Financial Aid Preview Appointment

Important Note:

By completing this form, you acknowledge the following:

• You must fill in ALL information below.
• This process is not an application for financial aid.
• Cost of attendance and availability of financial aid funding changes from year to year.
• Awarding policies change annually and any financial aid estimate should not be considered a guarantee of future eligibility.
• The estimate you will be provided using this information does not represent a final determination of financial assistance, or a final net price. Students must be admitted to the University and complete the appropriate applications in order to receive an actual financial aid award from DePauw. Application instructions are available on the DePauw Financial Aid Website.
• Special circumstances are treated on a case-by-case basis. Any additional information you might feel helpful in the determination of financial aid eligibility should be communicated to the DePauw Financial Aid Office after you have submitted a formal application for financial assistance.

For more information on filing the FAFSA, go to: http://www.fafsa.ed.gov

I have read the information above and agree to the terms.

I agree.

Which Fall Friday are you attending? September 9 September 23 October 7 November 18

Step 1: Basic Information

First

Last

Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Is the student a U.S. Citizen?

Yes

No

Student's date of birth?

What High School does the student attend?

Student's year of High School graduation?

Student's Cumulative GPA

Please state GPA out of total GPA possible, ex: 3.5/4.0

Select which of the following tests you have completed, if any, and enter the corresponding scores below.

SAT

ACT

SAT Composite Score

SAT Critical Reading

SAT Math

SAT Writing

ACT Composite Score

ACT English

ACT Math

ACT Writing

What type of diploma does the student expect to receive? Core 40 Academic Honors Technical Honors International Baccalaureate GED Other

Is the student a 21st Century Scholar? Yes No

Step 2: Student Financial Info

Please list the following regarding income during the prior tax year and current student assets. (Do not report un-taxed Social Security Benefits.)

Total Student Income:

Student adjusted gross income (AGI):

Total U.S. income taxes paid by student:

Untaxed income received by student or other income NOT included in AGI listed above:

Other income adjustments for the student:

Total value of assets where the student is the owner of the account:

Step 3: Parent Information

Parent Completing this form:

Parent Marital Status: Married/Remarried Divorced/Separated Single Widowed Unmarried and both parents living together

Parent Email Address

Parent Cell/Daytime Phone

###

###

####

Number of parents living in student household?

Number of people living in student household?

During the upcoming academic year, how many people in the household will be college students enrolled at least half-time?

Note: Do not include parents

Step 4: Parent Financial Info

Did parents file a joint tax return? Yes No Option 3

Did anyone in the household receive benefits during the tax year reported here or the immediately preceding tax year from one of the following means-tested federal programs? Supplemental Security Income (SSI) Food Stamps Free/Reduced Lunch Temporary Assistance for Needy Families (TANF) Special Supplemental Nutrition Program for Women, Infants and Children (WIC) No Benefits

Please list the following regarding income of parent(s)/stepparent(s) living in the household during the last tax year (as reported on the tax return) and income of parent(s)/stepparent(s):

Note: Do not report un-taxed Social Security Benefits

Total Income (wages from work) for parent 1

Total Income (wages from work) for parent 2

Combined adjusted gross income (AGI for both parents)

Total U.S. income taxes paid (for both parents)

Did the household the student lives in RECEIVE any child support in the last tax year? If yes, state amount.

Note: Do not include foster care or adoption payments.

Did this household PAY to another household any child support in the last tax year? If yes, state amount.

Note: Do not include child support paid for the children included in the number of the household.

Did the parent(s)/stepparent(s) make tax-deferred payments to pension/retirement plans in the last tax year? If yes, state amount.

Example: 401 (k), IRA, $amount

Did the household claim a federal education tax credit in the last tax year? If yes, state amount.

Example: Hope Credit, American Opportunity Credit and/or Lifetime Learning Credit

Did the parent(s)/stepparent(s) receive combat pay or special combat pay that was taxable and included in adjusted gross income? If yes, state amount.

Did the student or a parent/stepparent in the household receive an AmeriCorps award or other grant, fellowship or scholarship aid that was included in adjusted gross income? If yes, state amount.

Please list the net value of all cash and investments in the parent(s)/stepparent(s) names:

Cash, Checking, Savings and Investments (not including retirement funds)

As of today, what is the net worth of the parents' current businesses and/or investment farms?

(Do NOT include a family farm or family business with 100 or fewer full-time or full-time equivalent employees.)

Submit