LAS
T NAME _______________________________________ FIRST NAME ___________________________________
SOCIAL SECURITY NUMBER ___________________________ ANDREWS UNIVERSITY ID NUMBER ________________
STUDENT’S EMAIL ADDRESS __________________________ TELEPHONE/MOBILE ____________________________
IMPORTANT! Please Read Carefully. Filing on time is very important
> Where will you live?
in the residence hall (dorm)
off-campus with parents
off-campus without parents including University apartments
(If you are single & under 22 years old, contact Student Life at 269.471.6686 for approval.)
Adventist Colleges Abroad _______________________________ (location, ex. Argentina, Spain, France)
> What is your program of study? Indicate level and program of study.
Undergraduate _____________________________________
Master’s _____________________________________
Doctoral _____________________________________
On-line only _____________________________________
>
How many & what kind of credits will you take? List total semester credits first, then list breakdown of credits according to category.
TERM # TOTAL CREDITS # REGULAR, ON-CAMPUS CREDITS
# SELF-PACED, FULL-TERM
INTERACTIVE ONLINE CREDITS
# CONTINUATION CREDITS
Doctoral Only
FALL 2016
SPG 2017
SUM 2017
Grad students only
Grad students only
Grad students only
Grad students only
Grad students only
NOTE: Undergraduates - Record your summer credits on Summer 2017 form; available in January 2017.
STUDENT’S SIGNATURE _________________________________________________ DATE _____________
2016-2017: FINANCIAL INFORMATION SHEET
(1/2)
For classes between August 2016 and July 2017
SECTION 1STUDENT INFORMATION
Remember to complete the FAFSA online at www.fafsa.ed.gov and list the Andrews University school code, 002238. We are no
longer allowed to accept copies of federal tax returns, so you must use the IRS Data Retrieval Tool on the FAFSA to link directly to
the IRS database. The IRS Data Retrieval Tool will be available 2-3 weeks after you (and your parent(s) or spouse, if applicable) have
filed an electronic federal income tax return. If you have already filed the FAFSA, you will need to log on, click on “Make a
Correction,” use the IRS Data Retrieval Tool, and submit the record for processing.
If you feel changes need to be made to the tax data uploaded to your FAFSA, please contact our office for further instructions. You
may be selected for a process called “verification” which will require additional documentation. If you did not or could not use the
IRS Data Retrieval in the FAFSA, you will have to obtain a Tax Return Transcript by going to www.irs.gov. Please log in to your
AU
finVue account to check for additional requirements.
NAME ________________________________________________
ID/LAST 4 DIGITS OF SSN ______________________________
External Resources: Will you receive non-AU or non-government resources during 16-17 for college costs? Please list them:
_______________________________________________________________ / amount $ _______________________________________________
Professional Judgment Request: Undergraduates-If there are special circumstances to be considered, you will need to submit a
Professional Judgment Request Form. This form can be found at http://www.andrews.edu/services/sfs/documents
.
A. I am only requesting Educational Allowance for my child who is NOT filing the FAFSA.
> Please Indicate: Pastor Teacher Other __________________________________________
Parent name ______________________________________ Amount of allowance: 70% 60% 35% Other _______
Employer #1 ______________________________________ Employer #2 _________________________________
Are you an Andrews University employee(s)? Please list your AU ID(s) # ________________ /_________________
B. I am requesting Educational Allowance for my child who IS filing the FAFSA.
> Please Indicate: Pastor Teacher Other __________________________________________
If you are an ordained minister and/or the educational allowance for your dependents is taxable, you must submit a copy of the 2015 Worker’s/W2
Detail Report or an official statement from Payroll/Treasury Department listing parsonage exclusion and the taxable educational allowance
amounts.
Parent name ______________________________________ Amount of allowance: 70% 60% 35% Other _______
Employer #1 ______________________________________ Employer #2 _________________________________
Are you an Andrews University employee(s)? Please list your AU ID(s) # ________________ /_________________
PARENT’S SIGNATURE ____________________________________________ DATE _________________
Mail to: Andrews University Fax to: 269.471.3228
Office of Student Financial Services Phone: 269.471.3334
4150 Administration Drive Web: www.andrews.edu/sf
Berrien Springs, MI 49104-0750 Email: sfs@andrews.edu
2016-2017: FINANCIAL INFORMATION SHEET (2/2)
Many questions regarding financial aid can be answered by visiting our SFS website at www.andrews.edu/sf
SECTION 2ADDITIONAL INFORMATION
SECTION 3PARENT INFORMATION: DENOMINATIONAL EMPLOYEES-
Select ONE Option only.