Financial Aid Estimator (For Planning Purposes Only) 2015-2016
Student Name: _____________________________________ Date of Birth:______________ Cell #: _________________________ Email:________________________________________ Mailing Address: _______________________________City: ________ State:_____ Zip:_____ High School GPA: ___________ SAT/ACT Composite Score:_____________ Currently Attending:_____________________________________________________________ Questions
Student Information
Parent Information
Marital Status Did you file taxes in 2013? Adjusted Gross Income in 2013 Income earned from work Age of father/stepfather Age of mother/stepmother # of people in household # of people in college (excluding parents) Net Worth of Assets* *Do not include the home you live in, retirement plans, life insurance, IRA's, Keogh Plans, automobiles, etc.)
I understand that this is only an estimate and could change upon completion of my Free Application for Federal Student Aid (FAFSA). I do affirm that the information provided is true to the best of my knowledge.
_______________________________________ Student’s Signature and Date
__________________________________ Parent’s Signature and Date
Please return the completed form to: Office of Financial Aid UVa-Wise 1 College Avenue Wise, VA 24293