2021-2022 DREAMERS FINANCIAL AID APPLICATION
Please fill out in ink. Incomplete applications will not be processed.
Lega l name
__
___________________________________________________________________________________________________________________
Last name First name MI
Stud en t IDN o.
A
__________________________________________
Date of birth _________/__________/________________
MM / DD / YYYY
Phone
________ – ________ – _______________
Home address
_____________________________________________________________________________________________________________________
Street or P.O. Box
_________________________________________________________________________________________________________
City State ZIP
Were you born before 1/1/1997?
䙚㻌
Yes
䙚㻌
No Are you married?
䙚㻌
Yes
䙚㻌
No
Do you have children?
䙚㻌
Yes
䙚㻌
No Are you an active duty military member?
䙚㻌
Yes
䙚㻌
No
If you answered “Yes” to any of these questions you are an Independent student and you
do not
need to provide parents’ financial
information. If you answered “No” to
ALL
of these questions you are a Dependent student and
WILL
need to provide your parents’
financial information.
Dependent student financial information
If you did not file federal tax returns please enter the wages you earned from your 2019 W-2. If you did not receive a W-2 please enter the
total wages you earned from 2019. If your parents do not reside in the United States,
please enter their wages in U.S. dollars
.
䙚㻌
Yes
䙚㻌
No
$ ___________________
$___________________
$____________________
$____________________
Did you file a federal tax return for 2019?
If yes, what was your adjusted gross income?
(IRS form 1040, line 7)
What was the amount of income tax you paid?
(IRS form 1040, Line 13 minus line 46 of schedule 2)
What were your wages in 2019?
(from your W-2)
List the estimated value of any business(es) owned by your family.
Did your parent(s) file a federal tax return for 2019?
䙚㻌
Yes
䙚㻌
No
If your parent(s) filed a federal tax return, what was their adjusted gross income? $___________________
(IRS form 1040, line 7)
What was the amount of income tax they paid?
$___________________
(IRS form 1040, Line 13 minus line 46 of schedule 2)
______________________
What were your father’s/stepfather’s 2019 wages?
(from his W-2)
What were your mother’s/stepmother’s 2019 wages?
(from her W-2)
$____________________