 New Mexico Institute of Mining & 2434 Maria College of Albany 28-49 - Brentwood 1029 Athenaeum of Ohio 4089 Clatsop Community College Wayne State College Tech 2435 Maria Regina College 2827 Selden 1050 Baldwin Wallace College 4093 Columbia Christian College 4553 New Mexico Junior College 2400 Marist College 2855 Sullivan County Comm Coil 1072 Belmont Technical College 4079 Concordia College DA 4534 New Mexico Mililary Inst 2406 Maryrnount College, Tarrytown 2823 Syracuse University 1067 Bluffton College 4300 Eastern Oregon State Colter New Mexico State University 2405 Marymount Manhattan Coll,. N 2755 Technical Career Institute 1075 Borrorneo College of Ohio 4325 George Fox College -illy of Nevada: 40t2 -Alamogordo 2436 Mater Del College 2913 Tobe-Coburn Sch for Fashion 1099 Capital University 4333 Good Samaritan Hospital - Las Vegas 2422 Medaille College Careers 1105 Case Western Reserve Univ 4364 Judson Baptist College -.Reno 4547 -Carlsbad 1732 -Farmington 2409 Mercy College 2904 Tompkins-Cortland Comm Coll 3264 - School of Nursing 4407 Lane Community College 4552 -Grants 2451 Miser-worths Hospital 2902 Tomo College 1151 Cedarville College 4384 Lewis and Clark College r. 'HAMPSHIRE 4531 -Las Cruces 2414 Mohawk Valley Community Colt 2856 Trocaire College 1086 Central Ohio Technical College 4387 Linfield College New Noodle Immothe Men. 4560 Northern New Mexico Cmty Coll 2415 Molloy College 2938 Ulster County Community Coll 1107 Central State University 4413 Line Benton Community Coll. 2463 Monroe Business Institute AotKchiliew England 4737 Saint John's College 2920 Limon College 1984 Cincinnati Technical College 4508 Mount Hood Community Coll. d Cattle Junior Clelege 4068 University of Albuquerque 2429 Monroe Community College 2928 University of Rochester 1088 Circleville bible College 4496 Multnomah School of the Bible 2423 Mount Saint Mary College 1127 Clark Technical College if IWO-Soler Cane University of New Mexico 2932 Utica College of Syracuse Univ 4504 Museum Art School Concord Hospital 4845 -Albuquerque 2563 Nassau Community College 2956 Vassar College 1152 Cleveland Institute of Art 4543 Northwest Christian College n Dartmouth College 4895 -Gallup 2511 Nazareth College of Rochester 2962 Villa Maria College 1124 Cleveland Institute of Music 4585 Oregon College of Education 2521 New School for Social Research frantain Pierce College 4889 -School 01 Medicine 4152 Vocational Ed & Extension 1221 Cleveland State University 4587 Oregon institute of Technology Center 7917 ha-Tech. Institute 2169 New York. Chiropractic College Board 1129 College of Mount Saint Joseph 4586 Oregon State Unix , Corvallis -Law 2551 New York Coll. of Pediatric Med e Hese College 4535 Western New Mexico University 2965 Wadhams Hall Seminary College 1133 College ol Steubenville 4601 Pacific University 2561 New York Inst. of Technology 1134 College ot Wooster Nam State Colter 2966 Wagner College 4617 Portland Community College New York University: 1085 Columbus Coll of Art & Design Mrs Hitchcock Memorial Hosp. NEW YORK 2971 Wells College 4610 Portland State University Pt Mmy Col 2562 -New Freshmen & Transfers only 3853 Westchester Business institute 1148 Columbus Technical Institute 4654 Reed College Moothome Collage 2001 Academy of Aeronautics --Continuing Undergraduates only: 2972 Westchester Community College 1979 Cooper School of Art 4653 Rogue Community College 2003 Adeiphi University 2564 -Coll. of Arts & Sciences Cuyahoga Community College r= IMO iegiond emonaubcal Inst. 2978 William Smitn College , 4702 Southern Oregon State College t Emiltid COMO ?pH. Adirondack Community College 2 55_ --Business&PunlrcAdmin 3258 Wood School 1978 --Eastern I 4 729 S. Owastorn Omer. rrovim leyeesity of Oregon: 12661 Philadelphia College of Bible 5847 Salkehatchee 6619 Saint Edward s University -504 Norfolk General Hospital 5944 Vest Vogioto Career College 346 -Eugene „. 12665 Phila. Coll. of Performing Arts 5859 -Spartanburg !6637 Sa , et Mary's UniversIty 51361 Norfolk State College Morgantown Heath Sciences Center 12663 Phila. Coll. of Pharmacy 6 Sci 5821 Sumter 6642 Saint Philips atlege Northern lerginia Community College 5902 West Virginia Inst of Tech 671 Dental School 2666 Phila Coll of Textiles Sc' 5946 Union 664 5 San Amon.) Cu,! ego 5510 Alexandna 5942 'Wes1 Virginia Northern 965 - Medical School 2718 Piny:brook Junior College 556 Voorhees College 664 7 Sc hremen College 5515 Annandale Comm:m-10y College 900 -School of Nursing 2676 Point Park College 5910 Winthrop College tr 69 Southern Methodist Ile zetsity .'4 Meii,1%sas 5245 Nesl Virginia School of