Lyford Cay Supplement

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    THE COLLEGE OF THE BAHAMAS

    Have you attended COB? Yes No

    Graduation Date (or) Date of Transfer AbroadMo. Year Mo. Year

    Major Final Cumulative GPA

    CURRENT COLLEGE OR UNIVERSITY (if applicable)

    Name of institution

    Address of institution

    Enrollment DateMo. Year

    Major Cumulative GPA

    FORMER COLLEGE OR UNIVERSITY (if applying for a graduate scholarship)

    Name of institution

    Address of institution

    Graduation DateMo. Year

    Major Final Cumulative GPA

    EDUCATIONAL PLANS

    PROPOSED COLLEGE OR UNIVERSITY (FIRST CHOICE)

    Name of institution

    Address of institution

    Have you been accepted? Yes No Anticipated graduation dateHave you been offered financial aid? Yes No If yes, is your aid Need-based Merit-basedCost of Attendance Per Year

    Tuition and Fees $

    Room and Board $

    Health Insurance $

    Books and Supplies $

    Personal Expenses $

    Travel Costs $

    Miscellaneous $

    TOTAL $

    Hartwick College

    Oneonta, New York 13820, USA

    2016

    36,440.00

    9,625.00

    1,035.00

    1,400.00

    4,000.00

    1,376.00

    52,876

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    PROPOSED COLLEGE OR UNIVERSITY (SECOND CHOICE)

    Name of institution

    Address of institution

    Have you been accepted? Yes No Anticipated graduation date

    Have you been offered financial aid? Yes No If yes, is your aid Need-based Merit-based

    Cost of Attendance Per Year

    Tuition and Fees $

    Room and Board $

    Health Insurance $

    Books and Supplies $

    Personal Expenses $

    Travel Costs $

    Miscellaneous $

    TOTAL $

    FINANCIAL RESOURCES PER YEAR

    Please submit copies of relevant award letters.Government Grants $

    Government Educational Loans $

    Government Scholarships $

    College Scholarships $

    Work-Study $

    Other Scholarships $

    Savings $

    Other Loans $

    TOTAL $OTHER SCHOLARSHIPS

    Please list any other, non-Foundation scholarships you have been awarded

    Name of scholarship

    Elmira College

    One Park Place Elmira, New York 14901

    2016

    4,000.00

    57,850.00

    1,400.00

    1,500.00

    1,000.00

    11,800.00

    38,150.00

    0

    0

    0

    31,500 (Elmira)

    22,000 (Hartwick)

    Pending

    0

    0

    22,000 & 31,500

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    FAMILY AND FINANCIAL WORKSHEET

    STUDENT STATUS

    On January 1 past, were you 24 years old or older? Yes No Are you or will you be studying for a Masters or Doctoral degree? Yes No Are you married? Yes No Do you have children who are financially dependent on you? Yes No Are both of your parents deceased? Yes No Are you a ward or dependent of the court? Yes No

    Please Note: If you answered Yes to anyof the above questions, you are considered an Independent Applicantand must complete Section B of this worksheet. If your parents will be contributing toward the cost of youreducation, please complete Section A below as well.

    SECTION A

    PARENTS INFORMATION

    Parents marital status Single Married Separated Divorced Widowed

    FATHER/MALE GUARDIAN

    Name

    (If Guardian) Relationship to you

    Home Tel Cell Work Tel

    Occupation

    Employer

    Has your father or male guardian ever received a Lyford Cay Foundation scholarship? Yes NoPlease indicate the highest level of education he has attained

    Middle/Junior School High School 2-Year College 4-Year College

    Professional Degree Dont KnowFather/Male Guardians Annual Income

    Current Salary $

    Tips and Commissions $

    Bonus(es) $Business or Investment Income $

    Child Support $

    Alimony Payments Received $

    Pension/Disability Benefits $

    Other Income $

    TOTAL ANNUAL INCOME $

    Reily Castillio Suazo

    Unknown Unknown Unknown

    Unknown

    Unknown

    Unknown

    Unknown

    Unknown

    Unknown

    Unknown

    Unknown

    Unknown

    Unknown

    Unknown

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    MOTHER/FEMALE GUARDIAN

    Name

    (If Guardian) Relationship to you

    Home Tel Cell Work Tel

    Occupation

    Employer

    Has your mother or female guardian ever received a Lyford Cay Foundation scholarship? Yes NoPlease indicate the highest level of education she has attained

    Middle/Junior School High School 2-Year College 4-Year College

    Professional Degree Dont KnowMother/Female Guardians Annual Income

    Current Salary $

    Tips and Commissions $

    Bonus(es) $Business or Investment Income $

    Child Support $

    Alimony Payments Received $

    Pension/Disability Benefits $

    Other Income $

    TOTAL ANNUAL INCOME $

    How many people, including yourself, depend on the income of your parents for daily living expenses?

    How many of the above (including yourself) will be attending college in the upcoming academic year?

    You must submit direct to the Foundation proof of annual income for yourself, your parents and/or your spouse (ifyou are married), i.e., a job letter. Please make sure to include base salary as well as anticipated tips, commissionsand bonuses for the current year and provide summary information on all business, investment and other income. Ifyou have special circumstances with reference to your financial situation, please provide the details in writing so thatthe Screening Committee can effectively assess your financial need.

    If you, your parents and/or your spouse are self-employed, please submit two financial reference letters, one from abank and one from a responsible member of the community who knows your familys financial situation well andcan substantiate annual income.

    Please be aware that providing false or incomplete information will jeopardize your eligibility to receive a scholarship.

    Ingrid Ernestine Suazo

    Mother

    6011550 5582216 3771759

    Airport Supervisor

    Airpor Authority

    0

    26,235

    0

    0

    0

    0

    0

    0

    46,170.77

    3

    1

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    SECTION B

    INDEPENDENT APPLICANT

    CANDIDATES INFORMATION SPOUSES INFORMATION if married:

    Annual Income

    Current Salary $

    Tips and Commissions $

    Bonus(es) $Work Tel

    Business or Investment Income $ Occupation

    Child Support $ Employer

    Alimony Payments Received $ Has your spouse ever received a Lyford CayFoundation scholarship? Yes NoPension/Disability Benefits $

    Other Income $ Please indicate the highest level of education he orshe has attainedTOTAL ANNUAL INCOME $

    Name

    Home Tel

    Cell

    Middle/Junior School High School

    2-Year College 4-Year College

    Professional Degree Dont KnowSpouses Annual Income

    Current Salary $

    Tips and Commissions $

    Bonus(es) $

    Business or Investment Income $

    Child Support $

    Alimony Payments Received $

    Pension/Disability Benefits $

    Other Income $

    TOTAL ANNUAL INCOME $

    How many people, including yourself, depend on the income of your spouse for daily living expenses?

    How many of the above (including yourself) will be attending college in the upcoming academic year?

    By submitting this form, I certify that the information provided is true, correct and complete and agree to provide

    additional proof of this information on request.

    Please be aware that providing false or incomplete information will jeopardize your eligibility to receive a scholarship.