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 fathers/stepfathers 2019 wages?
(from his W-2)
What were your mothers/stepmothers 2019 wages?
(from her W-2)
$____________________
Independent student financial information
Did you file a federal tax return for 2019?
䙚㻌
Yes
䙚㻌
No
$____________________
$____________________
$____________________
$____________________
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)
What were your spouse’s 2019 wages?
(from his/her W-2)
List the estimated value of any business(es) owned by you or your spouse.
$____________________
Background Information
High school diploma from __________________________________________ State ___ Graduation date ___/___
GED from ______________________________________________________ State ___ Graduation date ___/___
Doyoulivewithyourparents?
䙚㻌
Yes
䙚㻌
No
How many people arein yourhousehold? _______________________________________________
(include yourself, parents, children and anyone that you or your parents will provide more than 50% of the financial support
between July 1, 2019 and June 30, 2020).
How many people in your household are attending college? __________________________________________
(include yourself and anyone else in your household who is attending college)
Please read below, print this form and sign in ink.
I certify that all information given in this application is complete and accurate to the best of my knowledge. I understand
that misrepresentation in any statement or failure to abide by college academic regulations will be considered adequate
grounds for denial of admission, cancellation of registration or suspension from SFCC.
Parent signature
______________________________________________________________
Date
_____/_____/________
(for dependent students only)
Stu dent signature
____________________________________________________________
Date
_____/_____/________
SFCC is an equal opportunity/equal access institution. Versión en español disponible en la Oficina de Financial Aid. March 2018
click to sign
signature
click to edit
click to sign
signature
click to edit