B47 University of Portland 112E09 Presbyterian Univ ul 5912 Watford College conic, Southwest Texas Jo' ''' CCieg, 5'25 oleo rig 0stei•pathtc Medicine 595 Warner Pacific College Pennsylvania Medical Center 666% Soulhwesl !exits State Urns , 551 Wordbudge 5903 Nest Virginia State College 979 Western States Chlroprac Coll 12 7 69 Robert Morrrs College SOUTH DAKOTA 66/1 Southwestern 4,G ..is! Coo Cunmto,e_rs„,.t,yty coo 5 124 West Virgona University 954 Willamette University 2768 Robert Parker Hospital 6'05 Southwestern Chnd an con West vifiglma Wesleyan Coll 0600 South Oaltela %dent Incentive 12763 Rosemont College 6674 Southwestein University .,561 Piedmont Virginia Comm Coll 5906 Wheel, g Coliege Wet Proves 12828 Sacred Heart Host Allentown 6682 Stephen F Austin State Univ 5565 Radford College 6015 Augustana Culiege 12/97 Saint Franc s Coliege 681' Tarleton Stole untversil y 5566 Randolph Macon Coll Ashland 42 Black Hills Stare College• WISCONSIN 'ENNSYLVANIA . 2901 Saint Joseph's Coilege 6634 TcYrAll! C(1111 .. , h Con f t Worth 556 Panieolph Macon Woman s 6116 Mount Marty Col'ege 020 Albert Einstein Medical Center '2808 Saint Vincent College 6622 Teo, 061lin verily College y onni, cog 1 0 1. Aiyeor ilege C. ol Sioux Falls College 004 Albright College :2612 Seton Hill College Texas A6 SA Univer s ity ni590 9,ifipariannock Comm College c ot,: H e ir, Memonal Hospital 6652 So Dakota Self of Mmes 6 Tech 006 Allegheny College ! 2836 Shadyside Hosprlal 6003 College Station 1059 bet, • College 6653 South Dakota Stale tlroyersity 121 Allentown College of Saint 29 70 Sharon General Hospital 6935 Moody College Galveston 55/4 RichaG ir'd' Bland College Blot errawk Technical ostitute Francis de Sales 2 657 Shippensburg State College Stewart School of Hairstyling 6820 Texas Christian U eveisity 55%1 Roanoke College 1039 Beloit. W7 Alliance College 2 6 58 Slippery Rock State College bb9 7 Aberdeen, 6821 Texas Coltey 5591 Roanoke Memorial Hospital :043 Janesyilie !431 Alvernia College 28:7 `pang Garden College 6688 -Sour Falls 6823 Texas Lutheran Co lege 5601 Saint Paul's Coltege 3617 Bryant and Stratton Bus Coll .029 Art Institute of Pittsburgh 2820 Susquehanna University Univers ty of South Dakota 6624 'eras Southern Uoiversdy 5613 Shenandoah College and 1100 Cardinal 50,tch College '036 Baptist Bible College 2R:1 Swarthmore College 66E2 Soo ngbehi 6825 Ter us S011thrnOSt College Conserratoo Of MUSIC 1101 canon College !039 Beaver College mesh Temple Untverstty 6981 Vermilion 692 ' Texas Tech . •,velso 5651 Smittideal Mas•,ey Bosiness Coll 1103 carthoge r011ege 1874 Berean Institute 211:61 Thiel College noisy; yankmn College 68. 8 T eras Wesle van College 5625 southern sony,ny•y l e mur Coll 1586 Columbia Hospital '646 Bloomsburg Slate College thomas Jefferson University 69:6 texas Wornao • Untvervti Southsde lorguna Conforuntly College 1 135 Concordia Co, lege N349 Bryn Mawr College 2903 Co'! of Allied Health Sciences TENNESSEE 6821 Trinity university 5660 Aibenta 3105 Deaconess Hospital .1177 -Graduate Sch of Se, lal Work 12336 Meaical College 6864 United EIedronics rnstitute 11'2 District One Technical Inst . 0023 Tennessee Studeet Anutaace 5669 1 9 Dame , 3059 Bryn Mawr Hospital 12222 United Wesleyan College 6868 Unlyersity of Dallas 5659 Southwest Virginia Comm Coll 1202 Edgewood C,oltege 050 Buckner University Carpentin 2926 University of Pennsylvania 1.) , versity of Houston 5634 Sweet Briar College For Valley Technical Inst tute Bucks County Community Coil 1028 Austin Peay State University University of Pittsburgh • 6916 Clear Lake City 5793 Tnomas Ne•son Community Coil 121' --Appleton 1069 Butler County Commaity Coll 1058 Belmont College •2935 -Bradford ' 6922 Downtown College Tidewater Community College 121 1 Oshkosh 1071 Gabriel College 1102 Carson-Newman College I 2936 - Greensburg 1_21 Chi Isle,' Brothers College 68 0 0 Houston 5707 Chesapeake Gateway Technical Institute 2647 California Stale College ;2934 Johnstown 1991 Cleveland State Comm Coil 1 6917 Victoria 5226 Portsmouth 1243 Kenosha 157 Career Educational Institute 1292' - Pittsburgh 1081 Columbia State Comm Col; 6880 University cf Saint Thomas 5 7 37 V•rginia Beach 1255 Oat-ne 421 Cato* College '2949 --School of Medicine 074 Carnege-Mellon University 6124 Covenant College I University of Texas 5808 Unfversity of Richmond 3622 I BA Prestige Beauty Collegs 1293' -TitusvIlle 6013 Arlington 1493 Lakeland College 019 Cedar Crest College ! 1146 Cumberland Coll of Tennessee 5820 Uroyersity of Virg.