High School Security
Resume:
SM
Free Application for Federal Student Aid
July 1, 2011 June 30, 2012
®
U.S. Department of Education
Federal Student Aid
Use this form to apply free for federal and APPLICATION DEADLINES
Federal Deadline - June 30, 2012
state student grants, work-study and loans.
State Aid Deadlines - See below.
Or apply free online at Check with your financial aid administrator for these states
www.fafsa.gov. and territories:
®
AL, AS *, AZ, CO, FM *, GA, GU *, HI *, MH *, MP *, NC, NE,
NM, NV *, PR, PW *, SD *, TX, UT, VA *, VI *, VT *, WA, WI and
Applying by the Deadlines WY *.
For federal aid, submit your application as early as possible, but no earlier than Pay attention to the symbols that may be listed after
January 1, 2011. We must receive your application no later than June 30, 2012. your state deadline.
Your college must have your correct, complete information by your last day of AK AK Education Grant - April 15, 2011 (date received)
enrollment in the 2011-2012 school year. AK Performance Scholarship - June 30, 2011 (date
received)
For state or college aid, the deadline may be as early as January 2011. See the table AR Academic Challenge - June 1, 2011 (date received)
to the right for state deadlines. You may also need to complete additional forms. Workforce Grant - Contact the financial aid office.
Higher Education Opportunity Grant - June 1, 2011
Check with your high school guidance counselor or a financial aid administrator at (date received)
CA Initial awards - March 2, 2011 + *
your college about state and college sources of student aid and deadlines.
Additional community college awards - September 2,
If you are filing close to one of these deadlines, we recommend you file online at 2011 (date postmarked) + *
CT February 15, 2011 (date received) # *
www.fafsa.gov. This is the fastest and easiest way to apply for aid.
DC June 30, 2011 (date received by state) # *
DE April 15, 2011 (date received)
Using Your Tax Return FL May 15, 2011 (date processed)
IA July 1, 2011 (date received); earlier priority deadlines
If you are supposed to file a 2010 federal income tax return, we recommend that may exist for certain programs.
you complete it before filling out this form. If you have not yet completed your 2010 ID Opportunity Grant - March 1, 2011 (date received) # *
tax return, you can still submit your FAFSA using best estimates. After you submit IL As soon as possible after January 1, 2011. Awards
made until funds are depleted.
your tax return, correct any income or tax information that is different from what
IN March 10, 2011 (date received)
you initially submitted on your FAFSA. KS April 1, 2011 (date received) # *
KY As soon as possible after January 1, 2011. Awards
Filling Out the FAFSA made until funds are depleted.
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STATE AID DEADLINES
LA June 30, 2012 (July 1, 2011 recommended)
If you or your family has unusual circumstances that might affect your financial MA May 1, 2011 (date received) #
situation (such as loss of employment), complete this form to the extent you can, then MD March 1, 2011 (date received)
ME May 1, 2011
submit it as instructed and consult with the financial aid office at the college you plan
MI March 1, 2011 (date received)
to attend.
MN 30 days after term starts (date received)
For more information or help in filling out the FAFSA, go to MO April 1, 2011 (date received) #
www.studentaid.ed.gov/completefafsa or call 1-800-4-FED-AID MS MTAG and MESG Grants - September 15, 2011 (date
received)
(1-800-***-****). TTY users (for the hearing impaired) may call 1-800-***-****.
HELP Scholarship - March 31, 2011 (date received)
Fill the answer fields directly on your screen or print the form and complete it by hand. MT March 1, 2011 (date received) #
ND March 15, 2011 (date received) #
Your answers will be read electronically; therefore if you complete the form by hand:
NH May 1, 2011 (date received)
•
NJ 2010-2011 Tuition Aid Grant recipients - June 1, 2011
Incorrect x
Correct
• use black ink and fill in circles completely: (date received)
All other applicants
15 E LM ST
• print clearly in CAPITAL letters and skip a - October 1, 2011, fall & spring terms (date received)
box between words: - March 1, 2012, spring term only (date received)
NY June 30, 2012 (date received) + *
12356
• report dollar amounts (such as $12,356.41)
$ OH October 1, 2011 (date received)
no cents,
like this: OK March 15, 2011 (date received) #
OR OSAC Private Scholarships - March 1, 2011 (date
Yellow is for student information and purple is for parent information. received)
Oregon Opportunity Grant - As soon as possible after
Mailing Your FAFSA January 1, 2011. Awards made until funds are
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depleted.
After you complete this application, make a copy of pages 3 through 8 for your PA All 2010-2011 State Grant recipients & all non-
2010-2011 State Grant recipients in degree programs
records. Then mail the original of pages 3 through 8 to:
- May 1, 2011(date received) *
All other applicants - August 1, 2011 (date received) *
Federal Student Aid Programs, P.O. Box 7002, Mt. Vernon, IL 62864-0072.
RI March 1, 2011 (date received) #
After your application is processed, you will receive a summary of your information SC Tuition Grants - June 30, 2011 (date received)
SC Commission on Higher Education - As soon as
in your Student Aid Report (SAR). If you provide an e-mail address, your SAR will be
possible after January 1, 2011. Awards made until
sent by e-mail within 3-5 days. If you do not provide an e-mail address, your SAR will
funds are depleted.
be mailed to you within three weeks. If you would like to check the status of your TN State Grant - As soon as possible after January 1,
FAFSA, go to www.fafsa.gov or call 1-800-4-FED-AID. 2011. Awards made until funds are depleted.
State Lottery - September 1, 2011 (date received) #
WV April 15, 2011 (date received) # *
Let’s Get Started!
# For priority consideration, submit application by date specified.
Now go to page 3 of the application form and begin filling it out. Refer to the + Applicants encouraged to obtain proof of mailing.
* Additional form may be required.
notes as instructed.
Federal Student Aid logo, arrow symbol and FAFSA are service marks or registered service marks of Federal Student Aid, U.S. Department of Education.
Notes for questions 14 and 15 (page 3) Notes for questions 41 and 42
and 89 and 90
If you are an eligible noncitizen, write in your eight- or nine-digit Alien
Registration Number. Generally, you are an eligible noncitizen if you are Notes continued from previous column.
(1) a permanent U.S. resident with a Permanent Resident Card (I-551); (2) a Investments also include qualified educational benefits or
conditional permanent resident (I-551C); (3) the holder of an Arrival-Departure education savings accounts (e.g., Coverdell savings accounts, 529
Record (I-94) from the Department of Homeland Security showing any one college savings plans and the refund value of 529 prepaid tuition
of the following designations: “Refugee,” “Asylum Granted,” “Parolee” (I-94 plans). For a student who does not report parental information,
confirms that you were paroled for a minimum of one year and status has the accounts owned by the student (and/or the student’s spouse)
not expired), T-Visa holder (T-1, T-2, T-3, etc.) or “Cuban-Haitian Entrant;” or are reported as student investments in question 41. For a student
(4) the holder of a valid certification or eligibility letter from the Department who must report parental information, the accounts are reported
of Health and Human Services showing a designation of “Victim of human as parental investments in question 89, including all accounts
trafficking.” owned by the student and all accounts owned by the parents for
any member of the household.
If you are in the U.S. on an F1 or F2 student visa, a J1 or J2 exchange visitor
visa, or a G series visa (pertaining to international organizations), select “No, Investments do not include the home you live in, the value
I am not a citizen or eligible noncitizen.” You will not be eligible for federal of life insurance, retirement plans (401[k] plans, pension funds,
student aid; however, you should still complete the application because you annuities, non-education IRAs, Keogh plans, etc.) or cash, savings
may be eligible for state or college aid. and checking accounts already reported in questions 40 and 88.
Investments also do not include UGMA and UTMA accounts for
Notes for question 22 (page 3)
which you are the custodian, but not the owner.
The Selective Service System, and the registration requirement for young
Investment value means the current balance or market value of
men, preserves America’s ability to provide manpower in an emergency to the
these investments as of today. Investment debt means only those
U.S. Armed Forces. Almost all men ages 18 through 25 must register. For
debts that are related to the investments.
more information about Selective Service, visit www.sss.gov.
Business and/or investment farm value includes the market
Notes for questions 33 (page 4)
value of land, buildings, machinery, equipment, inventory, etc.
and 80 (page 6) Business and/or investment farm debt means only those debts for
which the business or investment farm was used as collateral.
If you filed or will file a foreign tax return, a tax return with Puerto Rico,
another U.S. territory (e.g., Guam, American Samoa, the U.S. Virgin Islands, Business value does not include the value of a small business
Swain’s Island or the Northern Marianas Islands) or one of the Freely if your family owns and controls more than 50 percent of the
Associated States (i.e., the Republic of Palau, the Republic of the Marshall business and the business has 100 or fewer full-time or full-time
Islands or the Federated States of Micronesia), use the information from that equivalent employees. For small business value, your family
return to fill out this form. If you filed a foreign return, convert all monetary includes (1) persons directly related to you, such as a parent,
units to U.S. dollars, using the exchange rate that is in effect today. To view sister or cousin, or (2) persons who are or were related to you by
the daily exchange rate, go to www.federalreserve.gov/releases/h10/ marriage, such as a spouse, stepparent or sister-in-law.
update.
Investment farm value does not include the value of a family
Notes for questions 34 (page 4) farm that you (your spouse and/or your parents) live on and
operate.
and 81 (page 6)
Notes for questions 48 (page 5)
In general, a person is eligible to file a 1040A or 1040EZ if he or she makes
less than $100,000, does not itemize deductions, does not receive income Answer “Yes” if you are currently serving in the U.S. Armed Forces
from his or her own business or farm and does not receive alimony. A person or are a National Guard or Reserves enlistee who is on active duty
is not eligible to file a 1040A or 1040EZ if he or she makes $100,000 or more, for other than state or training purposes.
itemizes deductions, receives income from his or her own business or farm,
Answer “No” if you are a National Guard or Reserves enlistee who
is self-employed, receives alimony or is required to file Schedule D for capital
is on active duty for state or training purposes.
gains. If you filed a 1040 only to claim American Opportunity, Hope or Lifetime
Learning credits, and you would have otherwise been eligible for a 1040A or
Notes for question 49 (page 5)
1040EZ, you should answer “Yes” to this question. If you filed a 1040 and were
Answer “Yes” (you are a veteran) if you (1) have engaged in active
not required to file a tax return, you should answer “Yes” to this question.
duty in the U.S. Armed Forces (Army, Navy, Air Force, Marines or
Notes for questions 37 (page 4) Coast Guard) or are a National Guard or Reserve enlistee who was
and 85 (page 7) Notes for those who filed a 1040EZ called to active duty for other than state or training purposes, or
were a cadet or midshipman at one of the service academies, and
On the 1040EZ, if a person didn’t check either box on line 5, enter 01 if he or
(2) were released under a condition other than dishonorable. Also
she is single, or 02 if he or she is married. If a person checked either the “you”
answer “Yes” if you are not a veteran now but will be one by June
or “spouse” box on line 5, use 1040EZ worksheet line F to determine the
30, 2012.
number of exemptions ($3,650 equals one exemption).
Answer “No” (you are not a veteran) if you (1) have never engaged
Notes for questions 41 and 42 (page 4) in active duty in the U.S. Armed Forces, (2) are currently an ROTC
and 89 and 90 (page 7) student or a cadet or midshipman at a service academy, (3) are
a National Guard or Reserve enlistee activated only for state or
Net worth means current value minus debt. If net worth is negative, enter 0.
training purposes, or (4) were engaged in active duty in the U.S.
Investments include real estate (do not include the home you live in), Armed Forces but released under dishonorable conditions.
trust funds, UGMA and UTMA accounts, money market funds, mutual
Also answer “No” if you are currently serving in the U.S. Armed
funds, certificates of deposit, stocks, stock options, bonds, other securities,
Forces and will continue to serve through June 30, 2012.
installment and land sale contracts (including mortgages held), commodities,
etc.
Notes continued in next column.
Notes continued on page 9.
Page 2
SM
Free Application for Federal Student Aid
July 1, 2011 June 30, 2012
®
U.S. Department of Education
Federal Student Aid
Step One (Student): For questions 1-31, leave blank any questions that do not apply to you (the student). OMB # 1845-0001
Your full name (exactly as it appears on your Social Security card)
1. Last 2. First 3. Middle
name name initial
Your mailing address
4. Number and
street (include
apt. number)
5. City (and 6. State 7. ZIP code
country if not
U.S.)
8. Your Social Security Number 9. Your date 10. Your permanent telephone number
MONTH DAY YEAR
of birth – – –
MM DD 1 9 Y Y
Your driver’s license number and driver’s license state (if you have one)
11. Driver’s license 12. Driver’s license
number state
13. Your e-mail address. If you provide your e-mail address, we will communicate with you electronically. For example, when your FAFSA has been processed, you will
be notified by e-mail. Your e-mail address will also be shared with your state and the colleges listed on your FAFSA to allow them to communicate with you. If you
prefer to be contacted by postal mail or do not have an e-mail address, please leave this field blank.
@
14. Are you a U.S. 15. Alien Registration Number
Yes, I am a U.S. citizen (U.S. national). Skip to question 16. 1
citizen?
A
No, but I am an eligible noncitizen. Fill in question 15. 2
Mark only one.
See Notes page 2. No, I am not a citizen or eligible noncitizen. Skip to question 16. 3
Report your marital status as of the date you sign your FAFSA.
If your marital status changes after you sign your FAFSA, you cannot change this information.
17. Month and year you
16. What is your MONTH YEAR
I am single I am separated were married,
1 3
marital status as
MM Y Y Y Y
remarried, separated,
of today? I am married/remarried I am divorced or widowed
2 4
divorced or widowed.
18. What is your 19. Did you become a legal 20. If the answer to question 19
STATE MONTH YEAR
Yes 1
state of legal resident of this state is “No,” give month and year
MM Y Y Y Y
residence? before January 1, 2006? you became a legal resident.
No 2
22. If female, skip to question 23. Most male students must register with
21. Are you male Male 1
Register me
or female? Selective Service to receive federal aid. If you are male, age 18-25 and not 1
Female registered, fill in the circle and we will register you. See Notes page 2.
2
23. Have you been convicted for the possession or sale of illegal drugs for an offense that occurred while you were receiving
federal student aid (such as grants, loans or work-study)? No 1
Answer “No” if you have never received federal student aid or if you have never had a drug conviction while receiving federal student aid.
If you have a drug conviction for an offense that occurred while you were receiving federal student aid, answer “Yes,” but complete and
Yes 3
submit this application, and we will mail you a worksheet to help you determine if your conviction affects your eligibility for aid. If you are
unsure how to answer this question, call 1-800-***-**** for help.
Some states and colleges offer aid based on the level of schooling your parents completed.
24. Highest school your father completed Middle school/Jr. high High school College or beyond Other/unknown
1 2 3 4
College or beyond
25. Highest school your mother completed High school
Middle school/Jr. high Other/unknown
1 2 3 4
26. When you begin college in the 2011-2012 school year, what will be your high school completion status?
High school diploma. Answer question 27. Homeschooled. Skip to question 28.
1 3
General Educational Development (GED) certificate. Skip to question 28. None of the above. Skip to question 28.
2 4
Page 3 Step One CONTINUED on page 4
For Help–www.studentaid.ed.gov/completefafsa
Step One CONTINUED from page 3
28. Will you have your first bachelor’s degree
27. What is the name of the high school where you received or will receive your high school diploma?
before July 1, 2011?
Enter the complete high school name, and the city and state where the high school is located.
STATE
High School Name
Yes No
1 2
High School City
29. When you begin the 2011-2012 school year, what will be your 30. When you begin the 2011-2012 school year, what degree or certificate
grade level? will you be working on?
1st bachelor’s degree
0 1
Never attended college and 1st year undergraduate
2nd bachelor’s degree 2
1
Attended college before and 1st year undergraduate
Associate degree (occupational or technical program) 3
2
2nd year undergraduate/sophomore
Associate degree (general education or transfer program) 4
3
3rd year undergraduate/junior Certificate or diploma (occupational, technical or education program of
5
less than two years)
4
4th year undergraduate/senior Certificate or diploma (occupational, technical or education program of 6
two or more years)
5
5th year/other undergraduate 7
Teaching credential (nondegree program)
1st year graduate/professional 6
Graduate or professional degree 8
Other/undecided
7 9
Continuing graduate/professional or beyond
31. Are you interested in being considered for work-study? Yes No Don’t know
1 2 3
Answer questions 32–57 about yourself (the student). If you are single, separated, divorced or widowed,
Step Two (Student): answer only about yourself. If you are married or remarried as of today, include information about your
spouse (husband or wife).
32. For 2010, have you (the student) completed your IRS income tax 33. What income tax return did you file or will you file for 2010?
return or another tax return listed in question 33? 1
IRS 1040
1 2
I have already completed my return. IRS 1040A or 1040EZ
A foreign tax return. See Notes page 2. 3
2
I will file, but I have not yet completed my return.
A tax return with Puerto Rico, another U.S. territory or Freely Associated
I’m not going to file. Skip to question 38. 3
State. See Notes page 2. 4
34. If you have filed or will file a 1040, were you eligible to file a 1040A or 1040EZ?
Yes No Don’t know
1 2 3
See Notes page 2.
For questions 35–44, if the answer is zero or the question does not apply to you, enter 0. Report whole dollar amounts with no cents.
35. What was your (and spouse’s) adjusted gross income for 2010? Adjusted gross income is on IRS Form 1040
$
line 37; 1040A line 21; or 1040EZ line 4.,
36. Enter your (and spouse’s) income tax for 2010. Income tax amount is on IRS Form 1040 line 55; 1040A
$
line 35; or 1040EZ line 11.,
37. Enter your (and spouse’s) exemptions for 2010. Exemptions are on IRS Form 1040 line 6d or Form 1040A
line 6d. For Form 1040EZ, see Notes page 2.
Questions 38 and 39 ask about earnings (wages, salaries, tips, etc.) in 2010. Answer the questions whether or not a tax return was filed. This information
may be on the W-2 forms, or on IRS Form 1040 lines 7 + 12 + 18 + Box 14 (Code A) of IRS Schedule K-1 (Form 1065); on 1040A line 7; or on
1040EZ line 1. If any individual earning item is negative, do not include that item in your calculation.
$
38. How much did you earn from working in 2010?,
$
39. How much did your spouse earn from working in 2010?,
40. As of today, what is your (and spouse’s) total current balance of cash, savings and checking accounts?
$
Do not include student financial aid.,
41. 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. Net worth means current value minus debt. See Notes page 2.,
42. 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. $,
See Notes page 2.
Step Two CONTINUED on page 5
Page 4
For Help 1-800-***-****
Step Two CONTINUED from page 4
43. Student’s 2010 Additional Financial Information (Enter the combined amounts for you and your spouse.)
$
a. Education credits (American Opportunity, Hope or Lifetime Learning tax credits) from IRS Form 1040 line 49 or 1040A ,
line 31.
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 93.,
c. Taxable earnings from need-based employment programs, such as Federal Work-Study and need-based employment portions
$
of fellowships and assistantships.,
d. Taxable student 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.
$
Do not enter untaxed combat pay.,
f. Earnings from work under a cooperative education program offered by a college.
$,
44. Student’s 2010 Untaxed Income (Enter the combined amounts for you and your spouse.)
a. Payments to tax-deferred pension and savings plans (paid directly or withheld from earnings), including, but not limited $,
to, amounts reported on the W-2 forms in Boxes 12a through 12d, codes D, E, F, G, H and S.
b. IRA deductions and payments to self-employed SEP, SIMPLE, Keogh and other qualified plans from IRS Form 1040 line 28 +
$,
line 32 or 1040A line 17.
$
c. Child support received for any of your children. Don’t include foster care or adoption payments.,
$
d. Tax exempt interest income from IRS Form 1040 line 8b or 1040A line 8b.,
e. Untaxed portions of IRA distributions from IRS Form 1040 lines (15a minus 15b) or 1040A lines (11a minus 11b). $,
Exclude rollovers. If negative, enter a zero here.
f. Untaxed portions of pensions from IRS Form 1040 lines (16a minus 16b) or 1040A lines (12a minus 12b).
$,
Exclude rollovers. If negative, enter a zero here.
g. Housing, food and other living allowances paid to members of the military, clergy and others (including cash payments and cash
$
value of benefits). Don’t include the value of on-base military housing or the value of a basic military allowance for housing.,
h. Veterans noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC) and/or VA $,
Educational Work-Study allowances.
i. Other untaxed income not reported in items 44a through 44h, such as workers’ compensation, disability, etc. Also include the
first-time homebuyer tax credit from IRS Form 1040 line 67. Don’t include student aid, earned income credit, additional child $,
tax credit, welfare payments, untaxed Social Security benefits, Supplemental Security Income, Workforce Investment Act
educational benefits, on-base military housing or a military housing allowance, combat pay, benefits from flexible spending
arrangements (e.g., cafeteria plans), foreign income exclusion or credit for federal tax on special fuels.
$,
j. Money received, or paid on your behalf (e.g., bills), not reported elsewhere on this form.
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 go to Step Five on page 8.
45. Were you born before January 1, 1988? Yes No
1 2
46. As of today, are you married? (Also answer “Yes” if you are separated but not divorced.) Yes No
1 2
47. At the beginning of the 2011-2012 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
1 2
48. Are you currently serving on active duty in the U.S. Armed Forces for purposes other than training? See Notes page 2. Yes No
1 2
49. Are you a veteran of the U.S. Armed Forces? See Notes page 2. Yes No
1 2
50. Do you have children who will receive more than half of their support from you between July 1, 2011 and June 30, 2012? Yes No
1 2
51. 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, 2012? Yes No
1 2
52. 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? See Notes page 9. Yes No
1 2
53. As determined by a court in your state of legal residence, are you or were you an emancipated minor? See Notes page 9. Yes No
1 2
54. As determined by a court in your state of legal residence, are you or were you in legal guardianship? See Notes page 9. Yes No
1 2
55. At any time on or after July 1, 2010, did your high school or school district homeless liaison determine that you were
an unaccompanied youth who was homeless? See Notes page 9. Yes No
1 2
56. At any time on or after July 1, 2010, 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 homeless? See Notes page 9. 1 2
Yes No
57. At any time on or after July 1, 2010, 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 1 2
Yes No
being homeless? See Notes page 9.
Page 5
For Help–www.studentaid.ed.gov/completefafsa
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 and go to Step Five on page 8.
(Health professions students: Your college may require you to complete Step Four even if you answered “Yes” to any Step Three question.)
If you believe that you are unable to provide parental information, see Notes page 9.
Step Four (Parent Information): Complete this step if you (the student) answered “No” to all questions in Step Three.
Answer all the questions in Step Four about your parents even if you do not live with them. Grandparents, foster parents, legal guardians, aunts and uncles are not
considered parents on this form unless they have legally adopted you. If your parents are living and married to each other, answer the questions about them. If your
parent is single, widowed, divorced, separated or remarried, see the Notes on page 9 for additional instructions.
58. What is your parents’ marital status as of today? 59. Month and year
MONTH YEAR
they were married,
MM Y Y Y Y
remarried, separated,
Married or remarried Divorced or separated
1 3
divorced or widowed.
Single Widowed
2 4
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 ***-**-****. Enter two digits for each day and month (e.g., for May 31, enter 05 31).
60. FATHER’S/STEPFATHER’S SOCIAL SECURITY NUMBER 61. FATHER’S/STEPFATHER’S LAST NAME, AND 62. FIRST INITIAL 63. FATHER’S/STEPFATHER’S DATE OF BIRTH
– – MM DD 1 9 Y Y,
64. MOTHER’S/STEPMOTHER’S SOCIAL SECURITY NUMBER 65. MOTHER’S/STEPMOTHER’S LAST NAME, AND 66. FIRST INITIAL 67. MOTHER’S/STEPMOTHER’S DATE OF BIRTH
– – MM DD 1 9 Y Y,
68. Your parents’ e-mail address. If you provide your parents’ e-mail address, we will let them know your FAFSA has been processed. This e-mail address will
also be shared with your state and the colleges listed on your FAFSA to allow them to electronically communicate with your parents.
@
69. What is your 70. Did your parents 71. If the answer to question 70 is “No,”
STATE MONTH YEAR
parents’ become legal give month and year legal residency
Yes 1
MM Y Y Y Y
state of legal residents of this state began for the parent who has
No 2
residence? before January 1, 2006? lived in the state the longest.
72. 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 if (a) your parents will provide more than half of their support between July 1, 2011 and June 30, 2012, or
(b) the children could answer “No” to every question in Step Three on page 5 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, 2011 and June 30, 2012.
73. How many people in your parents’ household will be college students between July 1, 2011 and June 30, 2012?
Always count yourself as a college student. Do not include your parents. You may include others only if they will attend, at least half- time
in 2011-2012, a program that leads to a college degree or certificate.
In 2009 or 2010, did you, your parents or anyone in your parents’ household (from question 72) receive benefits from any of the federal programs
listed? Mark all the programs that apply. Answering these questions will not reduce your eligibility for student aid or for these other programs. Food Stamps and/or
TANF may have a different name in your parents’ state. Call 1-800-4-FED-AID to find out the name of the state’s program.
74. Supplemental 75. Food 76. Free or 77. Temporary Assistance 78. Special Supplemental
Security Stamps Reduced for Needy Families Nutrition Program for Women,
Income Price Lunch (TANF) Infants and Children (WIC)
79. For 2010, have your parents completed their IRS income tax return 80. What income tax return did your parents file or will they file for 2010?
or another tax return listed in question 80?
IRS 1040 1
My parents have already completed their return 1
IRS 1040A or 1040EZ 2
A foreign tax return. See Notes page 2.
My parents will file, but they have not yet completed their return 2 3
A tax return with Puerto Rico, another U.S. territory or Freely
My parents are not going to file. Skip to question 86. 3
Associated State. See Notes page 2. 4
81. If your parents have filed or will file a 1040, 82. As of today, is either of your parents a
Yes Yes
1 1
were they eligible to file a 1040A or 1040EZ? dislocated worker? See Notes page 9.
No No
2 2
See Notes page 2.
Don’t know Don’t know
3 3
Page 6
For Help 1-800-***-**** Step Four CONTINUED on page 7
Step Four CONTINUED from page 6
For questions 83–92, if the answer is zero or the question does not apply, enter 0. Report whole dollar amounts with no cents.
83. What was your parents’ adjusted gross income for 2010? Adjusted gross income is on IRS Form 1040 line 37;
$
1040A line 21; or 1040EZ line 4.,
84. Enter your parents’ income tax for 2010. Income tax amount is on IRS Form 1040 line 55; 1040A line 35; or
$
1040EZ line 11.,
85. Enter your parents’ exemptions for 2010. Exemptions are on IRS Form 1040 line 6d or on Form 1040A line 6d.
For Form 1040EZ, see Notes page 2.
Questions 86 and 87 ask about earnings (wages, salaries, tips, etc.) in 2010. Answer the questions whether or not a tax return was filed. This information may be on the
W-2 forms, or on IRS Form 1040 lines 7 + 12 + 18 + Box 14 (Code A) of IRS Schedule K-1 (Form 1065); on 1040A line 7; or on 1040EZ line 1. If any individual earning
item is negative, do not include that item in your calculation.
$
86. How much did your father/stepfather earn from working in 2010?,
$
87. How much did your mother/stepmother earn from working in 2010?,
$
88. As of today, what is your parents’ total current balance of cash, savings and checking accounts?,
89. 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. Net worth means current value minus debt. See Notes page 2.,
90. 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. See,
Notes page 2.
91. Parents’ 2010 Additional Financial Information (Enter the amounts for your parent[s].)
a. Education credits (American Opportunity, Hope or Lifetime Learning tax credits) from IRS Form 1040 line 49 or 1040A $,
line 31.
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 parents’ household, as reported in question 72.
c. Your parents’ taxable earnings from need-based employment programs, such as Federal Work-Study and need-based
$,
employment portions of fellowships and assistantships.
d. Your parents’ taxable student grant and scholarship aid reported to the IRS in your parents’ 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 parents’ adjusted
$,
gross income. Do not enter untaxed combat pay.
$
f. Earnings from work under a cooperative education program offered by a college.,
92. Parents’ 2010 Untaxed Income (Enter the amounts for your parent[s].)
a. Payments to tax-deferred pension and savings plans (paid directly or withheld from earnings), including, but not limited to, $,
amounts reported on the W-2 forms in Boxes 12a through 12d, codes D, E, F, G, H and S.
b. IRA deductions and payments to self-employed SEP, SIMPLE, Keogh and other qualified plans from IRS Form 1040 line 28 +
$,
line 32 or 1040A line 17.
$
c. Child support received for any of your parents’ children. Don’t include foster care or adoption payments.,
$
d. Tax exempt interest income from IRS Form 1040 line 8b or 1040A line 8b.,
e. Untaxed portions of IRA distributions from IRS Form 1040 lines (15a minus 15b) or 1040A lines (11a minus 11b).
$,
Exclude rollovers. If negative, enter a zero here.
f. Untaxed portions of pensions from IRS Form 1040 lines (16a minus 16b) or 1040A lines (12a minus 12b).
$
Exclude rollovers. If negative, enter a zero here.,
g. Housing, food and other living allowances paid to members of the military, clergy and others (including cash payments and
cash value of benefits). Don’t include the value of on-base military housing or the value of a basic military allowance for $,
housing.
h. Veterans noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC) and/or
$
VA Educational Work-Study allowances.,
i. Other untaxed income not reported in items 92a through 92h, such as workers’ compensation, disability, etc. Also include the
first-time homebuyer tax credit from IRS Form 1040 line 67. Don’t include student aid, earned income credit, additional child
tax credit, welfare payments, untaxed Social Security benefits, Supplemental Security Income, Workforce Investment Act $,
educational benefits, on-base military housing or a military housing allowance, combat pay, benefits from flexible spending
arrangements (e.g., cafeteria plans), foreign income exclusion or credit for federal tax on special fuels.
Page 7
For Help–www.studentaid.ed.gov/completefafsa
Step Five (Student): Complete this step only if you (the student) answered “Yes” to any questions in Step Three.
93. 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, 2011 and June 30, 2012, 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, 2011 and June 30, 2012.
94. How many people in your (and your spouse’s) household will be college students between July 1, 2011 and June 30, 2012?
Always count yourself as a college student. Include others only if they will attend, at least half-time in 2011-2012, a program that leads to
a college degree or certificate.
In 2009 or 2010, did you (or your spouse) or anyone in your household (from question 93) receive benefits from any of the federal programs listed?
Mark all the programs that apply. Answering these questions will not reduce your eligibility for student aid or for these other programs. Food Stamps and/or TANF may
have a different name in your state. Call 1-800-4-FED-AID to find out the name of the state’s program.
95. Supplemental 96. Food 97. Free or 98. Temporary Assistance 99. Special Supplemental
Security Stamps Reduced for Needy Families Nutrition Program for Women,
Income Price Lunch (TANF) Infants and Children (WIC)
100. As of today, are you (or your spouse) a dislocated worker? See Notes page 9. Yes No Don’t know
1 2 3
Step Six (Student): Indicate which colleges you want to receive your FAFSA information.
Enter the six-digit federal school code and your housing plans. You can find the school codes at www.fafsa.gov or you can call 1-800-4-FED-AID. If you
cannot get the code, write in the complete name, address, city and state of the college. For state aid, you may wish to list your preferred college first. To
have more colleges receive your FAFSA information, read What is the FAFSA? on page 10.
HOUSING PLANS
STATE
1ST FEDERAL SCHOOL CODE
NAME OF
101.a 101.b on campus 1
COLLEGE
OR with parent
ADDRESS 2
AND CITY
off campus 3
STATE
2ND FEDERAL SCHOOL CODE
NAME OF
101.c 101.d on campus 1
COLLEGE
OR ADDRESS with parent 2
AND CITY
off campus 3
STATE
3RD FEDERAL SCHOOL CODE
NAME OF
101.e 101.f on campus 1
COLLEGE
OR ADDRESS with parent 2
AND CITY
off campus 3
STATE
4TH FEDERAL SCHOOL CODE
NAME OF
101.g 101.h on campus 1
OR COLLEGE
ADDRESS with parent 2
AND CITY
off campus 3
Step Seven (Student and Parent): Read, sign and date.
If you are the student, by signing this application you certify that you (1) will use federal 102. Date this form was completed
and/or state student financial aid only to pay the cost of attending an institution of higher MONTH DAY
education, (2) are not in default on a federal student loan or have made satisfactory
arrangements to repay it, (3) do not owe money back on a federal student grant or have
MM DD 2011 or 2012
made satisfactory arrangements to repay it, (4) will notify your college if you default on a
federal student loan and (5) will not receive a Federal Pell Grant from more than one college
for the same period of time.
103. Student (Sign below)
If you are the parent or the student, by signing this application you agree, if asked, to
provide information that will verify the accuracy of your completed form. This information 1
may include U.S. or state income tax forms that you filed or are required to file. Also, you
certify that you understand that the Secretary of Education has the authority to verify
information reported on this application with the Internal Revenue Service and other
Parent (A parent from Step Four sign below.)
federal agencies. If you sign any document related to the federal student aid programs
electronically using a Personal Identification Number (PIN), you certify that you are the
2
person identified by the PIN and have not disclosed that PIN to anyone else. If you purposely
give false or misleading information, you may be fined up to $20,000, sent to prison, or both.
104. Preparer’s Social Security Number (or 105)
If you or your family paid a fee for someone to COLLEGE USE ONLY FEDERAL SCHOOL CODE
fill out this form or to advise you on how to fill
– –
it out, that person must complete this part.
D/O 1
Preparer’s name, firm and address
105. Employer ID number (or 104) FAA Signature
– 1
106. Preparer’s signature and date
DATA ENTRY P * L E
1
USE ONLY:
Page 8
For Help 1-800-***-****
Notes for question 52 (page 5) Notes for Step Four, questions 58–92 (pages 6 and 7)
Answer “Yes” if at any time since you turned age 13: Additional instructions about who is considered a parent on this
form:
• You had no living parent (biological or adoptive) even if you are now
• If your parent is widowed or single, answer the questions
adopted; or
about that parent.
• You were in foster care, even if you are no longer in foster care today; or
• If your widowed parent is remarried as of today, answer the
• You were a dependent or ward of the court, even if you are no longer a questions about that parent and your stepparent.
dependent or ward of the court today. For federal student aid purposes,
• If your parents are divorced or separated, answer the
someone who is incarcerated is not considered a ward of the court.
questions about the parent you lived with more during the
The financial aid administrator at your school may require you to provide past 12 months. (If you did not live with one parent more
proof that you were in foster care or a dependent or ward of the court. than the other, give answers about the parent who provided
more financial support during the past 12 months, or during
Notes for questions 53 and 54 (page 5)
the most recent year that you actually received support
Answer “Yes” if you can provide a copy of a court’s decision that as of from a parent.) If this parent is remarried as of today, answer
today you are an emancipated minor or are in legal guardianship. Also the questions about that parent and your stepparent.
answer “Yes” if you can provide a copy of a court’s decision that you were
Notes for questions 82 (page 6)
an emancipated minor or were in legal guardianship immediately before
and 100 (page 8)
you reached the age of being an adult in your state. The court must be
located in your state of legal residence at the time the court’s decision was In general, a person may be considered a dislocated worker if he
issued. or she:
Answer “No” if you are still a minor and the court decision is no longer • is receiving unemployment benefits due to being laid
in effect or the court decision was not in effect at the time you became off or losing a job and is unlikely to return to a previous
an adult. occupation;
• has been laid off or received a lay-off notice from a job;
The financial aid administrator at your college may require you to provide
proof that you were an emancipated minor or in legal guardianship. • was self-employed but is now unemployed due to
economic conditions or natural disaster; or
Notes for questions 55–57 (page 5)
• is a displaced homemaker. A displaced homemaker is
Answer “Yes” if you received a determination at any time on or after
generally a person who previously provided unpaid
July 1, 2010, that you were an unaccompanied youth who was homeless or,
services to the family (e.g., a stay-at-home mom or
for question 57, at risk of being homeless.
dad), is no longer supported by the husband or wife, is
• “Homeless” means lacking fixed, regular and adequate housing, unemployed or underemployed, and is having trouble
which includes living in shelters, motels or cars, or temporarily living finding or upgrading employment.
with other people because you had nowhere else to go.
If a person quits work, generally he or she is not considered
• “Unaccompanied” means you are not living in the physical custody of a dislocated worker even if, for example, the person is
your parent or guardian.
receiving unemployment benefits.
• “Youth” means you are 21 years of age or younger or you are still
Answer “Yes” to question 82 if your parent is a dislocated
enrolled in high school as of the day you sign this application.
worker. Answer “Yes” to question 100 if you or your spouse is a
dislocated worker.
Answer “No” if you are not homeless, at risk of being homeless or if you
do not have a determination. You should contact your financial aid office Answer “No” to question 82 if your parent is not a
for assistance if you do not have a determination but believe you are an dislocated worker. Answer “No” to question 100 if neither
unaccompanied youth who is homeless or are an unaccompanied youth you nor your spouse is a dislocated worker.
providing for your own living expenses who is at risk of being homeless.
Answer “Don’t know” to question 82 if you are not sure
The financial aid administrator at your college may require you to provide whether your parent is a dislocated worker. Answer “Don’t
a copy of the determination if you answered “Yes” to any of these know” to question 100 if you are not sure whether you
questions. or your spouse is a dislocated worker. You can contact
your financial aid office for assistance in answering these
Notes for students unable to provide parental information on
questions.
pages 6 and 7
The financial aid administrator at your college may require
Under very limited circumstances (for example, your parents are
you to provide proof that your parent is a dislocated worker,
incarcerated; you have left home due to an abusive family environment;
if you answered “Yes” to question 82, or that you or your
or you do not know where your parents are and are unable to contact
spouse is a dislocated worker, if you answered “Yes” to
them), you may be able to submit your FAFSA without parental
question 100.
information. If you are unable to provide parental information, skip
Steps Four and Five, and go to Step Six. Once you submit your FAFSA
without parental data, you must follow up with the financial aid office
at the college you plan to attend, in order to complete your FAFSA.
Page 9
What is the FAFSA ? Information on the Privacy Act and use of
SM
your Social Security Number
Why fill out a FAFSA?
We use the information that you provide on this form to determine
The Free Application for Federal Student Aid (FAFSA) is the first step in the financial aid if you are eligible to receive federal student financial aid and the
amount that you are eligible to receive. Sections 483 and 484 of the
process. You use the FAFSA to apply for federal student aid, such as grants, loans and
Higher Education Act of 1965, as amended, give us the authority to
work-study. In addition, most states and colleges use information from the FAFSA to award
ask you and your parents these questions, and to collect the Social
nonfederal aid.
