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LAST NAME
BIRTH DATE
HOME ADDRESS
HOME TELEPHONE
FIRST NAME
OCCUPATION
CITY STATE ZIP
CELL/MOBILE PHONE NO.
NEW YORK FILM ACADEMY
/ /
ONE-YEAR PROGRAMS
New York Film Academy 100 East 17th Street, NYC 10003 | Tel: 212-674-4300 | Fax: 212-477-141
PERSONAL INFORMATION
PLEASE CHOOSE A PROGRAM
FILMMAKING
ACTING FOR FILM
PRODUCING
SCREENWRITING
DOCUMENTARY
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FILMMAKING
ACTING FOR FILM
PRODUCING
SCREENWRITING
MFA DEGREE PROGRAMS
FILMMAKING
ACTING FOR FILM
PRODUCING
SCREENWRITING
DOCUMENTARYMUSICAL THEATRE
PHOTOGRAPHYGAME WRITING & DESIGN
MUSICAL THEATRE
GAME WRITING & DESIGN
DANCE CONSERVATORY
AUDIO RECORDING & SOUND DESIGN
PHOTOGRAPHY
AFA DEGREE PROGRAMS
FILMMAKING
ACTING FOR FILM
BRETT RATNER TUITION GRANT APPLICATIO
PLEASE NOTE: You must be accepted as a student before applying for the Brett Ratner Grant!
Please complete the application form below.
E-MAIL ADDRESS
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INDEPENDENT STUDENTS: Students born before January 1st, 1984, or if they can demonstrate annual income exceeding
$50,000 per year complete SECTION 1 only.
DEPENDENT STUDENTS: Students born after January 1st, 1984 complete SECTION 1 and SECTION 2.
MARITAL STATUS
NUMBER OF DEPENDANTS DEPENDENTS’ AGES
WHAT WAS YOUR (AND YOUR SPOUSE’S) GROSS INCOME FOR 2009?
AS OF TODAY, WHAT IS THE TOTAL CURRENT BALANCE OF YOUR (AND YOUR SPOUSE’S) CASH, SAVINGS ANDCHECKING ACCOUNTS?
AS OF TODAY, WHAT IS THE NET WORTH OF YOUR (AND YOUR SPOUSE’S) INVESTMENTS, INCLUDING REAL ESTATE?
PARENTS’ MARITAL STATUS
NUMBER OF DEPENDANTS DEPENDENTS’ AGES
WHAT WAS YOUR PARENTS‘ GROSS INCOME FOR 2009?
AS OF TODAY, WHAT IS THE TOTAL CURRENT BALANCE OF YOUR PARENTS’ CASH, SAVINGS AND CHECKING ACCOUNTS?
AS OF TODAY, WHAT IS THE NET WORTH OF YOUR PARENTS’ INVESTMENTS, INCLUDING REAL ESTATE?
New York Film Academy 100 East 17th Street, NYC 10003 | Tel: 212-674-4300 | Fax: 212-477-141
FINANCIAL INFORMATION
SECTION 1: STUDENT FINANCIAL INFORMATION
SECTION 2: PARENT FINANCIAL INFORMATION
BRETT RATNER TUITION GRANT APPLICATION - PAGE
NEW YORK FILM ACADEMY
STUDENT DEPENDENCY STATUS
$
$
$
$
$
$
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Please write an essay (1 - 2 pages long) discussing your financial situation, and why you have a specific financial need for
tuition assistance. Please include information about how you will be paying your remaining tuition balance. Please discuss
your estimated costs while you will be attending the program, including you rent/monthly living costs.
Completed grant applications (including the necessary financial documents) should be submitted via mail, fax, or email.
Incomplete applications will not be considered!
Independent Students: Include your 2008/2009 Tax return.
Dependent Students: Please include both your and your family’s 2008/2009 Tax returns.
International students need to provide official documentation demonstrating their financial status and annual income. For
dependent students, please provide your family’s documentation. These documents must be translated into English and
have currency converted into dollars.
Please contact our Financial Aid Director, Brian Koplow at [email protected] with any questions.
New York Film Academy 100 East 17th Street, NYC 10003 | Tel: 212-674-4300 | Fax: 212-477-141
APPLICATION ESSAY
FOR U.S. STUDENTS
TAX/HOUSEHOLD INCOME INFORMATION
FOR INTERNATIONAL STUDENTS
SUBMISSION
BRETT RATNER TUITION GRANT APPLICATION - PAGE
I certify that the information I have provided on this application is complete and accurate to the best of my knowledge.
SIGNATURE DATE
APPLICANT SIGNATURE
NEW YORK FILM ACADEMY