-'a 12931 University of Scranton I i96 Lakesnore Technical Institute 081 Chatham College 1161 Davie Lipscomb Cotiege ' 5865 Virginia Baptist. Hospital 2931 Ursinus College 1198 East Tennessee State on versity 6E189 2/ DA'al-l' s" '5570 Vogima Commonwealth linty 1398 Lawrence Universqy 2082 Chestnut Hill College 12579 Valley forge Christian College 2648 Cheyney State College 1 3265 Edmondson Coilege 6829 El Paso 5408 Health Scences Division 1534 Madison Area Technical Con 2957 Villa Marra College 6867 Galveston, Medical Br 5927 Virg ■ Highlands Comm Coll 1532 Madison General Hospital 2649 Clarion Slate College li . 1224 Fisk University 2959 Villanova University 16919 San Antonio 1143 Marian College of Fond du Lac 2131 Coatesv lie Hospital 1 1210 f reed Hardeman College 5857 Vogl not intermont College : 2967 Washington and Jefferson Coll 2087 College Misericordia 124 Geo Peabody Coe ton teachers ! Health Science Centers 5858 Vegrma Military Institute , 1448 Marquette University 12969 Waynesburg College 88 IoDallasi st o, 5859 Virg [n a Potytech Ins( 6 St U 1519 Medical College of Wisconsin Community College of Ailegneny County 1 1298 Hrwessee College 1 2659 West Chester State College 6888 Houston 5860 'Vtrgtnia Stale College 3594 Mercy Medical Center 156 -Allegheny County Campus 13'1 King College 2 983 Western Pennsylvania Hospital 137 -1 Knoxville Coltege 6908 San Antonio 5862 Virgihia Union University Mid State Technical Institute 122 -Boyce Campus 29'5 Westminster College 101 Lambuth College 69 10 Wayland Baptist College 586 7 Virg ma Wesleyan College Stevens Point 4025 -College Center North 1414 2968 Westmoreland Co Comm Coll 6938 Nest Texas Slate University 5868 Virginia Western Carom Coil 2123 -South Campus 1356 Lane College 1436 A sconsin Rapids 2542 Widener College 1401 Lee College . 6940 Wiley College 5887 Washington and Lee University 1 472 Milton College 2126 Community Coll of Beaver Co 29" Is yes College 1,403 lehloyne Owen College 5917 Wytheville Comm-potty College 1475 1,1 uwau. ise Area Technical Coll 2682 Community Col. of Philadelphia 1 29 1'2 Wilson College 1108 Lincoln Memorial University 41 7 2 I..ieaukee Coll of Beauty 2100 Curtis Inettule of Music 12986 York Academy of Ants UTAH 2235 Cushing Junior College 1454 Maryville Col ege WASHINGTON Culture 991 vork College of Pennsylvania 1511 Memphis Academy of Arts 4019 Ciogharn Young universtly 1534 Milwaukee Co Med Complex 2125 Delawre Counry Comm Coll 12993 York Host:dal ! 1459 Memphis Stale University 1010 College of Eastern Utah 4029 Bellevue Community College 1476 Milwaukee ol Engineriog 2510 Delaware Valley Coil of Sc. & Ag 4.'83 Dice College 4024 Big Bend Community College 1160, Middle Tennessee Sla a UMW M. ore ne Park i echnical institute 12186 Dickinson College RHODE ISLAND 4 %2' Snow Co 'ege Washington Uri iverrity 1409 Mi ll igan College 4 17 44 Central 1430 Fond do l au 12194 Drexel University 4092 Southern, Llta6 slate College 4045 Centralra College ...nee* 0182 hale Island Nigher Edenton 1198 Morristown Coilege 41%1 -West Bend 1 ,201 Dulls Business Institute 4853 University of Utah 4055 Clark Commurity College Mustang, Addy* 1543 Motlow State Comm (.oil 1 4 90 Mount Mary College 2196 Duquesne University 4690 College or Medicine 4007 Columbia Basin Comm Cori 3692 Barrington College 1 '12 Scarott College ,or Chi iston 1512 Mount Senano College 2650 East Stroudsburg State College 485' Utah State llnoverstly 4801 Cornish Institute 3094 Brown University Workers 1519 Nozoiet College 6 Tech Inst 12220 Eastern College Washlngton University 1 311 7 Biological Medical Sciences 1'27 Southern Missionary College Utat Technical Cot ego 4301 Eastern 1579 Nuts Central Technical Inst Edinboro State College 1073 - Graduate School 1730 southwestern at Memphis 4870 Provo 1 4307 Edmonds Cornmuntty College 2651 - Edinboro 4190 NorMeast Wisconsin Tech 3055 Bryant College 1803 Tennessee State Un Ylnity 4864 Sall Lake Crty 1 303 Irerett Community College Kist tote Green Bay 2238 -Warren 3465 Johnson and Wales College , 1801 Tennessee Technological Univ 4941 Weber Slate College 4292 Evergreen State College Elizabethtoen College 1561 Northland College 2225 3- 59 Newport College Salve ' 1919 Tennessee Temple Co lege 1948 Westminster Cobege 4103 Fort Steilacoom Comm Coil. 2215 Erie Business Center 3220 Patrice Stevens Career Cmr Regina 1805 Tennessee Wesleyan College 4344 Fort Wright College 2261 Franklin and Marshall College I 1664 R College 3642 Newport Hospital ' 182 9 Trevecca Nazarene College 1 330 Gonzaga University 3595 Sacred Hear, School of 2270 Gannon Coilege VERMONT 4332 Grays Harty°, College 3693 Providence College 1812 Tosculum College Practical