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STEP Loan Application

<!DOCTYPE html> <html lang="en"> <head> <title>STEP Loan Application</title> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <!-- Stanford Identity --> <link rel="stylesheet" type="text/css" href="https://ecmform.stanford.edu/FormAssets/css/su-identity.css"> <!-- Bootstrap CSS v3.2.2 --> <link rel="stylesheet" href="https://ecmform.stanford.edu/FormAssets/bootstrap/css/bootstrap.min.css"> <!-- FormValidation CSS file --> <link rel="stylesheet" href="https://ecmform.stanford.edu/FormAssets/formvalidation/css/formValidation.min.css"> <!--CAPTCHA--> <script src="https://www.google.com/recaptcha/api.js?render=6Lds76UZAAAAAO6GxhCnMtQrv-7yZdQn0SzpPg4s"></script> <!-- DatePicker CSS file --> <link rel="stylesheet" href="https://ecmform.stanford.edu/FormAssets/datepicker/css/bootstrap-datepicker.min.css"> <!-- Font-awesome --> <link rel="stylesheet" href="https://ecmform.stanford.edu/FormAssets/fontawesome/css/all.css"> <!-- jQuery --> <script type="text/javascript" src="https://ecmform.stanford.edu/FormAssets/jquery/jquery.min.js"></script> <!-- Bootstrap JS --> <script src="https://ecmform.stanford.edu/FormAssets/bootstrap/js/bootstrap.min.js"></script> <!-- FormValidation plugin and the class supports validating Bootstrap form --> <script src="https://ecmform.stanford.edu/FormAssets/formvalidation/js/formValidation.min.js"></script> <script src="https://ecmform.stanford.edu/FormAssets/formvalidation/js/framework/bootstrap.min.js"></script> <!-- Style the file upload button http://markusslima.github.io/bootstrap-filestyle/ --> <script type="text/javascript" src="https://ecmform.stanford.edu/FormAssets/filestyle/bootstrap-filestyle.min.js"> </script> <!-- JQuery-Mask-Plugin http://igorescobar.github.io/jQuery-Mask-Plugin/ --> <script src="https://ecmform.stanford.edu/FormAssets/mask/jquery.mask.min.js"></script> <!-- Add a date picker control https://github.com/eternicode/bootstrap-datepicker/ --> <script type="text/javascript" src="https://ecmform.stanford.edu/FormAssets/datepicker/js/bootstrap-datepicker.min.js"> </script> <style type="text/css"> body { font-family: 'Source Sans Pro', Arial, sans-serif; font-size: 14px; line-height: 1.6; color: #696969; } #step_loan .has-feedback .form-control-feedback { top: 20px; right: 10px; } #has-help-block-info1.has-feedback .form-control-feedback { top: 40px; } #has-help-block-info2.has-feedback .form-control-feedback { top: 40px; } #has-help-block-info3.has-feedback .form-control-feedback { top: 40px; } .container #upload_form { margin-left: -30px; } .help-block-info { display: block; margin-top: -5px; margin-bottom: 5px; color: #737373 } .align-help-block-60 small.help-block { margin-left: 60px; } a { color: #2e2d29; text-decoration: underline } a:hover, a:focus { color: #8c1515; text-decoration: underline } a:focus { outline: thin dotted #333; outline: 5px auto -webkit-focus-ring-color; outline-offset: -2px } fieldset { border: 1px solid #DDD; padding: 0 1.4em 1.4em 1.4em; margin: 0 0 1.5em 0; background-color: #F6F3E5; border-color: #928B81; } legend { border-bottom: none; background-color: #D2C295; border-color: #928B81; color: #8C1515; padding-left: 7px; padding-right: 7px; width: 60%; font-weight: 600; } h1 { font-weight: 300; margin-bottom: 20px } h2 { color: #820000; margin-bottom: 20px; font-size: 1.8em } h3 { font-size: 18px; font-weight: 600; text-transform: uppercase; } h4 { font-size: 14px; text-transform: uppercase; } a.dept-link:link { text-decoration: none; } a.dept-link:visited { text-decoration: none; } a.dept-link:hover { text-decoration: underline; } a.dept-link:active { text-decoration: underline; } .legend_sub_text { font-size: 12px; } input[type="checkbox"] { margin: -6px 0 0; height: auto; width: auto; margin-top: 4px; } .checkbox { /*margin-left: 40px;*/ margin-right: 10px; } .form-group.col-xs-12.has-feedback.has-error .checkbox .control-label { font-weight: 700; } /********************************* Button Style Overides **********************************/ .btn-four { background-color: #B3995D; border-color: #414649; color: #fff; text-decoration: none } .btn-four:hover, .btn-four:focus, .btn-four:active { background-color: #D2C295; 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background-color: #fff; width: 650px; position: fixed; top: 50%; left: 50%; transform: translate(-50%, -50%); z-index: 9999; height: 160px; line-height: 50px; z-index: 9999; } .loadersection h3 { margin-top: 20px; margin-bottom: 10px; } .hidden { display: none; } .back-drop { position: fixed; top: 0; left: 0; width: 100%; height: 100%; background-color: rgba(0,0,0,0.7); z-index: 999; } /* END OPENTEXT PART 1 */ </style> </head> <body> <!-- Brandbar snippet start --> <div id="brandbar"> <div class="container"> <a href="http://www.stanford.edu" tabindex="-1"> <img src="https://ecmform.stanford.edu/FormAssets/images/brandbar-stanford-logo@2x.png" alt="Stanford University" width="152" height="23"> </a> </div> <!-- .container end --> </div> <!-- #brandbar end --> <!-- Brandbar snippet end --> <div id="su-wrap"> <!-- #su-wrap start --> <div id="su-content"> <!