SWAMI DAYANAND EDUCATION FOUNDATION

APPLICATION FOR SCHOLARSHIP

Submission Deadline – August 31, 2019
(The Scholarship is available for the students who are residents of Houston studying in US universities
for financial grant up to $5000)
Step One (Student): For question 1-29, leave any questions that do not apply to you (the student) blank.
Your full name (exactly as it appears on your Social Security card) If your name has a suffix, such as Jr. or III, include a space between your last name
and suffix.
1. Last 2. First 3. Middle name
name name

Your permanent 5. Are you male or female?

mailing address
4. Number and street Yes 1
(include apt.
number)
No 2
6. City (and country 7. State 8.ZIP Code
if not U.S.)

9. Your Social Security Number. 10. Your date of birth 11. Your telephone number
MONTH DAY YEAR
_ _ _ _ ( ) _

Your driver’s license number and driver’s license state (if you have one)
12. Driver’s license 13. Driver’s license
number state

14. Your e-mail address. If you provide your e-mail address, we will communicate with you electronically. For example, when your SDEF has been
processed, you will be notified by e-mail.

15. Are you a Yes, I am a U.S. citizen (U.S. national). Skip to question 16. …… 1 16. Alien Registration Number
U.S. citizen?
Mark only one.
No, but I am an eligible noncitizen. Fill in question 15. …………... 2 A

No, I am not a citizen or eligible noncitizen. Skip to question 16. 3

17. What is your 18. Month and year
marital status as I am single …………… 1 I am separated ……… 1 you were married, MONTH YEAR
of today? remarried, separated,
divorced or widowed.
I am married/ remarried 2 I am divorced or widowed 2
19. What is your State 20. Did you become a 21. If the answer to
state of legal legal resident of this Yes 1 question 19 is “No,” MONTH YEAR
residence? state before January 1, give month and year
2014? you became a legal
No 2 resident of that state.
22. Highest school completed by Parent 1 Middle school/Jr. high 1 High school 2 College or beyond 3 Other/unknown 4

23. Highest School completed by Parent 2 Middle school/Jr. high 1 High school 2 College or beyond 3 Other/unknown 4
24. What will your high school completion status be when you begin college in the 2019-2020 school year?

High school diploma. Answer question 25 ………………………………………………………. 1 Homeschooled. Skip to question 26……..... 3
General Educational Development (GED) certificate or state certificate.
Skip to question 2………………………………………………………………………………....... 2 None of the above. Skip to question 26 ….. 4
25. What is the name of the high school where you received or will receive your high school 26. Will you have your first bachelor’s degree before
diploma? Enter the complete high school name, and the city and state where the high school is you begin the 2019-2020 school year?
located.
High School Name
STATE Yes 1
High School City
No 2

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27. What will your grade level be when you begin the 2019-2020 school 28. What degree or certificate will you be working on when you begin the
year? 2019-2020 school year?

Never attended college and 1st year undergraduate ……………..... 0 1st bachelor’s degree …………………………………………………...... 1

Attended college before and 1st year undergraduate ……………… 1 2nd bachelor’s degree …………………………………………………….. 2

2nd year undergraduate/sophomore …………………………………. 2 Associate degree (occupational or technical program) ……………….. 3

3rd year undergraduate/junior ………………………………………… 3 Associate degree (general education or transfer program) …………... 4

4th year undergraduate/senior ……………………………………….. 4 Certificate or diploma (occupational, technical or education program of
less than two years) ………………………………………………………. 5
5th year/other undergraduate ………………………………………… 5 Certificate or diploma (occupational, technical or education program
of two or more years) ……………………………………………………... 6
1st year graduate/professional ……………………………………….. 6
Teaching credential (nondegree program) …………………………….. 7
Continuing graduate/professional or beyond ………………………. 7
Graduate or professional degree ……………………………………….. 8

Other/undecided ………………………………………………………….. 9

29. Are you interested in being considered for work-study? Yes 1 No 2 Don’t Know 3

Answer questions about yourself (the student). If you were never married or are separated, divorced or
Step Two (Student): widowed, answer only about yourself. If you are married as of today, include information about your
spouse.
30. For 2017, have you (the student) 31. What income tax return did you file or will you file 32. For 2017, what is or will be your tax filing
completed your IRS income tax return or for 2017? status according to your tax return?
another tax return listed in question 33?
IRS 1040 ………………………………….. Single ………………………………………
I have already completed my return ……....
Head of household ……………………….
IRS 1040A or 1040EZ ……………………
I will file but have not yet completed my
Married – filed joint return ……………….
return…………………………………………. A foreign tax return………………………..
Married – filed separate return ………….
I’m not going to file. Skip to question 39…..
Qualifying widow(er) ……………………..

