Fillable NEEDS ANALYSIS FORM Family Information This is a (Gonzaga University)

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NEEDS ANALYSIS FORM Family Information This is a (Gonzaga University)

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NEEDS ANALYSIS FORM
Financial Aid Office | Gonzaga University, 502 E Boone Ave | AD Box 72 | Spokane, WA 99258
P: 1-800-793-1716 F: 509-313-5816 E: finaid@gonzaga.edu
This is a financial aid application for students whose presence in the United States is undocumented. Gonzaga’s goal is to provide all
students access to financial resources, regardless of background.
Student Name:
ID:
Family Information
List the people in your household, including:
Yourself and your parent(s) (including stepparent), even if you do not live with your parent(s).
Your parent(s)’ other children, even if they do not live with your parent(s), if your parent(s) will provide more
than half of their support from July 1, 2020 through June 30, 2021.
Other people who now live with your parent(s) if your parent provides more than half of their support.
Only include the university/college name for a family member who will be enrolled at least half-time during the academic year in
which you are applying for financial aid, and who will be enrolled in a degree, diploma, or certificate program. If you need more
space, attach a separate page.
Family Member’s Full Name
Age
Relationship to Student
College/University
Will be Enrolled at Least
Half Time
1
Self
Gonzaga University
Yes
2
3
4
5
State of Residence
State of Residence:
Student Earnings and Tax Information
Has the student filed (or are they going to file) an income tax return for the prior tax year?
Yes: Provide our office with a copy of the student’s Federal Income Tax Return Form 1040.
No: By completing the following table, you are certifying that you are not required to file a U.S. Income Tax return. IRS
dependent students who earned more than $6,100.00 in the previous tax year are required to file a U.S. Income Tax return
for that year; students not claimed on a parent’s tax return are required to file if they earned more than $9,750.00 in the
previous tax year. Attach copies of all W-2 forms issued to you (and, if married, to your spouse) by employers. If no W-2
is available, please provide our office with the final paystub from the previous tax year that shows the student’s total
gross income.
Complete the table below to report student’s earned income information from the previous tax year.
Student
Student’s Spouse (if applicable)
Total 2018 Income - $ Total 2018 Income - $
Employer(s):
Employer(s):
NEEDS ANALYSIS FORM
Financial Aid Office | Gonzaga University, 502 E Boone Ave | AD Box 72 | Spokane, WA 99258
P: 1-800-793-1716 F: 509-313-5816 E: finaid@gonzaga.edu
Student Name:
ID:
Parent Earnings and Tax Information
Have the parents filed (or are they going to file) an income tax return for the prior tax year?
Yes: Provide our office with a copy of the student’s Federal Income Tax Return Form 1040.
No: By completing the following table, you are certifying that the parent(s) are not required to file a U.S. Income Tax
return. Parents who earned more than $9,750.00 in the tax calendar year are required to file a U.S. Income Tax Return.
Attach copies of all W-2 forms issued to the parent(s) by employers. If no W-2 is available, please provide our office with
the final paystub from the previous tax year that shows the parent(s)’s total gross income.
Complete the table below to report student’s earned income information from the previous tax year.
Parent 1 Parent 2
Total 2018 Income - $ Total 2018 Income - $
Employer(s):
Employer(s):
Certification and Signatures
By signing this form, I affirm that all information on this form and on any attachments is complete and accurate to the best of my
knowledge. If requested, I agree to provide documentation to support the information I have provided on this form. I understand
that any false statements or misrepresentation may be cause for denial, reduction, withdrawal, and/or repayment of financial aid,
and I may be subject to a fine, imprisonment or both, under provisions of the United States Criminal Code.
_____________________________________________________________ ______________________
Student Signature (Required) Date
_____________________________________________________________ ______________________
Parent Signature (Required for Dependent Students) Date
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Completed 29 January 2021

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