-- #su-content start --> <div class="container"> <h1><a class="dept-link" href="https://financialaid.stanford.edu">Financial Aid Office</a></h1> <h2>STEP Loan Application</h2> <div class="row"> <form role="form" action="process_attachment.php" method="post" name="step_loan" id="step_loan"> <!-- Aid Year --> <input type='hidden' name='AidYear' value='2025'> <!-- HIDDEN DATE VALUES for HTML reader form --> <input type='hidden' name='year1' value='2023'> <input type='hidden' name='year2' value='2024'> <input type='hidden' name='year3' value='2025'> <fieldset class="img-rounded"> <legend class="img-rounded">1. Applicant Info <span class="legend_sub_text">(required)</span> </legend> <div class="form-group col-xs-8"> <label for="applicant_name_id" class="control-label">Name:</label> <input type="text" class="form-control applicant_name" name="applicant_name" id="applicant_name_id" placeholder="last name, first name, middle initial"> </div> <div class="form-group col-xs-4"> <label for="datePicker" class="control-label">Birth Date:</label> <div class="input-group input-append date" id="datePicker"> <input type="text" class="form-control" name="date" placeholder="mm/dd/yyyy"/> <span class="input-group-addon add-on"><span class="glyphicon glyphicon-calendar"></span></span> </div> </div> <div class="form-group col-xs-12"> <label for="applicant_email_id" class="control-label">Email:</label> <input type="text" class="form-control applicant_email" name="OBKey_EmailTo_1" id="applicant_email_id" placeholder="username@domain.com"> </div> <div class="form-group col-xs-12"> <label for="ai_reside_id" class="control-label">Where will you reside during your STEP enrollment?</label> <select class="form-control ai_reside" name="ai_reside" id="ai_reside_id"> <option value="">Select one</option> <option value="On Campus">On Campus</option> <option value="Off Campus">Off Campus</option> <option value="With Parents">With Parents</option> </select> </div> </fieldset> <fieldset class="img-rounded"> <legend class="img-rounded">2. FAFSA <span class="legend_sub_text">(required)</span></legend> <p>Standard STEP enrollment encompasses two different academic years, with the summer quarter being the end of one academic year and the autumn quarter starting a new year. Two separate FAFSA applications (one for each academic year) are needed for full consideration of financial aid during all STEP enrollment quarters.</p> <div class="form-group col-xs-12"> <label class="control-label">Have you filed a FAFSA listing Stanford University鈥檚 code 001305 required for student loan consideration for the summer quarter (considered the current academic year)? <i style="font-weight: 300;">If you already have filed a FAFSA for the current academic year with another school, you simply need to add Stanford鈥檚 school code to your list of schools.</i></label> <div> <label for="FAFSA_year1y_id" class="radio-inline"> <input type="radio" name="FAFSA_year1" id="FAFSA_year1y_id" value="Yes"> Yes </label> <label for="FAFSA_year1n_id" class="radio-inline"> <input type="radio" name="FAFSA_year1" id="FAFSA_year1n_id" value="No"> No </label> </div> <div id="date_FASFA1_id" class="row" style="display: none;"> <div class="form-group col-xs-12"> <label for="datePicker2_id" class="control-label">If yes, please indicate the date submitted.</label> <div class="input-group input-append date" id="datePicker2_id"> <span class="input-group-addon add-on"><span class="glyphicon glyphicon-calendar"></span></span> <input type="text" class="form-control" name="date_FASFA1" placeholder="mm/dd/yyyy"/> </div> </div> </div> </div> <div class="form-group col-xs-12"> <label class="control-label">Have you filed a FAFSA listing Stanford University鈥檚 code 001305 required for student loan consideration in autumn, winter and spring quarters (considered the upcoming academic year)?</label> <div> <label for="FAFSA_year2y_id" class="radio-inline"> <input type="radio" name="FAFSA_year2" id="FAFSA_year2y_id" value="Yes"> Yes </label> <label for="FAFSA_year1n_id" class="radio-inline"> <input type="radio" name="FAFSA_year2" id="FAFSA_year2n_id" value="No"> No </label> </div> <div id="date_FASFA2_id" class="row" style="display: none;"> <div class="form-group col-xs-12"> <label for="datePicker3_id" class="control-label">If yes, please indicate the date submitted.</label> <div class="input-group input-append date" id="datePicker3_id"> <span class="input-group-addon add-on"><span class="glyphicon glyphicon-calendar"></span></span> <input type="text" class="form-control" name="date_FASFA2" placeholder="mm/dd/yyyy"/> </div> </div> </div> </div> <div class="form-group col-xs-12"> <label for="STEP_program_id" class="control-label">In which STEP program will you enroll?</label> <select class="form-control STEP_program" name="STEP_program" id="STEP_program_id"> <option value="">Select one</option> <option value="Elementary">Elementary</option> <option value="Secondary">Secondary</option> </select> </div> </fieldset> <fieldset class="img-rounded"> <legend class="img-rounded">3. Anticipated Resources<span class="legend_sub_text"> (optional)</span> </legend> <h3 style="margin-top:0px">Cal Grant</h3> <div class="checkbox"> <label for="cal_grant_id" class="control-label"> <input type="checkbox" name="cal_grant" id="cal_grant" value="Yes"/> I received a Cal Grant A or B as an undergraduate student and believe to be eligible for a fifth year of funding for California teacher certification. <em>You must submit the Request for Cal Grant Teaching Credential Program Benefits (<a href="https://www.csac.ca.gov/post/request-cal-grant-teaching-credential-program-benefits" target="_blank">form G-44</a>) to the California Student Aid Commission to secure the grant.