Don’t know ………………………………..

33. If you have filed or will file a 1040, were you eligible to file a 1040A or 1040EZ? Yes 1 No 2 Don’t Know 3

For question 34-42, if the answer is zero or the question does not apply to you, enter 0. Report whole dollar amount with no cents.
34. What was your (and spouse’s) adjusted gross income for 2017? Adjusted gross income is on IRS Form 1040—line 37;
$
1040A—line 21; or 1040EZ—line 4.

35. Enter your (and spouse’s) income tax for 2017. Income tax amount is on IRS Form 1040—line 56 minus line 46; 1040A- $
line28; or 1040EZ—line 10.
36. Enter your (and spouse’s) exemptions for 2017. Exemptions are on IRS Form 1040—line 6d or Form 1040A—line 6d. $
For Form 1040EZ, see Notes page 9.
Questions 37 and 38 ask about earnings (wages, salaries, tips, etc.) in 2017. Answer the questions whether or not a tax return was filed. This information
may be on the W-2 forms or on the tax return selected in question 33: IRS Form 1040—lines 7+12+18+Box 14 (Code A) of IRS Schedule K-1 (Form
1065); 1040A—line 7; or
37. How much did you earn from working in 2017? $

38. How much did your spouse earn from working in 2017? $

39. As of today, what is your (and spouse’s) total current balance of cash, savings, and checking accounts? Don’t include $
student financial aid.
40. As of today, what is the net worth of your (and spouse’s) investments, including real estate? Don’t include the home you $
live in.
41. As of today, what is the net worth of your (and spouse’s) current businesses and/or investment farms? Don’t include a $
family farm or family business with 100 or fewer full-time or full-time equivalent employees.
42. Student’s 2017 Additional Financial Information (Enter the combined amounts for you and your spouse.) $

a. Education credits (American Opportunity Tax Credit and Lifetime Learning Tax Credit) from IRS Form 1040—line 50 or $
1040A—line 33.

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 b. Child support paid because of divorce or separation or as a result of a legal requirement. Don’t include support for
children in your household, as reported in question 95
c. Taxable earnings from need-based employment programs, such as Federal Work-Study and need-based employment
portions of fellowships and assistantships.
d. Taxable college grant and scholarship aid reported to the IRS in your adjusted gross income. Includes AmeriCorps
benefits (awards, living allowances and interest accrual payments), as well as grant and scholarship portions of
fellowships and assistantships.
e. Combat pay or special combat pay. Only enter the amount that was taxable and included in your adjusted gross income.
Don’t include untaxed combat pay.
f. Earnings from work under a cooperative education program offered by a college

Answer the questions in this step to determine if you will need to provide parental information. Once
Step Three (Student): you answer “Yes” to any of the questions in this step, skip Step Four and got to next step.
43. Were you born before January 1, 1996?
Yes No
44. As of today, are you married? (Also answer “Yes” if you are separated but not divorced.)
Yes No
45. At the beginning of the 2019-2020 school year, will you be working on a master’s or doctorate program (such as an MA,
MBA, MD, JD, PhD, EdD, graduate certificate, etc.)? Yes No
46. Are you currently serving on active duty in the U.S. Armed Forces for purposes other than training?
Yes No
47. Are you a veteran of the U.S. Armed Forces?
Yes No
48. Do you now have or will you have children who will receive more than half of their support from you between July 1,
2019 and June 30, 2020? Yes No
49. Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their
support from you, now and through June 30, 2020? Yes No

50. At any time since you turned age 13, were both your parents deceased, were you in foster care or were you a
dependent or ward of the court? Yes No

