Financial Data

The student/applicant IS self-sustaining and IS NOT claimed by another as an exemption for tax purposes.
The student/applicant IS NOT self-sustaining and IS claimed by another as an exemption for tax purposes.
As of today, are you married?
Do you have children that receive support from you?
Do you have dependents other than your children/spouse who live with you and who receive support from you?

For college and graduate students only

Anticipated Expenses for School Year


Anticipated Income for School Year


(enter zero if there is no income or expense)

Please note: Scholarship grants must be paid to the institution of higher education at which the student is enrolled.

Acknowledgment:

I attest that the above information is true and accurate to the best of my knowledge.

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