Nursing 2282 Geisinger Medi cal Center 'knead State Student 433 31 Green River Community College 3'24 Rhode Island College 1842 University°, the South 059 7 1788 Stint Joseph's Hospital 2273 Geneva College Assistance Corporgioe 4348 iNgroine Community College •3'33 Rhode Island Junior Coliege Ur iyersity of Tennessee 1'84 Saint Luke's Hospital, Piscine 215 Gettysburg College 3080 Bennington College 4402 Lower Columba College 3 7 26 Rhode Island Schuot of Design 1831 Chattanooga 1706 Sant Nether/ College 2277 Grove City Coder Community Coll 3 7 29 Roger Armors College 1843 Nnoxyllie 365 Castleton Slate College 4 554 North Seattle 3599 Sawyer College of Buyiness 2278 Gwynedd-Mercy College 4541 Northwest College 3919 University el Rhode Island 1811 -Mali , 3291 Champlain College 1300 5,1ver Lake College 2306 Hahnemann College of Allied 3116 Goddard College 4578 Diympia Tech Comm Coll 1850 -Memphis 1694 Southwest Wisconsin Voc Health Professions Degree Program SOUTH CAROLINA '.96 2 Nashville 3411 External 1583 Olympic College T ern, Institute 2285 Hahnemann Medical College •118 Green kiountaln College 4597 Pacific Lutheran Unlyenstly So. Carolina Niglio( Education 19/1 Vanderbot university 2287 Harcum Junior College 0187 3 '66 Johnson State College ' 4615 Penmsola Colleyta Stale College of Heacity Culture Tuition Greets Carman 188 3 - School of Medicine 1 765 -M au kee 2309 Harrisburg Area Coe, Col 3 6' Lyndon State College Ron Bathe Scuool of Broadcasting 5006 Allen University i 893 Walters Slate Community Coil 1' %9 - Wausau 2289 Haverford College 3509 Marlboro College 4651 5208 Anderson College 1938 Wi ll i am Jennings Bryan College Seattle 2297 Holy Family College 3526 Middlebury Coilege 1 4650 Uriversity of Sf.,c0hSin• 9 Baptist College at Charteston Spokane 2320 Insmaculata College 50 0 3669 Norwich Untvers 1913 Eau Claire :5056 Benedict College TEXAS 1 4674 Saint Martin's College 2652 Indiana Univ of Pennsylvania 3940 Vermont Coliege 4741 Seattle Central Community Coll 1859 Green Bay 5065 Bob lone: Univensit • 2329 ivy School of processional Art 6001 Abilene Christian Uno Abilene 3'5' Caint M.chaerY College 4694 Seattle Paco. , University 1914 Le Crosse Weslerar, College 5896 Central 2337 Jameson Memorial Hospital 6005 Alvin Junmt College 3'96i900 Southern Ye, in , ,nt College 4690 Seattle University 1915 Madison 5095 Cheslerteld-Ma I torn Technical 2341 Juniata College 6641 Angelo State Universe it Terifv College 4738 Shoreline Communtt• College 14 - 3 Milwaukee College 2351 keystone JunIcz College 60 16 All5t11College 3 -, 20 University of Verf nom ' 4699 Skagit Valley College 1916 Ctshynisn 5108 Citadel The 2353 Kings College 6 7 53 Austin Community College 3941 Vermont Technical College 1860 Parkside, Kenosha 5109 Claflin College 1259 South Seattle Community Coll 2653 Kutztown State College 6068 Bauder fashion College 39 7 0 A incpmern College 14739 Spokane Community College 191 7 --PlattewIle 5 l 11 Clemson University 2379 La Roche College 1 6059 Baylor College of Demist", • 4752 Spokane Fans Commonly Coli 1918 -.River Falls .5112 Coker Coliege 2363 La Salle College 6052 Baylor College of Median 4826 Tacoma Community College . 1919 -Stevens Point • 5113 College ot Charleston VIRGINIA 2373 Lackawanna Junior College , 6032 Baylor University 406" Lin•vers ' y or Puget Sound 1'40 -Stout 5117 Columbia College 2361 Lafayette College ! 063 --College of Nursing 0068 College Scholarship Puritan(' : 4854 Um, ot Washington Seattle 1920 - Superior 509 7 Columbia Commercial College 1921 _Win tewater 2374 Lancaster General Hospital 6040 Bishop College Program 148'8 Sch.00. or Medicine 5121 Converse College 237 5 Lankenaf, Hospital 6148 Cedar Valley College 501' Ayerett College 4940 Walla Vvatia Coe College ° , ace University of Wisconsin Center System 5744 Denmark Tech Educallon Center 2364 Lebanon Valley College 6133 College of the Mainland 51163 Bluefield College 1 4963 Walla Walla C,ommurety College 1996 --BaraboofSauk County 5189 Erskine College 2381 Lehigh County Community Ccli 6819 Corpus Christi State Urn, 5u69 Bridgewater College 4 1 05 Washington State Un'versity 1772 - Barron County 5412 Francis Marion College 2 365 Lehge University 6159 Dallas Baptist College 5141 Central Vogima Comm Coll 4942 Wenatchee Valley Coilege 1942 Fond du Lac 5221 Friendship Junior College :367 Lincoln Univers,ty 1 '61660 Del Mar College 5128 Christopher Newport College 4947 Western Washington University 989 -Fox Valley 1 5222 Furman University 2654 Lock Haven State College 6168 East Texas State Unweratty, 5124 Conch Valley Coiege 1974 Wralcoto Commurity College 1890 Manitowoc County 1 uzerne County Comm Coll 5278 Greenville Technical College 2382 Commerce 5115 College of William and Mary 4951 Whitman College 995 Marathon County 5363 Lander College 23 ° C tycoming College 6201 Eastlield College 5139 Dabney S Lancaster Comm Coll 1953 Whitworth College 1891 Mao , ette County 2260 Manor Junior Col lege '5366 Limestone College 5163 Danville Co, nullity College 6199 F Centro College ! 