51. As determined by a court in your state of legal residence, are you or were you an emancipated minor?
Yes No
52. Does someone other than your parent or stepparent have legal guardianship of you, as determined by a court in your
state of legal residence? Yes No
53. At any time on or after July 1, 2018, did your high school or school district homeless liaison determine that you were an
unaccompanied youth who was homeless or were self-supporting and at risk of being homeless? Yes No

54. At any time on or after July 1, 2018, did the director of an emergency shelter or transitional housing program funded by
the U.S. Department of Housing and Urban Development determine that you were an unaccompanied youth who was Yes No
homeless or were self-supporting and at risk of being homeless?
55. At any time on or after July 1, 2018, did the director of a runaway or homeless youth basic center or transitional living
program determine that you were an unaccompanied youth who was homeless or were self-supporting and at risk of being Yes No
homeless?
If you (the student) answered “No” to every question in Step Three, go to Step Four.
If you answered “Yes” to any question in Step Three, skip Step Four.
Step Four (Parent): Complete this step if you (the student) answered “No” to all questions in Step Three.
Answer all the questions in Step Four even if you do not live with your legal parents (biological, adoptive, or as determined by the state [for example, if the
parent is listed on the birth certificate]). Grandparents, foster parents, legal guardians, widowed stepparents, aunts, uncles, and siblings are not
considered parents on this form unless they have legally adopted you. If your legal parents are married to each other, or are not married to each other and
live together, answer the questions about both of them.
56. As of today, what is the marital status of your legal parents? 57. Month and
Never married………………………….… 2 Married or remarried……………… 1 year they were
MONTH YEAR
3 married,
Unmarried and both parents Divorced or separated……………. remarried,
living together ……………………………. 5 Widowed…………………………… 4 separated,
divorced or
widowed.

What are the Social Security Numbers, names and dates of birth of the parents reporting information on this form?
If your parent does not have a Social Security Number, you must enter 000-00-0000. If the name includes a suffix, such as Jr. or III, include a space
between the last name and suffix. Enter two digits for each day and month (e.g., for May 31, enter 05 31).

Questions 58-61 are for Parent 1 59. LAST NAME, AND 60. First Initial 61. DATE OF BIRTH
(father/mother/stepparent)
58. SOCIAL SECURITY NUMBER(Parent 1)
_ _ _ _ 1 9

Questions 62-65 are for Parent 2 63. LAST NAME, AND 64. First Initial 65. DATE OF BIRTH
(father/mother/stepparent)
62. SOCIAL SECURITY NUMBER(Parent 1)
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 _ _
_ _ 1 9
66. Your parents’ e-mail address. If you provide your parents’ e-mail address, we will let them know your Application has been processed.

67. What is your 68. Did your parents 69. If the answer to question 71 is “No,”
parent’s state of become legal residents give the month and year legal residency MONTH YEAR
legal residence of this state before Yes 1 began for the parent who has lived in the
January 1, 2014? No 2 state the longest.

70. How many people are in your parents’ household?

Include:
• yourself, even if you don’t live with your parents,
• your parents,
• your parents’ other children (even if they do not live with your parents) if (a) your parents will provide more than half of their support
between July 1, 2019 and June 30, 2020, or (b) the children could answer “No” to every question in Step Three of this form, and
• other people if they now live with your parents, your parents provide more than half of their support and your parents will continue to
provide more than half of their support between July 1, 2019 and June 30, 2020.
71. How many people in your parents’ household (from question 73) will be college students between July 1, 2019 and June 30, 2020?
Always count yourself as a college student. Do not include your parents. Do not include siblings who are in U.S. military service
academies.

72. In 2017 or 2018, did you, your parents or anyone in your parents’ household receive benefits from any of the federal programs listed?
Mark all that apply.
Supplemental Supplemental Free or Reduced Temperorary Assistance Special Supplemental Nutrition Program
Security Income (SSI) Nutrition Assistance Price Lunch for Needy Families for Women, Infants, and Children (WIC)
Program (SNAP)

73. For 2017, have your parents completed their IRS 74. What income tax return did your parents 75. For 2017, what is or will be your parents’
income tax return or another tax return listed in question file or will they file for 2017? tax filing status according to their tax return?
81?
My parents have already completed their IRS 1040…………………………………….
Single ………………………………
return……………………………………… IRS 1040A or 1040EZ…………………….. Head of household………………..
My parents will file but have not yet A foreign tax return………………………... Married—filed joint return………..
completed their return ………………….. Married—filed separate return…..
Qualifying widow(er)……………...
My parents are not going to file.……..…
Don’t know…………………………

76. If your parents have filed or will file a 1040, Yes…………… 1 77. As of today, is either of your parents a
Yes…………… 1
were they eligible to file a 1040A or 1040EZ? dislocated worker?
No……………. 2 No……………. 2
Don’t Know …. 3 Don’t Know …. 3
For questions 78-85, if the answer is zero or the question does not apply, enter 0. Report whole dollar amounts with no cents.