</em></label> </div> <h3>Other Funds</h3> <p>e.g., scholarships, STEP or other fellowships, Americorps, Gates Millennium Scholarship, etc.</p> <h4 class="dropdown"><i class="fa fa-caret-right"></i> Summer</h4> <div style="display:none;" class="row"> <div class="form-group col-xs-6"> <label for="AR_summer_source_1_id" class="control-label">Source 1:</label> <input type="text" class="form-control AR_summer_source_1" name="AR_summer_source_1" id="AR_summer_source_1_id" placeholder=""> </div> <div class="form-group col-xs-6"> <label for="AR_summer1_id" class="control-label">Amount:</label> <input type="text" class="form-control AR_summer1" name="AR_summer1" id="AR_summer1_id" placeholder="$"> </div> <div class="form-group col-xs-6"> <label for="AR_summer_source_2_id" class="control-label">Source 2:</label> <input type="text" class="form-control AR_summer_source_2" name="AR_summer_source_2" id="AR_summer_source_2_id" placeholder=""> </div> <div class="form-group col-xs-6"> <label for="AR_summer2_id" class="control-label">Amount:</label> <input type="text" class="form-control AR_summer2" name="AR_summer2" id="AR_summer2_id" placeholder="$"> </div> <div class="form-group col-xs-6"> <label for="AR_summer_source_3_id" class="control-label">Source 3:</label> <input type="text" class="form-control AR_summer_source_3" name="AR_summer_source_3" id="AR_summer_source_3_id" placeholder=""> </div> <div class="form-group col-xs-6"> <label for="AR_summer3_id" class="control-label">Amount:</label> <input type="text" class="form-control AR_summer3" name="AR_summer3" id="AR_summer3_id" placeholder="$"> </div> </div> <h4 class="dropdown"><i class="fa fa-caret-right"></i> Autumn, Winter, Spring</h4> <div style="display:none;" class="row"> <div class="form-group col-xs-6"> <label for="AR_source_1_id" class="control-label">Source 1:</label> <input type="text" class="form-control AR_source_1" name="AR_source_1" id="AR_source_1_id" placeholder=""> </div> <div class="form-group col-xs-6"> <label for="AR_aws1_id" class="control-label">Amount:</label> <input type="text" class="form-control AR_aws1" name="AR_aws1" id="AR_aws1_id" placeholder="$"> </div> <div class="form-group col-xs-6"> <label for="AR_source_2_id" class="control-label">Source 2:</label> <input type="text" class="form-control AR_source_2" name="AR_source_2" id="AR_source_2_id" placeholder=""> </div> <div class="form-group col-xs-6"> <label for="AR_aws2_id" class="control-label">Amount:</label> <input type="text" class="form-control AR_aws2" name="AR_aws2" id="AR_aws2_id" placeholder="$"> </div> <div class="form-group col-xs-6"> <label for="AR_source_3_id" class="control-label">Source 3:</label> <input type="text" class="form-control AR_source_3" name="AR_source_3" id="AR_source_3_id" placeholder=""> </div> <div class="form-group col-xs-6"> <label for="AR_aws3_id" class="control-label">Amount:</label> <input type="text" class="form-control AR_aws3" name="AR_aws3" id="AR_aws3_id" placeholder="$"> </div> </div> </fieldset> <fieldset class="img-rounded"> <legend class="img-rounded">4. Loans and Grants <span class="legend_sub_text">(optional)</span> </legend> <p>If you received federal aid during the current academic year, enter the amounts below:</p> <div class="form-group col-xs-6"> <div class="form-group"> <label for="fed_sub_stafford_id" class="control-label">Subsidized Federal Direct loan</label> <input type="text" class="form-control fed_sub_stafford" name="fed_sub_stafford" id="fed_sub_stafford_id" placeholder="$"> </div> <div class="form-group"> <label for="fed_unsub_stafford_id" class="control-label">Unsubsidized Federal Direct loan</label> <input type="text" class="form-control fed_unsub_stafford" name="fed_unsub_stafford" id="fed_unsub_stafford_id" placeholder="$"> </div> </div> <div class="form-group col-xs-6"> <div class="form-group"> <label for="fed_TEACH_id" class="control-label">TEACH grant</label> <input type="text" class="form-control fed_TEACH" name="fed_TEACH" id="fed_TEACH_id" placeholder="$"> </div> <div class="form-group"> <label for="college_univ_id" class="control-label">At what college or university?</label> <input type="text" class="form-control college_univ" name="college_univ" id="college_univ_id" placeholder=""> </div> </div> </fieldset> <fieldset class="img-rounded"> <legend class="img-rounded">5. Anticipated Income <span class="legend_sub_text">(optional)</span> </legend> <p>If you believe that the income information on your FAFSA does not reflect your financial situation upon enrolling for the upcoming year,聽you may estimate your income for the 3 summer months and the 9 months of the academic year below. Use the FAFSA instructions for definitions of what to include.