|
| Student Information |
|
| First Name: |
|
| Middle Name: |
|
| Last Name: |
|
| Suffix: |
|
| Preferred Name: |
|
| Address: |
|
| City: |
|
| State: |
|
| ZIP: |
|
| |
| Date of Birth: |
-
-
|
| State of Legal Residence: |
|
| Phone: |
- - |
| Email: [REQUIRED] |
|
| |
Current Marital Status:
Select "Unmarried" if you are single, divorced, separated, or widowed. |
Unmarried Married |
|
| Academic Information |
|
| While in college, where do you plan to live? |
On campus
Off campus
Off campus with parents or relatives |
| |
| Have you attended any other college or university? |
Yes No |
If "Yes," state cumulative G.P.A.: |
|
High School Scores and Rank
If you do not know your scores, G.P.A., or rank, you may leave those fields blank. However, those numbers are used in determining your estimate and can affect your eligibility for merit-based scholarships. |
| ACT Composite Score: |
|
| |
| SAT Scores: |
Critical Reading |
| |
Math |
| |
| Cumulative High School G.P.A.: |
|
| Class Rank: |
out of |
|
| Financial Information |
|
1. Number of family members in 2011-2012:
|
|
This is the number of people that you will support between July 1, 2011 and June 30, 2012. Include yourself, your spouse, and children who will get more than half of their support from you. If you support others, contact the Office of Financial Aid by phone at 1.800.789.1189 or email financialaid@barton.edu to see if they should be included. |
|
2. Number of college students in 2011-2012:
|
|
Of the family members you counted above, how many will be enrolled at least half-time in college degree or certificate programs between July 1, 2011 and June 30, 2012? Be sure to include yourself. |
|
3. For 2009, you filed a:
If you filed an IRS Form 1040 for 2009 but will be eligible to file a 1040A or 1040EZ for 2010, or if you used a 1040 Telefile, select "Form 1040A or 1040EZ." |
Form 1040
Form 1040A or 1040EZ
No tax return was filed.
Skip to line 7 if you filed no return. |
|
| 4. 2009 Total Number of Exemptions: |
|
Form 1040-line 6d or 1040A-line 21; 1040EZ filers, enter "1" if single, "2" if married. |
|
| 5. 2009 Adjusted Gross Income: |
|
Form 1040-line 37, 1040A-line 21, or 1040EZ-line4. |
|
| 6. 2009 Itemized Deductions: |
|
Form 1040-line 40. Enter zero (0) if a Form 1040A or 1040EZ was filed. |
|
| 7. 2009 Household Income Earned from Work: |
[REQUIRED] |
Include your spouse's income in this total.
If you answered questions 4 through 6, include amounts you and your spouse earned from working in 2009 from your 2009 Form 1040-lines 7, 12, and 18; or Form 1040A-line 7; or Form 1040EZ-line 1. Report your and your spouse's earnings together. (If you skipped questions 4 through 6, include your and your spouse's earnings from work in 2009. Add up earnings from your and your spouse's W-2 forms and other earnings from work that are not reported on W-2 forms.) |
|
| 8. Benefits, Support, and Retirement Accounts |
|
Include any tax-deferred IRA, Keogh, 401(k), and 403(b) plan payments made in 2009; earned income credit from 2009 tax form; 2009 nontaxable interest and dividends; and any welfare benefits (other than food stamps), untaxed Social Security benefits, child support, workers' compensation, etc. received in 2009. |
|
| 9. How much will your 2010 income change (+ or -) from 2009? |
|
Your financial aid eligibility for 2011-2012 will be based on your 2010 income. Write in the amount that you expect your and your spouse's income to increase or decrease between 2009 and 2010. Be sure to add a "+" for an expected increase or a "–" for an expected decrease. |
|
| 10. Veterans Education Benefits you expect to receive from July 1, 2011 through June 30, 2012. |
per month (For months) |
|
For questions 11 through 13, use values as of today.
|
| 11. Cash, savings, and checking accounts: |
|
Do not include lump sum pension funds. |
|
| 12. Real estate and investments: |
|
Include real estate (other than your home), trust funds, money market funds, mutual funds, certificates of deposit, stocks, bonds, other securities, installment and land sale contracts, etc. minus any debt that is related to these assets. Do not include the value of life insurance and retirement plans (pension funds, annuities, IRAs, Keogh plans) or the value of prepaid tuition plans. |
|
| 13. Business or farm equity: |
|
Market value minus debt. Do not include a family farm if it is your principal residence and you materially participate in its operation. |
|
| Statement of Understanding |
|
[REQUIRED]
I AGREE ...
This information is true to the best of my knowledge. I understand that the results from this form will be an estimate and that official awards for admitted students are made only after a processed 2011-2012 FAFSA is received by the Office of Financial Aid.
|
|
|
|