78. What was your parents’ adjusted gross income for 2017? Adjusted gross income is on IRS Form 1040—line 37; $
1040A—line 21; or 1040EZ—line 4.

79. Enter your parents’ income tax for 2017. Income tax amount is on IRS Form 1040—line 56 minus line 46; $
1040A—line 28 minus line 36; or 1040EZ—line 10.

80. Enter your parents’ exemptions for 2017. Exemptions are on IRS Form 1040—line 6d or on Form 1040A—line 6d. $
For Form 1040EZ.

Questions 81 and 82 ask about earnings (wages, salaries, tips, etc.) in 2017. Answer the questions whether or not a tax
return was filed.
81. How much did Parent 1 (father/mother/stepparent) earn from working in 2017? $
82. How much did Parent 2 (father/mother/stepparent) earn from working in 2017? $
83. As of today, what is your parents’ total current balance of cash, savings, and checking accounts? Don’t include $
student financial aid.
84. As of today, what is the net worth of your parents’ investments, including real estate? Don’t include the home in $
which your parents live.
85. As of today, what is the net worth of your parents’ current businesses and/or investment farms? Don’t include a $
family farm or family business with 100 or fewer full-time or full-time equivalent employees.

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 86. How many people are in your household?
Include:
• yourself (and your spouse),
• your children, if you will provide more than half of their support between July 1, 2019 and June 30, 2020, even if they do not live with
you, and
• other people if they now live with you, you provide more than half of their support and you will continue to provide more
than half of their support between July 1, 2019 and June 30, 2020.

Step Five (Student): Complete this step only if you (the student) answered “Yes” to any questions in Step Three.
87. How many people in your (and your spouse’s) household will be college students between July 1, 2017 and June 30,
2018? Always count yourself as a college student. Do not include family members who are in U.S. military service
academies. Include others only if they will attend, at least half-time in 2016-2017, a program that leads to a college
degree or certificate.
88. In 2017 or 2018, did you (or your spouse) or anyone in your household receive benefits from any of the federal programs listed?

Supplemental Supplemental Free or Reduced Temporary Assistance Special Supplemental Nutrition Program
Security Income (SSI) Nutrition Assistance Price Lunch for Needy Families for Women, Infants, and Children (WIC)
Program (SNAP)
89. As of today, are you (or your spouse) a dislocated worker? Yes 1 No 2 Don’t Know 3

Step Six (Student and Parent): Read, sign and date.

If you are the student, by signing this application you certify that you (1) will use SDEF
scholarship/financial aid only to pay the cost of attending an institution of higher 90. Date this form was completed
education, (2) are not in default on a student loan or have made satisfactory MONTH DAY YEAR
arrangements to repay it, (3) do not owe money back on a student grant or have made 91.
_ _
satisfactory arrangements to repay it, (4) will notify your college if you default on a student
loan and (5) will not receive a financial Grant from any other source for the same period
Student (Sign below)
of time.
If you are the parent or the student, by signing this application you certify that all of the
information you provided is true and complete to the best of your knowledge and you
agree, if asked, to provide information that will verify the accuracy of your completed
form. This information may include U.S. or state income tax forms that you filed or are 92. Parent (A parent from Step Four sign below.)
required to file.

Mail Your Application:

After completing this application, please mail it to the following address. (You may keep a copy of application for your own record)

SWAMI DAYANAND EDUCATION FOUNDATION

1600 Hwy 6, Ste 480, Sugar Land, TX 77478, USA
Tel: +1 281-980-0325

For any queries related to Scholarship application, contact us:

Tel: +1 281-980-0325, 832-886-4136,
832-886-4138, 832-944-5190, 832-408-8501

Email: [email protected]

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