</p> <h3>Summer Qtr (3 months)</h3> <div class="form-group col-xs-4"> <div class="form-group"> <label for="ai_earnings_summer_id" class="control-label">Your earnings</label> <input type="text" class="form-control ai_earnings_summer" name="AI_summer2" id="ai_earnings_summer_id" placeholder="$"> </div> <div class="form-group"> <label for="ai_gross_summer_id" class="control-label">Adjusted Gross Income</label> <input type="text" class="form-control ai_gross_summer" name="AI_summer1" id="ai_gross_summer_id" placeholder="$"> </div> </div> <div class="form-group col-xs-4"> <div class="form-group"> <label for="ai_spouse_earnings_id" class="control-label">Your spouse's earnings</label> <input type="text" class="form-control ai_spouse_earnings_summer" name="AI_summer3" id="ai_spouse_earnings_summer_id" placeholder="$"> </div> <div class="form-group"> <label for="ai_untaxed_summer_id" class="control-label">Untaxed income amount</label> <input type="text" class="form-control ai_untaxed_summer" name="AI_summer5" id="ai_untaxed_summer_id" placeholder="$"> </div> </div> <div class="form-group col-xs-4"> <div class="form-group"> <label for="ai_additional_summer_id" class="control-label">Additional financial amount</label> <input type="text" class="form-control ai_additional_summer" name="AI_summer4" id="ai_additional_summer_id" placeholder="$"> </div> </div> <div class="row"></div> <!-- line break --> <h3>Autumn, Winter, Spring Qtrs (9 months)</h3> <div class="form-group col-xs-4"> <div class="form-group"> <label for="ai_earnings_aws_id" class="control-label">Your earnings</label> <input type="text" class="form-control ai_earnings_aws" name="AI_aws2" id="ai_earnings_aws_id" placeholder="$"> </div> <div class="form-group"> <label for="ai_gross_aws_id" class="control-label">Adjusted Gross Income</label> <input type="text" class="form-control ai_gross_aws" name="AI_aws1" id="ai_gross_aws_id" placeholder="$"> </div> </div> <div class="form-group col-xs-4"> <div class="form-group"> <label for="ai_spouse_earnings_id" class="control-label">Your spouse's earnings</label> <input type="text" class="form-control ai_spouse_earnings_aws" name="AI_aws3" id="ai_spouse_earnings_aws_id" placeholder="$"> </div> <div class="form-group"> <label for="ai_untaxed_aws_id" class="control-label">Untaxed income amount</label> <input type="text" class="form-control ai_untaxed_aws" name="AI_aws5" id="ai_untaxed_aws_id" placeholder="$"> </div> </div> <div class="form-group col-xs-4"> <div class="form-group"> <label for="ai_additional_aws_id" class="control-label">Additional financial amount</label> <input type="text" class="form-control ai_additional_aws" name="AI_aws4" id="ai_additional_aws_id" placeholder="$"> </div> </div> </fieldset> <fieldset class="img-rounded"> <legend class="img-rounded">6. Dependents <span class="legend_sub_text">(optional)</span> </legend> <p>If you have dependents, please list them below. If you would like any child care amounts to be included in your eligibility for student loans, you must submit documentation of these expenses to the FAO. You can upload pdf documents using our secure <a href="https://financialaid.stanford.edu/upload" target="_blank">Document Upload</a> web form.</p> <p class="graduate-family-grant-message" style="display: none; color: #8C1515;"><strong>Are you aware of the Graduate Family Grant? See if you qualify by learning more at <a href="https://financialaid.stanford.edu/grad/funding/index.html" target="_blank">Funding Options</a>.</strong></p> <div class="row"> <h3 class="col-xs-12">Dependent 1</h3> <div class="form-group col-xs-9"> <label for="Depend_name1_id" class="control-label">Name</label> <input type="text" class="form-control Depend_name1" name="Depend_name1" id="Depend_name1_id" placeholder=""> </div> <div class="form-group col-xs-3"> <label for="Depend_age1_id" class="control-label">Age</label> <input type="text" class="form-control Depend_age1" name="Depend_age1" id="Depend_age1_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_school1_id" class="control-label">School</label> <input type="text" class="form-control Depend_school1" name="Depend_school1" id="Depend_school1_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_hours1_id" class="control-label">Hrs per wk in pre- or after-school, or day-care programs</label> <input type="text" class="form-control Depend_hours1" name="Depend_hours1" id="Depend_hours1_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_costs1_id" class="control-label">Monthly cost for these school programs</label> <input type="text" class="form-control Depend_costs1" name="Depend_costs1" id="Depend_costs1_id" placeholder=""> </div> </div> <h4 class="dropdown" style="margin-top: 0px"><i class="fa fa-caret-right"></i> Add more</h4> <div style="display:none;" class="row"> <h3 class="col-xs-12">Dependent 2</h3> <div class="form-group col-xs-9"> <label for="Depend_name2_id" class="control-label">Name</label> <input type="text" class="form-control Depend_name2" name="Depend_name2" id="Depend_name2_id" placeholder=""> </div> <div class="form-group col-xs-3"> <label for="Depend_age2_id" class="control-label">Age</label> <input type="text" class="form-control Depend_age2" name="Depend_age2" id="Depend_age2_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_school2_id" class="control-label">School</label> <input type="text" class="form-control Depend_school2" name="Depend_school2" id="Depend_school2_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_hours2_id" class="control-label">Hrs