4993 19c" - MarslTherd•Wood County South Yakima valley College 2655 Mansfrelo Slate College 1 5407 Medical University of 6255 Galveston College 5181 Eastern Venom, to College 1910 -Medford 2407 Maeevrood College Carolina 6257 Gulf Coast B bre College 5844 Eastern Shore Community Coll 1662 -• Rtcoland 5467 -College ol Dentistry WEST VIRGINIA Mercy Hospitals o.163 Hallmark Aero Tech 5205 Election,c Computer 1998 - ROCk County 2446 Altoona 5464 -College of Medicrae o2th9 Hardin Simmons Un veisity Programming lost Tidewater 0552 West Virginia Nigher Edecation 1994 Skossaygan County 244' Pittsburgh Midlands Technical College 6282 Houston Baptist University 5195 Emory and Henry College Groat Program 1953 - Washington County 245 7 Scranton I 5552 -Airport `6296 Houston Community College 5213 Ferrum College • 5005 Aloarson Broaddus College 1999 Waukesha County 743' Median School 5584 - Beltline 1 6280 Huston -Tillotson College 5827 George Mason Untversity 5054 Beckley College 1878 Viterbo Colfege .1 410 MercyhJist College 5418 Moms College 6303 Incarnate Word College 15291 Hampden Sydney College I 5060 Bethany College 1944 Waukesha County Tech 'vest 2411 Messiah College 5493 Newberry College • 6360 Lamar University 15292 Hampton Institute 5064 Blu efield State College 1087 Western Wisconsin Tech Inst 2458 Methootst oosp Philadelphia 5498 North Greenville College .6362 Laredo Junto , College 152°1 Hollins College 5120 Concord Co' ege 1911 0, sconsin Coesers 01 Music 5540 Presbyterian College 2656 MiliersvIlle Slate College ;6365 LeTourneau College 1.1 Sargent Reynolds Commun rtv Coll 515i Davis and Elkins College Wisconsin lndianhead Tech Inst. 2445 Montgomery Co Community Coll 5586 Rutledge College 6369 Lon Moms College 56 7 6 Grace 5211 Fairmont State College 12 1'0 Ashland 7822 Sherman 241' Moore College of Al Coiiege of Straight 6402 Ycklurry College 5310 Parham 5251 Glenville Slate College 1271 New Richmond 2418 Moray.an College Chiropractic 6409 Midwestern State Umvensi'Y 5392 James Madison university 5396 Marshall University 1308 Ricu Lake 2 1 2C Mount Aioysius Juno College 5618 South Carolina Stale College 0401 Minnie Stevens Pipe' Fdtn 5342 John Tyler CommunIty College 5428 Mere:: It Manor 4189 Sorthor 2424 Muhienberg College 5617 Southeastern Bus ness College 16438 Mountain View College 1 5355 Kees Bas ness Calle -ye Norfolk 5119 Moro, Haney College 190.3 A Isconsm Sch of Electronics 2509 New Sceciol of Music 5627 Spartanburg Methodist Collage 6519 North Lake College 5385 Liberty Baptist College 5519 Ohio Valet Crolege 25'3 Northampton Co Comm Coll Trident Technical College. 6481 North Texas State University 5368 Longwood College 5932 Parkersburg aromunuts Cooege 2567 Northeastern Chr isten Jr Coil ;5049 - North '6499 Northwood Institute 15381 Lord Famlax Commune, College • 5539 Potomac State Cdnege WYOMING 2628 Our Lady of Angels College . 5551 -Palmer '6550 Our Lady of the Lake University of 15372 Lynchtoung College 5635 Saint Marys Has, Ho • ngton 4041 Casper Co"ege Peirce Jura Crieege 5608 Sneer- _ollege 2674 University of South Carolina San Antonio 5397 Mary BaldwIr College 411 F. Ceotrai Wyoming Cortege 2636 Penn Technical lnslitute 5840 -Aiken 65'0 AlTle,Can University 1 5398 Mary Washington College 56.5 Sfiehhhra 4;00 Eastern Wyrval,ng College 2675 Pennsy.ranie inst of Tech 5845 --Beaufort 65 7 7 Paul Ciu.en Conege 5405 Marynount Crnege of Virginia Southern West Virginia Comm Loll 4542 Northwest Cormontty Conege 2660 Penn:Iowan. blare University 583 7 -Coastal .6580 Prairie view A 6 M University 5451 Mountain F more Comm Coll '6446 Logan 4536 Sheridan College 14.11 ea's Information (continued) — All students should complete all items below. Do not leave items blank. Enter zero where appropriate. Student's Income and Ex a enses Explanations and Unusual Circumstances C Summer Estimated 80 Use this space to explain all circled items and any unusual circumstances . 1979 Academic Year If more space is needed. attach additional sheets of paper Do not enter monthly amounts. 3 months 1979-80 9 months tUDENT'S WAGES, SALARIES, TIPS, etc (before taxes Id deductions) (Do not include workistudy earnmgs .l

