financial aid estimator

FINANCIAL AID ESTIMATOR (FOR PLANNING PURPOSES ONLY) 2017-2018 STUDENT NAME_______________________________ DATE OF BIRTH_________________ CELL #_____________________________ EMAIL__________________________________ MAILING ADDRESS___________________________________________________________ CITY________________________ STATE____________ ZIP__________________________ HIGH SCHOOL GPA______________________ SAT/ACT COMPOSITE SCORE______________ CURRENT SCHOOL___________________________________________________________ QUESTIONS STUDENT INFORMATION PARENT INFORMATION MARITAL STATUS DID YOU FILE TAXES IN 2015? ADJUSTED GROSS INCOME 2015? INCOME EARNED FROM WORK

AGE OF FATHER/STEPFATHER AGE OF MOTHER/STEPMOTHER # OF PEOPLE IN THE HOUSEHOLD # OF PEOPLE WHO WILL BE TAKING COLLEGE NEW WORTH OF ASSETS**

**DO NOT INCLUDE THE HOME YOU LIVE IN, RETIREMENT PLANS, LIFE INSURANCE, IRA, KEOGH PLANS, AUTOs etc I UNDERSTAND THAT THIS IS ONLY AND ESTIMATE AND COULD CHANGE UPSON COMPLETION OF THE FREE APPLICATION FOR FEDERAL STUDENT AID(FAFSA). I ALSO UNDERSTAND THAT CERTAIN TYPES OF AID MAY BE IMPACTED IF I FAIL TOMEET PUBLISHED DEADLINES. I AFFRIM THAT THE INFOMRATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLDEGE. __________________________________________

_________________________________________________

STUDENT SIGNATURE AND DATE

PARENT SIGNATURE AND DATE

PLEASE RETURN:

OFFICE OF FINANCIAL AID UVA-WISE ONE COLLEGE AVENUE WISE, VA 24293 FAX: 376-376-1095