per wk in pre- or after-school, or day-care programs</label> <input type="text" class="form-control Depend_hours2" name="Depend_hours2" id="Depend_hours2_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_costs2_id" class="control-label">Monthly cost for these school programs</label> <input type="text" class="form-control Depend_costs2" name="Depend_costs2" id="Depend_costs2_id" placeholder=""> </div> <h3 class="col-xs-12">Dependent 3</h3> <div class="form-group col-xs-9"> <label for="Depend_name3_id" class="control-label">Name</label> <input type="text" class="form-control Depend_name3" name="Depend_name3" id="Depend_name3_id" placeholder=""> </div> <div class="form-group col-xs-3"> <label for="Depend_age3_id" class="control-label">Age</label> <input type="text" class="form-control Depend_age3" name="Depend_age3" id="Depend_age3_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_school3_id" class="control-label">School</label> <input type="text" class="form-control Depend_school3" name="Depend_school3" id="Depend_school3_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_hours3_id" class="control-label">Hrs per wk in pre- or after-school, or day-care programs</label> <input type="text" class="form-control Depend_hours3" name="Depend_hours3" id="Depend_hours3_id" placeholder=""> </div> <div class="form-group col-xs-12"> <label for="Depend_costs3_id" class="control-label">Monthly cost for these school programs</label> <input type="text" class="form-control Depend_costs3" name="Depend_costs3" id="Depend_costs3_id" placeholder=""> </div> </div> </fieldset> <fieldset class="img-rounded"> <legend class="img-rounded">7. Non-Discretionary Expenses <span class="legend_sub_text">(optional)</span> </legend> <p>If you have non-discretionary expenses (e.g., family health insurance, medical, dental, legal) outside the typical enrollment-related costs for the enrollment period, <strong>please itemize and explain below.</strong> If you would like these amounts to be included in your eligibility for student loans, <strong>you must submit documentation</strong> of these expenses to the FAO. You can upload pdf documents using our secure <a href="https://financialaid.stanford.edu/upload" target="_blank">Document Upload</a> web form.</p> <p>You have <strong><span style="color: #CC0000;" id="countsprytextarea">&nbsp;</span></strong> characters available for use (1000 is the limit).</p> <div class="form-group col-xs-12"> <label for="nd_expenses_id" class="control-label">List non-discretionary expenses:</label> <textarea type="text" class="form-control nd_expenses" name="nd_expenses" id="nd_expenses_id" placeholder=""></textarea> </div> </fieldset> <fieldset class="img-rounded"> <legend class="img-rounded">8. Agreement <span class="legend_sub_text">(required)</span> </legend> <p>Please read and complete below.<br/> </p> <p><strong>Acceptance of funds administered by the Financial Aid Office (FAO) and covered by this application requires that I understand and agree: </strong> </p> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox" style=""> <label for="agree_1_id" class="control-label"> <input type="checkbox" class="form-control agree_1" name="agree_1" id="agree_1_id" value="Yes" style="margin-top: 4px;"/> To meet satisfactory academic progress standards as defined by the University;</label> </div> </div> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox"> <label for="agree_2_id" class="control-label"> <input type="checkbox" class="form-control agree_2" name="agree_2" id="agree_2_id" value="Yes"/> To register for a minimum of 6 units per quarter and meet all enrollment requirements as established by the University Registrar's Office;</label> </div> </div> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox"> <label for="agree_3_id" class="control-label"> <input type="checkbox" class="form-control agree_3" name="agree_3" id="agree_3_id" value="Yes"/> If selected for verification, to provide the FAO with a completed, signed verification form and supporting documentation to verify data reported on your FAFSA application(s);</label> </div> </div> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox"> <label for="agree_4_id" class="control-label"> <input type="checkbox" class="form-control agree_4" name="agree_4" id="agree_4_id" value="Yes"/> That information provided on this form may be forwarded to outside agencies, particularly to update address and enrollment status for students who have obtained federal loans; </label> </div> </div> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox"> <label for="agree_5_id" class="control-label"> <input type="checkbox" class="form-control agree_5" name="agree_5" id="agree_5_id" value="Yes"/> That information in the application may be used to establish eligibility for federal student aid funds and that the Department of Education takes the position that false information could subject you to a fine or imprisonment, or both, under provisions of the US Criminal Code;</label> </div> </div> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox"> <label for="agree_6_id" class="control-label"> <input type="checkbox" class="form-control agree_6" name="agree_6" id="agree_6_id" value="Yes"/> That the