'OUSE'S WAGES, SALARIES, TIPS, etc (before laves if deductions:1On not include work-study earnings .I

HER TAXARIE INCOME (interest dividends, etc I

UUSTED CROSS INCOME t Imo 91 of IRS Faun or IC, 10 ot IRS Form 1040A11110 not If1C1111.10 H n - study earnings See ViStrUCI1OliSj 2NTAXABLE INCOME AND BENEFITS (See instructions out include social security or veterans educational benefits coded in 53-66.1

JANCIAL ASSISTANCE FROM STUDENT'S PARENTS vANCIAL ASSISTANCE FROM SPOUSES PARENTS

(ANTS SCHOLARSHIPS, EDUCATIONAL LOANS. ORK-STUDY (Include only aid actually waded I

S INCOME TAX PAID lie 47 ut IRS Form 1040 or line 13 of IRS Form 1040AI

S ITEMIZED DEDUCTIONS to 39 01 Schedule A, IRS Form 10401 1

EOICAI AND DENTAL EXPENSES )T COVERED BY INSURANCE (See instructions I

.SUA(TV OR THEFT LOSSI ES (See instructions

!REIMBURSED ELEMENTARY AND HIGH SCHOOL ITION AND FEES FOR DEPENDENT CHILDREN

HER UNUSUAL EXPENSES

WI •. {VIM...MUM •01 ...AA • IIILIO• INA WE. WY • ■■••■ ••••■ • • •,.. • II N•ti • K-IBM Student's Benefits In If you are applying for financial aid from institutions, states, and other programs and want them to receive your FAF, Calendar Year July 1, 1979- enter their completo names, addresses, and CSS code numbers and m:c.lose appropeate fee Obtain code numbers i■-••■ 1978 June 30, 1980 from the enclosed CSS Code List If a code number is not available, leave the CSS code number box blank Do not enter the BEOG Program in this dem If you are appoing ONLY to the BEOG Program, leave this Rem and 82 MOUNT OF SOCIAL SECURITY BENEFITS to De received per month blank and complete 83 and 84

NAME Call STATE CSS CODE NOS LUMBER OF MONTHS social seourny benetes to be received I MOUNT OF VETERANS EDUCATIONAL BENEFITS to be received per month

,UMBER OF MONTHS veterans educational befallsto be received Student's Assets and Indebtedness

15e. SAVINGS AND CHECKING ACCOUNTS (Do not leave blank I --- — --y Present Unpaid Market Value Mortgage Principal --] OW IF OWNED OR BEING PURCHASED or Debts 12 Check the box next to the number at institutions and programs entered in 81, above and mail YEAR 1-71 a : PURCHASE 1 this FAF with check or money order for appropriate amount to the College Scholarship Service. E. eRCHASED 1 1 z., PRICE $ ---- 1 t___ J 1 E 54.75 2'] $7.25 3 [J $9.75 4 ❑ $12.25 5 $14.75 6 Q $17.25 (VESTMENTS (STOCKS. BONDS, AND OTHER SECURITIES( NO OTHER PEA; ESTATE ■ If you wish to receive a report of your CSS Estimated Contribution, check here and add S1 to the amount checked above $1.00 USINESS (Include your share of all business assets noted in .structions

