​                    FINANCIAL AID FORM

ANTICIPATED SOURCES OF FUNDS: Please use the following form to show all
(including scholarships, assistantships, educational insurance policies, etc., as
well as all projected costs in volved for a t tending college for the upcoming
school year. It is not required that projected resources and expenditures balance. 

This form must be completed and SIGNED by the student making the application. 

From Parent or Relative  $______________ Tuition $ ____________________________                              Grants/Scholarships  $_________________Transportation $______________________
Loans $________________                           Gas/Groceries $______________________
Other: $________________                           Other $______________________________
Total Funds Available $_________________Total Expenses $_____________________
Are you eligible to receive financial aid at your institution? (Circle One)   Yes      No

Financial aid includes grants/scholarship and/or student loans.  
This information will be held in strictest confidence. It will only be made available to
officials of the college/university and to the members of FGCN, In. Scholarship
Committee. 

I AUTHORIZE THE RELEASE OF MY FINANCIAL NEED FORM to Federated Garden
Clubs of Nebraska, Inc. 
STUDENT’S SIGNATURE ______________________________________DATE________ 
Please Print Signature of Student  ___________________________________________ 

Name of College/University _________________________________________________

                                                            Thank you!