information reported on this form, is true, correct, and complete, and that I will provide the FAO with a signed copy of my federal income tax return(s) and any other documentation necessary to verify the data, if requested by the FAO;</label> </div> </div> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox"> <label for="agree_7_id" class="control-label"> <input type="checkbox" class="form-control agree_7" name="agree_7" id="agree_7_id" value="Yes"/> That any change in my financial circumstances could be grounds for repayment of funds received;</label> </div> </div> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox"> <label for="agree_8_id" class="control-label"> <input type="checkbox" class="form-control agree_8" name="agree_8" id="agree_8_id" value="Yes"/> To notify the FAO if I enroll in fewer units than were used to establish eligibility for federal funds; receive funding in addition to any reported here such as internal or external fellowships, tuition allowance, health insurance subsidy, stipends of any kind including support for research costs, conference attendance, etc; move to on-campus housing during the award period.</label> </div> </div> <p><strong>By entering my Stanford ID number below, I am certifying that all information in this application is accurate and complete to the best of my knowledge.</strong> </p> <div class="form-group col-xs-6"> <label for="agreement_date_id" class="control-label">Today's Date:</label> <input type="text" class="form-control agreement_date" name="agreement_date" id="agreement_date_id" value="11/24/2024" readonly> </div> <div class="form-group col-xs-6"> <label for="student_id_id" class="control-label current_student">Student ID:</label> <input name="student_id" type="text" class="form-control studentID current_student" id="student_id_id" placeholder="last 8 digits"> </div> </fieldset> <fieldset class="img-rounded"> <legend class="img-rounded">9. Send <span class="legend_sub_text">(required)</span> </legend> <!-- Privacy agreement --> <div class="form-group col-xs-12 align-help-block-60"> <div class="checkbox" style=""> <label for="agree_pp_id" class="control-label"> <input type="checkbox" class="form-control agree_pp" name="agree_pp" id="agree_pp_id" value="Yes" style="margin-top: 4px;"/> By submitting this financial aid application, I hereby consent to Stanford University鈥檚 collection and processing of any sensitive personal data contained in my application to evaluate my application for the other purposes described in Stanford University鈥檚 Online Privacy, Offline Privacy Policy, and the Privacy Notice for Admissions and Financial Aid which can be found at <a href="https://privacy.stanford.edu/" target="_blank">privacy.stanford.edu <i class="fa fa-external-link" aria-hidden="true"></i></a></label> </div> </div> <div class="form-group col-xs-8"> <input type="submit" name="OBBtn_Yes" id="submit_step" class="btn btn-five" value="Send Application"/> </div> <div class="form-group col-xs-4"> <label for="form_version" class="control-label">Form version:</label> <input name="form_version" type="text" id="form_version" class="form-control" value="20220214-1" readonly/> </div> </fieldset> <!--Check for spam--> <div id="human_testDiv"> <label for="human_test">Leave this field blank</label> <input type="text" name="human_test" id="human_test"> </div> <!-- BEGIN OPENTEXT PART 2 --> <div class="loadersection load-mask hidden" role="dialog" aria-labelledby="dialog-title"> <h3 id="dialog-title">Loading...</h3> <img src="https://ecmform.stanford.edu/FormAssets/loader2.gif" style="width: 100px;"/> </div> <div class="back-drop load-mask hidden" tabindex="-1"></div> <!-- END OPENTEXT PART 2 --> <script> ( function () { var e = document.getElementById( "human_testDiv" ); e.parentNode.removeChild( e ); } )(); </script> </form> </div> </div> <script type="text/javascript"> $( document ).ready( function () { // Show date field if FASFA for current qtr was submitted $( 'input[name="FAFSA_year1"]' ).on( "click", function () { if ( $( this ).val() === "Yes" ) { $( "#date_FASFA1_id" ).show(); } else { $( "#date_FASFA1_id" ).hide(); } } ); // Show date field if FASFA for next qtr was submitted $( 'input[name="FAFSA_year2"]' ).on( "click", function () { if ( $( this ).val() === "Yes" ) { $( "#date_FASFA2_id" ).show(); } else { $( "#date_FASFA2_id" ).hide(); } } ); $( '#datePicker' ) .datepicker( { startView: 2, format: 'mm/dd/yyyy', startDate: '-100y', endDate: '-16y' } ) .on( 'changeDate', function ( e ) { // Revalidate the date field $( '#step_loan' ).formValidation( 'revalidateField', 'date' ); } ); $( '#datePicker2_id' ) .datepicker( { startView: 2, format: 'mm/dd/yyyy', startDate: '-100y', endDate: '-0y' } ) .on( 'changeDate', function ( e ) { // Revalidate the date field $( '#step_loan' ).formValidation( 'revalidateField', 'date_FASFA1' ); } ); $( '#datePicker3_id' ) .datepicker( { startView: 2, format: 'mm/dd/yyyy', startDate: '-100y', endDate: '-0y' } ) .on( 'changeDate', function ( e ) { // Revalidate the date field $( '#step_loan' ).formValidation( 'revalidateField', 'date_FASFA2' ); } ); $( '.dropdown' ).on( 'click', function () { $( this ).next().toggle(); $( this ).children().first().toggleClass( 'fa-caret-down fa-caret-right' ); } ); $( '#step_loan' ).formValidation( { framework: 'bootstrap', icon: { valid: 'glyphicon glyphicon-ok', invalid: 'glyphicon glyphicon-remove', validating: 'glyphicon glyphicon-refresh' }, fields: { applicant_name: { selector: '.applicant_name', validators: { notEmpty: { message: 'Name is required' }, regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 90 characters' } } }, applicant_email: { selector: '.applicant_email', validators: { notEmpty: { message: 'Email is required' }, regexp: { regexp: /^[A-Z0-9._%+-]+@[A-Z0-9.