Number in Household:
Number in College:
State of Residency: Alabama Alaska American Samoa Arizona Arkansas California Canada And Canadian Provinces Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Mexico Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Other
Housing Option: On Campus Off-Campus Commuter

Age of Oldest Parent:
Parent(s)' Marital Status: Single/Separated/Divorced Married/Remarried
Did the First Parent Work? Yes No
First Parent's Income Earned From Work:
Did the Second Parent Work? Yes No
Second Parent's Income Earned From Work:
Did Parent(s) File Taxes? Yes No
Parent(s)' Adjusted Gross Income (AGI):
Parent(s)' Income Tax Paid:
Parent(s)' Untaxed Income and Benefits:
Parent(s)' Additional Financial Information:
Parent(s)' Cash, Savings, and Checking:
Net Worth of Parent(s)' Investments:
Net Worth of Parent(s)' Business
and/or Investment Farm:

Did the Student Work? Yes No
Student's Income Earned From Work:
Did the Student File Taxes? Yes No
Student's Adjusted Gross Income (AGI):
Student's Income Tax Paid:
Student's Untaxed Income and Benefits:
Student's Additional Financial Information:
Student's Cash, Savings, and Checking:
Net Worth of Student's Investments:
Net Worth of Student's Business
and/or Investment Farm: