2018-2019 APPLICATION WORKSHEET

Student ID (Social Securtiy Number) / XXX-XX-_ _ _ _
Student Demographics
Student Demographic Information
Does Student Want to Provide Driver's License Information?
Student's Driver's License Number (question 11)
Student Eligibility
Student's Citizenship Status (question 14)
Student's Alien Registration Number (question 15)
Register Student With Selective Service? (question 22) / Males only
Parent Demographics
Parental Demographic Information
Parents' Marital Status (question 59)
Parents' Marital Status Date (question 60)
Parent 1 (Father's/Mother's/Stepparent's) Social Security Number (question 61) / Found on tax forms
Parent 1 (Father's/Mother's/Stepparent's) Last Name (question 62)
Parent 1 (Father's/Mother's/Stepparent's) First Name Initial (question 63)
Parent 1 (Father's/Mother's/Stepparent's) Date of Birth (question 64)
Parent 2 (Father's/Mother's/Stepparent's) Social Security Number (question 65) / Found on tax forms
Parent 2 (Father's/Mother's/Stepparent's) Last Name (question 66)
Parent 2 (Father's/Mother's/Stepparent's) First Name Initial (question 67)
Parent 2 (Father's/Mother's/Stepparent's) Date of Birth (question 68)
Parents' Legal Residence Date (question 72)
Financial Information
Parent Financial Information
Parents Filed 2016 Income Tax Return? (question 80)
Parents' 2016 Tax Return Filing Status (question 82)
Parents' Type of 2016 Tax Form Used (question 81)
Parents' 2016 Adjusted Gross Income (question 85)
Parent 1 (Father's/Mother's/Stepparent's) 2016 Income Earned from Work (question 88)
Parent 2 (Father's/Mother's/Stepparent's) 2016 Income Earned from Work (question 89)
Is Parent a Dislocated Worker? (question 84)
Parents Received Supplemental Security Income? (question 75)
Parents Received SNAP? (question 76)
Parents Received Free/Reduced Price Lunch? (question 77)
Parents Received TANF? (question 78)
Parents Received WIC? (question 79)
Parents Eligible to File a 1040A or 1040EZ? (question 83)
Parent Financial Information (continued)
Parents' 2016 U.S. Income Tax Paid (question 86)
Parents' 2016 Exemptions Claimed (question 87)
Parents' Education Credits (question 93a)
Parents' Child Support Paid (question 93b)
Parents' Taxable Earnings from Need-Based Employment Programs (question 93c)
Parents' Grant and Scholarship Aid Reported in AGI (question 93d)
Parents' Taxable Combat Pay Reported in AGI (question 93e)
Parents' Cooperative Education Earnings (question 93f)
Parents' Payments to Tax-Deferred Pensions & Retirement Savings (question 94a)
Parents' Deductible Payments to IRA/Keogh/Other (question 94b)
Parents' Child Support Received (question 94c)
Parents' Tax Exempt Interest Income (question 94d)
Parents' Untaxed Portions of IRA Distributions (question 94e)
Parents' Untaxed Portions of Pensions (question 94f)
Parents' Housing, Food, & Living Allowances (question 94g)
Parents' Veterans Noneducation Benefits (question 94h)
Parents' Other Untaxed Income or Benefits (question 94i)
Skip Parents' Assets Questions?
Parents' Total of Cash, Savings, and Checking Accounts (question 90)
Parents' Net Worth of Current Investments (question 91)
Parents' Net Worth of Businesses/Investment Farms (question 92)
Student Filed 2016 Income Tax Return? (question 32)
Student's 2016 Tax Return Filing Status (question 34)
Student's Type of 2016 Tax Form Used (question 33)
Student's 2016 Adjusted Gross Income (question 36)
Student’s 2016 Income Earned from Work (question 39)
Student's 2016 U.S. Income Tax Paid (question 37)
Student's 2016 Exemptions Claimed (question 38)
Student's Education Credits (question 44a)
Student's Child Support Paid (question 44b)
Student's Taxable Earnings from Need-Based Employment Programs (question 44c)
Student's Grant and Scholarship Aid Reported in AGI (question 44d)
Student's Taxable Combat Pay Reported in AGI (question 44e)
Student's Cooperative Education Earnings (question 44f)
Student's Payments to Tax-Deferred Pensions & Retirement Savings (question 45a)
Student's Deductible Payments to IRA/Keogh/Other (question 45b)
Student's Child Support Received (question 45c)
Student's Tax Exempt Interest Income (question 45d)
Student's Untaxed Portions of IRA Distributions (question 45e)
Student's Untaxed Portions of Pensions (question 45f)
Student's Housing, Food, & Living Allowances (question 45g)
Student's Veterans Noneducation Benefits (question 45h)
Student's Other Untaxed Income or Benefits (question 45i)
Money Received or Paid on Student's Behalf (question 45j)
Skip Student's Asset Questions?
Student's Total of Cash, Savings, and Checking Accounts (question 41)
Student's Net Worth of Current Investments (question 42)
Student's Net Worth of Businesses/Investment Farms (question 43)
Sign & Submit
Sign & Submit
Preparer's Social Security Number (question 106) / Fill this only if you pay for someone to help you..
Preparer's Employer Identification Number (EIN) (question 107) / Fill this only if you pay for someone to help you..