-]+\.[A-Z]{2,4}$/i, message: 'Email format must be valid' } } }, date: { validators: { notEmpty: { message: 'The date is required' }, date: { format: 'MM/DD/YYYY', message: 'The date is not a valid' } } }, ai_reside: { selector: '.ai_reside', validators: { notEmpty: { message: 'Residence location is required' } } }, FAFSA: { validators: { notEmpty: { message: 'Required' } } }, FAFSA_year1: { validators: { notEmpty: { message: 'Required' } } }, FAFSA_year2: { validators: { notEmpty: { message: 'Required' } } }, STEP_program: { selector: '.STEP_program', validators: { notEmpty: { message: 'Required' } } }, AR_summer_source_1: { selector: '.AR_summer_source_1', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 45 characters' } } }, AR_summer1: { selector: '.AR_summer1', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, AR_source_1: { selector: '.AR_source_1', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 45 characters' } } }, AR_aws1: { selector: '.AR_aws1', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, AR_source_2: { selector: '.AR_source_2', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 45 characters' } } }, AR_summer_source_2: { selector: '.AR_summer_source_2', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 45 characters' } } }, AR_summer2: { selector: '.AR_summer2', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, AR_aws2: { selector: '.AR_aws2', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, AR_source_3: { selector: '.AR_source_3', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 45 characters' } } }, AR_summer_source_3: { selector: '.AR_summer_source_3', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 45 characters' } } }, AR_summer3: { selector: '.AR_summer3', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, AR_aws3: { selector: '.AR_aws3', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, fed_sub_stafford: { selector: '.fed_sub_stafford', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, fed_unsub_stafford: { selector: '.fed_unsub_stafford', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, fed_TEACH: { selector: '.fed_TEACH', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Source format must be valid' } } }, college_univ: { selector: '.college_univ', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 45 characters' } } }, ai_gross_summer: { selector: '.ai_gross_summer', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Income format must be valid' } } }, ai_earnings_summer: { selector: '.ai_earnings_summer', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Earnings format must be valid' } } }, ai_spouse_earnings_summer: { selector: '.ai_spouse_earnings_summer', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Earnings format must be valid' } } }, ai_additional_summer: { selector: '.ai_additional_summer', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Amount format must be valid' } } }, ai_untaxed_summer: { selector: '.ai_untaxed_summer', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Amount format must be valid' } } }, ai_gross_aws: { selector: '.ai_gross_aws', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Income format must be valid' } } }, ai_earnings_aws: { selector: '.ai_earnings_aws', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Earnings format must be valid' } } }, ai_spouse_earnings_aws: { selector: '.ai_spouse_earnings_aws', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Earnings format must be valid' } } }, ai_additional_aws: { selector: '.ai_additional_aws', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Amount format must be valid' } } }, ai_untaxed_aws: { selector: '.ai_untaxed_aws', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Amount format must be valid' } } }, Depend_name1: { selector: '.Depend_name1', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 90 characters' } } }, Depend_age1: { selector: '.Depend_age1', validators: { regexp: { regexp: /^([0-9]|1[0-9]|2[0-4])$/i, message: 'Maximum age of 24' } } }, Depend_school1: { selector: '.Depend_school1', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 90 characters' } } }, Depend_hours1: { selector: '.Depend_hours1', validators: { regexp: { regexp: /^\b([0-9]|[1-9][0-9]|1[0-6][0-8])\b$/i, //FIX TO 168 */ message: 'Maximum of 168 hours' } } }, Depend_costs1: { selector: '.Depend_costs1', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Cost format must be valid' } } }, Depend_name2: { selector: '.Depend_name2', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 90 characters' } } }, Depend_age2: { selector: '.Depend_age2', validators: { regexp: { regexp: /^([0-9]|1[0-9]|2[0-4])$/i, message: 'Maximum age of 24' } } }, Depend_school2: { selector: '.Depend_school2', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 90 characters' } } }, Depend_hours2: { selector: '.Depend_hours2', validators: { regexp: { regexp: /^\b([0-9]|[1-9][0-9]|1[0-6][0-8])\b$/i, //FIX TO 168 */ message: 'Maximum of 168 hours' } } }, Depend_costs2: { selector: '.Depend_costs2', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Cost format must be valid' } } }, Depend_name3: { selector: '.Depend_name3', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 90 characters' } } }, Depend_age3: { selector: '.Depend_age3', validators: { regexp: { regexp: /^([0-9]|1[0-9]|2[0-4])$/i, message: 'Maximum age of 24' } } }, Depend_school3: { selector: '.Depend_school3', validators: { regexp: { regexp: /^[-',.a-zA-Z0-9 ]{0,90}$/i, message: 'Maximum length of 90 characters' } } }, Depend_hours3: { selector: '.Depend_hours3', validators: { regexp: { regexp: /^\b([0-9]|[1-9][0-9]|1[0-6][0-8])\b$/i, //FIX TO 168 */ message: 'Maximum of 168 hours' } } }, Depend_costs3: { selector: '.Depend_costs3', validators: { regexp: { regexp: /^[0-9]{0,9}(\.[0-9]{1,2})?$/i, /* max at 199,999,999.99 */ message: 'Cost format must be valid' } } }, agree_1: { selector: '.agree_1', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } }, agree_2: { selector: '.agree_2', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } }, agree_3: { selector: '.agree_3', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } }, agree_4: { selector: '.agree_4', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } }, agree_5: { selector: '.agree_5', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } }, agree_6: { selector: '.agree_6', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } }, agree_7: { selector: '.agree_7', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } }, agree_8: { selector: '.agree_8', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } }, agreement_date: { selector: '.agreement_date', validators: { notEmpty: { message: 'Date is required' }, regexp: { regexp: /^(0[1-9]|1[012])[- \/.](0[1-9]|[12][0-9]|3[01])[- \/.]((?:19|20)\d\d)$/i, message: 'Date format must be valid' } } }, studentID: { selector: '.studentID', validators: { notEmpty: { message: 'The student ID is required' }, regexp: { regexp: /^\d{8}$/i, message: 'The student ID must be 8 digits' } } }, agree_pp: { selector: '.agree_pp', validators: { notEmpty: { message: 'Check to acknowledge agreement' } } } } } ) // BEGIN OPENTEXT PART 3 .on('success.form.fv', function(e) { //CAPTCHA - START e.preventDefault(); grecaptcha.ready(function() { grecaptcha.execute('6Lds76UZAAAAAO6GxhCnMtQrv-7yZdQn0SzpPg4s', {action: 'process_attachment'}).then(function(token) { $('#step_loan').prepend('<input type="hidden" name="token" value="' + token + '">'); $('#step_loan').prepend('<input type="hidden" name="action" value="process_attachment">'); document.getElementById("step_loan").submit(); $('.load-mask').removeClass('hidden'); }); }); //CAPTCHA - END }); }); // END OPENTEXT PART 3 </script> <script> $('#Depend_name1_id, #Depend_name2_id, #Depend_name3_id').on('focus', function() { console.log('focused'); $('.graduate-family-grant-message').show(); }) </script> </div> <!-- #su-content end --> </div> <!-- #su-wrap end --> <!-- Global footer snippet start --> <div id="global-footer"> <div class="container"> <div class="row"> <div id="bottom-logo" class="span2"> <a href="https://www.stanford.edu"> <img src="https://www-media.stanford.edu/su-identity/images/footer-stanford-logo@2x.png" alt="Stanford University" width="105" height="49"/> </a> </div> <!-- #bottom-logo end --> <div id="bottom-text" class="span10"> <ul> <li class="home"><a href="https://www.stanford.edu">Stanford Home</a> </li> <li class="maps alt"><a href="https://visit.stanford.edu/plan/">Maps &amp; Directions</a> </li> <li class="search-stanford"><a href="https://www.stanford.edu/search/">Search Stanford</a> </li> <li class="emergency alt"><a href="https://emergency.stanford.edu">Emergency Info</a> </li> </ul> <ul id="policy-links"> <li><a href="https://www.stanford.edu/site/terms/" title="Terms of use for sites">Terms of Use</a> </li> <li><a href="https://www.stanford.edu/site/privacy/" title="Privacy and cookie policy">Privacy</a> </li> <li><a href="https://uit.stanford.edu/security/copyright-infringement" title="Report alleged copyright infringement">Copyright</a> </li> <li><a href="https://adminguide.stanford.edu/chapter-1/subchapter-5/policy-1-5-4" title="Ownership and use of Stanford trademarks and images">Trademarks</a> </li> <li><a href="http://exploredegrees.stanford.edu/nonacademicregulations/nondiscrimination/" title="Non-discrimination policy">Non-Discrimination</a> </li> <li><a href="https://www.stanford.edu/site/accessibility" title="Report web accessibility issues">Accessibility</a> </li> </ul> </div> <!-- .bottom-text end --> <div class="clear"></div> <p class="copyright vcard">&copy; <span class="fn org">Stanford University</span>, <span class="adr"> <span class="locality">Stanford</span>, <span class="region">California</span> <span class="postal-code">94305</span></span>. </p> </div> <!-- .row end --> </div> <!-- .container end --> </div> <!-- global-footer end --> <!-- Global footer snippet end --> </body> </html>

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