Security Numbers of you and your parents. We use your Social
Why all the questions? Security Number to verify your identity and retrieve your records,
and we may request your Social Security Number again for those
The questions on the FAFSA are required to calculate your Expected Family Contribution
purposes.
(EFC). The EFC measures your family’s financial strength and determines your eligibility
for federal student aid. Your state and the colleges you list may also use some of your
State and institutional student financial aid programs may also use
responses. They will determine if you may be eligible for school or state aid, in addition to
the information that you provide on this form to determine if you
federal aid.
are eligible to receive state and institutional aid and the need that
How do I find out what my Expected Family Contribution (EFC) is? you have for such aid. Therefore, we will disclose the information
that you provide on this form to each institution you list in questions
Your EFC will be listed on your Student Aid Report (SAR). Your SAR summarizes the
101a - 101h, state agencies in your state of legal residence and the
information you submitted on your FAFSA. It is important to review your SAR to make sure
state agencies of the states in which the colleges that you list in
all of your information is correct and complete. Make corrections or provide additional
questions 101a - 101h are located.
information, as necessary.
If you are applying solely for federal aid, you must answer all of the
How much aid will I receive?
following questions that apply to you: 1-9, 14-16, 18, 21-23, 26, 28-29,
Using the information on your FAFSA and your EFC, the financial aid office at your college 32-36, 38-58, 60-67, 69, 72-84, 86-100, 102-103. If you do not answer
will determine the amount of aid you will receive. The colleges use your EFC to prepare a these questions, you will not receive federal aid.
financial aid package to help you meet your financial need. Financial need is the difference
between your EFC and your college’s cost of attendance (which can include living Without your consent, we may disclose information that you
expenses), as determined by the college. If you or your family have unusual circumstances provide to entities under a published “routine use.” Under such a
that should be taken into account, contact your college’s financial aid office. Some routine use, we may disclose information to third parties that we
examples of unusual circumstances are: unusual medical or dental expenses or a large have authorized to assist us in administering the above programs;
change in income from last year to this year. to other federal agencies under computer matching programs,
such as those with the Internal Revenue Service, Social Security
When will I receive the aid?
Administration, Selective Service System, Department of Homeland
Security, Department of Justice and Veterans Affairs; to your parents
Any financial aid you are eligible to receive will be paid to you through your college.
or spouse; and to members of Congress if you ask them to help you
Typically, your college will first use the aid to pay tuition, fees and room and board (if
with student aid questions.
provided by the college). Any remaining aid is paid to you for your other educational
expenses. If you are eligible for a Federal Pell Grant, you may receive it from only one
If the federal government, the U.S. Department of Education, or
college for the same period of enrollment.
an employee of the U.S. Department of Education is involved in
How can I have more colleges receive my FAFSA information? litigation, we may send information to the Department of Justice, or
a court or adjudicative body, if the disclosure is related to financial
If you are completing a paper FAFSA, you can only list four colleges in the school code step.
aid and certain conditions are met. In addition, we may send
You may add more colleges by doing one of the following:
your information to a foreign, federal, state, or local enforcement
1. Use the Federal Student Aid PIN you will receive after your FAFSA has been processed
agency if the information that you submitted indicates a violation
and go to FAFSA on the Web at www.fafsa.gov. Click the “Start Here” button to log in and
or potential violation of law, for which that agency has jurisdiction
then select the “Make FAFSA Corrections” link.
for investigation or prosecution. Finally, we may send information
2. Use the Student Aid Report (SAR), which you will receive after your FAFSA is processed. regarding a claim that is determined to be valid and overdue to a
Your Data Release Number (DRN) verifies your identity and will be listed on the first page consumer reporting agency. This information includes identifiers
of your SAR. You can call 1-800-4-FED-AID and provide your DRN to a customer service from the record; the amount, status and history of the claim; and the
representative, who will add more school codes for you. program under which the claim arose.
3. Provide your DRN to the financial aid administrator at the college you want added, and
State Certification
he or she can add their school code to your FAFSA.
Note: Your FAFSA record can only list up to ten school codes. If there are ten school codes By submitting this application, you are giving your state financial
on your record, any new school codes that you add will replace one or more of the school aid agency permission to verify any statement on this form and to
codes listed. obtain income tax information for all persons required to report
income on this form.
Where can I receive more information on student aid?
The Paperwork Reduction Act of 1995
The best place for information about student financial aid is the financial aid office at the
college you plan to attend. The financial aid administrator can tell you about student aid
available from your state, the college itself and other sources. The Paperwork Reduction Act of 1995 says that no one is required to
respond to a collection of information unless it displays a valid OMB
• You can also visit our web sites www.FederalStudentAid.ed.gov or
control number, which for this form is 1845-0001. The time required
www.studentaid.ed.gov.
to complete this form is estimated to be three hours, including
• For information by phone you can call our Federal Student Aid Information Center
time to review instructions, search data resources, gather the data
at 1-800-4-FED-AID (1-800-***-****). TTY users (for the hearing impaired) may call
needed, and complete and review the information collection. If you
have comments about this estimate or suggestions for improving
• You can also check with your high school counselor, your state aid agency or your
this form, please write to:
local library’s reference section.
U.S. Department of Education, Washington, DC 20202-4700.
Information about other nonfederal assistance may be available from foundations, religious
organizations, community organizations and civic groups, as well as organizations related We may request additional information from you to process
to your field of interest, such as the American Medical or American Bar Association. Check your application more efficiently. We will collect this additional
with your parents’ employers or unions to see if they award scholarships or have tuition information only as needed and on a voluntary basis.
payment plans.
Page 10
Contact this candidate