alOp ARM (Include your share of all farm assets noted in Instructions I Education:on portunity Program 83 00 you aUlhO BaS:frila f r om this FAFal based la t EOG PGro rant rrme 7 ') considered for BEOG assistance' (There is no charge for appiying to the BEOG Program 1 Yes ...... , 1 No 2 ONSUMER INDEBTEDNESS If yes, enter your Illst two insteutionai choices so that tee BEOG Program can notify theselnsteubons of your BEOG status. If you want intentions to receive your FAF, be sure to list teem at 81 above and enclose the appropriate feet rHER INDEBTEDNESS (Do not include any debts entered above I NAME CITY STATE CSS CODE NO Student's Additional Information TUDENT'S ENTRIES EOR 1978 m 49 through 52. 57 through 60. and 748 „ Student lend spousal :heck only 1 E are from a completed 1978 2 Ei are estimated 3 Li will not file a 1918 le bee I U S income tax return U S income tax return 81 Do you authorize the BEOG Program to release the appropriate information provided on this form (including UAL NUMBER OF EXEMPTIONS any new intonation or corrections for the 1979-80 academic year) to the agency administering financial aid toyed on student's land spouse's! 1 978 U S income tax return 1978 Programs in your state of legal residence for the purpose of calculating state awards, verifying data provided on state student aid applications, and conducting research 7 Yes ❑ t No 2 OTAL SIZE OF STUDENT'S HOUSEHOLD (Include the student named on this form sense and .ependent children Include other dependents d they meet criteria stated in the instructions.) 1979-80i

DUMBER IN COLLEGE Ot the number entered in 75, how many will be enrolled in college ci Certification and Authorization then education beyond high school at least half-time during the 197980 academic year' 1979-80 rI IWel declare that the information reported is true correct and complete I (Wel authorize the CSS to transmit the UDENT'S OCCUPATION STUDENTS EMPLOYER I 78 SPOUSE'S OCCUPATION information on this form to state student aid programs, when an institution or a program is listed in B1, for the purpose of assisting the student in being considered for financial aid I iWel agree to provide, if requested, any documentation incieding a cony of my Icor) state or US income tax rater, to the CSS or any of the arrthoned recipients, includieg the BEN Eiegrarri. I iktie imderstend that failure to include enienentaton may result in dm'oi of aid TB VIDE INFORMATION BLOW FOR SPOUSE, CHILDREN, AND OTHER DEPENDENTS ENTERED IN 75

F Enrol C Name of institution 1 0 teat in TE Of you need addl. 8 Unreinthursed 1 2 to be attended 1 school Full. 11411 tional specs, use 80.1 Age in 197 9_80 1 in 1919 ,80 tuition into bma time Or Students Signature Spouse's Signature and lees nore 3 4. I 's Fathers Signature Mother's Signature -it- Stuainnf . • ■ 1 S ' nat. 1 I It- —LT- BASIC EDUCATIONAL OPPORTU Nli GRANT PROGRAM

GENERA] INFORMATION amended (20 U.S.C. 1070atb)(2)). Applicants are advised that, except The Basic Educational Opportunity Grant (BEOG) Program is a Federal as noted in paragraph 4, the disclosure of the requested information student aid program designed to provide financial assistance, in the is mandatory. term 07 a grant (which need not be repaid) to those who need it to 2. This information is being c ollected in order to calculate a student's attend colleges and other institutions offering education beyond high eligibility inch-t under the BEOG The eligibility index is one ot the school. The amount of the BEOG is determined according to your own three tactois used in determining the amount, if any, of the appli- and your family's financial resources. it is estimated that grants will cant's 131( )(1 range from $200 to $1,800 during the 1979-80 academic year. 3. The 'routine uses, - as defined in 5 U.S.0 552a(a)(71, which may be This form may be used to apply for a BEOG and or for financial assis- made ot the intormation cone( ted are: An applicant's name, address, tance from institutions, states, and other programs. As a result or com- social sec wily number, date of birth and eligibility index will be pro- pleting this form, you may be found eligible to receive BEOG assistance vided to the institution of higher education which the applicant indi- for any period of enrollment beginning July 1. 1979, through lune 30, cates he or she is attending or will attend and to the State scholarship 1980. agents the applicant's state of legal residence if such an agency has To use this form to apply to the BEOG Program , you must check "Yes - an agreement with the Commissioner ot Education permitting it to in Item 83 and file the FAF after Januar} 1, /979. The CSS will forward the sec ere •,(1( h information. Stu h information will he used by the State necessary information to the BEOG Program at no cost to you. The agents in coordinating its program of student financial aid with the deadline for receipt of this form for purposes of applying to the BFOG BFOG Program. Furthermore, on request, information may be pro- Program is March 15, 1980. If you want, in addition, to have the CSS send vided to members of Congress who inquire on behalf of a student copies of this FAF to institutions arid programs. you must enter them in who is a constituent or, where appropriate, on behalf of the parents Item 81 and enclose the appropriate tee. of the student. In addition, the routine uses listed in Appendix B of 45 CFR 5B may be utilized. SI VD1 NI II IGIBILITY 4. Applicants must provide information for all of the following items in You will be eligible for a Basic Grant if you meet all of the following order to have their application for a BFOG award processed: Items 1-3, 5, 7, 8, 9B, 13-15. 83, and the Certification and Authorization criteria. section In addition, it the applicant answers "Yes" for any question 1. You have established your financial need for a BEOG by means of this for am sear in Items 13-15. then Items 16 17A )19781 1 7 B )19781, form 19 7 3i 2t 1 fq - 8' 21 Prtlt 21 2.4 26-28 10-15 40-43 43 and 6'3- - 1 2 You will tX- enrolled at least hair-time In ar , undergraduate course or must he the applicant answers \o to,ri! ), oars and

studs in an eligible program at one ot os er b,000 institutions approved questions in Items 1.ti - 1;. then Items 49 c 1978', 30 )19 7 8), :12 119781, 53 for participation in the BEOG Program. 09781 37-61 (19781, 63-64 (1978), 6571, 74A, 7413, 75 and 76 must be 3. You will not have previously received a bachelor's degree from any completed institution. Students need nut complete Items 6, 9A, 83 (institution choices), and 84; however. answering these items will facilitate the administration of state 4. You are a U.S citizen or meet the criteria stated in the instructions for Item 8. student assistance programs. Failure to answer Item 84 will he considered a 'No" response to that item. 5. You will have received no more than four full years of BEOG pay- Responses to all other items are voluntary with regard to the BEOG ments. Exception: you may receive BEOG assistance for five years Program. only when the institution either: (a) designed the program of study leading to a bachelor's degree to be up to five years in length, or (b) required your enrollment in a remedial course of study which meant you were unable to complete the regular program in four academic UM Of `NOT IAI SECURITY NUMBER years. Sec non 711» of the Privacy Act ot 1974 U.S.C. 522a1 requires that when Within six weeks after you mail this form to the CSS, you will receive a any Federal, State, or local government agency requests an individual to Student Eligibility Report (SER) from the BEOG Program. The SER is the disclose his or her social security account number, that individual must official notification of 'our eligibility for a BEOG and must be presented also be advised whether that disclosure is mandatory or voluntary, by to the school you will attend to determine the amount of your grant. what statutory or other authority the number is solicited, and what uses will be When you receive the SER, carefully read and follow the instructions it made of it. Accordingly, applicants are advised that disclosure of contains. their social security account number (SSAN) is required as a condition for participation in the BFOG, in view of the practical administrative difficulties which the program would encounter in maintaining SPICIAI CIRCUMSTANCES adequate program records without the continued use of the SSAN. If you experience a dramatic change in income from 1978 to 1979, you The SSAN %A ill be used to verify the identity ot the applicant, and as an may be eligible to apply for a BEOG based on estimated 1979 income account number (identifier) throughout the life of the grant in order to rather than actual 1978 income. For further details regarding your eligi- record necessary data accurately, As an identifier, the SSAN is used in bility to apply for a BEOG in this manner, contact your high school such Program activities as: determining Program eligibility; certifying guidance counselor or financial aid administrator and ask about the school attendance and student status; making grant payments under the BEOG Supplemental Form alternative disbunernent system; and verifying grant payments. Authority for requiring the disclosure ot an applicant's SSAN is ADDITIONAL INFORMATION grounded on section 7(a)(2) of the Privacy Act, which-provides that an If you would like to receive additional information on the BEOG Pro- agency may continue to require disc losure of an individual's SSAN as a gram, as well as general information on student financial aid, please condition for the granting of a right, benefit, or privilege provided by law write to: BEOG, Box 84, Washington, DC 20044. Ask for a copy of the where the agency required this disclosure under statute or regulations Student Guide. prior to January 1, 1975, in order to verify the identity of an individual. The Office of Education has, for several years, consistently required the disclosure of SSAN numbers on application forms and other neces- NOTICE TO APPLICANTS sary BEOG dor uments. (See section 411(b)(2) of Title IV - A - 1 of the Higher Education Act of 1%5, as amended (20 U.S.C. 107011502)-) In addition, it should be noted that ihe social security account number INFORMATION COLLECTED ON THIS FORM of a parent of the applicant is also requested. Parents are advised that FOR BASIC GRANT PURPOSES disclosure of their SSAN is voluntary and failure to provide it will not Subsection (e)(3) of _me Privas Act of 1974 (5 U.S.C. 552a) requires that affect the applicant's eligibility for a BEOG award. Parent's SSAN will be an agency inform each indi. dual whom it asks to supply information: recorded only on the application form itself and will not be maintained the authority (whether granted by statute, or by executive order of (1) in any other system of records. Its use will be restricted to a sample of the President) which authorizes the solicitation of the information and cases whit h may be used for further verification of information reported whether disclosure of such information is mandatory or voluntary; 121 on the application by the applicant and/or parent(s) the principal purpose or purposes for which the information is intended If you are riot applying to the BEOG Program, provision of your SSAN to be used; (3) the routine uses which may be made of the information is optional; however, because many of those who complete the FM as published in the Federal Register; and (4) the effects, if any, of riot have similar names, the SSAN is most helpful, and often critical, in providing all or any part of the requested information. assuring proper identification ot an individual student by the CSS and by 1. The authority for collecting the requested information is section institutions and programs using the FAF You are, therefore, strongly_