(Rev 08/2021)
Tohono O’odham Education Assistance Program /Higher Education Services
Financial Need Analysis Form
Sells Office
PO Box 837
Sells, Arizona 85634
(520) 383-6571 Email: AskEAP@tonation-nsn.gov
Attn:
Part 1:
TO BE COMPLETED BY THE STUDENT
First Name:
Middle Name:
Last Name
Student ID:
Student Address, City, State, Zip:
Name of College/University Attending:
READ BEFORE SIGNING
Subject t
o certain exceptions set forth in the Family Education Rights and Privacy Act (FERPA) of 1974, the Tohono O’odham Education
Assistance Program /Higher Education Services will not disclose personally identifiable student information to any college/university
without the student’s consent. This includes: tuition and fees, books, transportation, financial aid, scholarships/grants, loans,
veteran/military benefits. I give permission for the Tohono O’odham Education Assistance Program /Higher Education Services to send
and receive information.
Typing in my name in the space above will be my signature
Date
Part 2: TO BE COMPLET
ED BY THE INSTITUTION'S FINANCIAL AID OFFICE FOR EACH ACADEMIC TERM
Degree pursuing:
Bachelor’s
Associate
Certificate
Master’s
Doctorate
Other _________________
Semester:
-
Start Date
End Date
ESTIMATES WILL NOT BE ACCEPTED
Enrolled Credit Hours
Estimated Family Contribution (EFC)
Tuition & Fees
$
Books & Supplies
$
Transportation
$
Other
$
AWARDS/RESOURCES
Applied for:
Accepted
Applied for:
Accepted
Yes
No
Pell Grant
$
Yes
No
Veteran/Military Benefits
$
Yes
No
FSEOG
$
Yes
No
Loans
$
Yes
No
Tuition Grants
$
Yes
No
Other
$
Comments:
Financial Aid Officer Signature
College/University
Telephone
Date
ALL COMPLETED FNAs NEED TO BE SUBMITTED TO: askeap@tonation-nsn.gov
School Year:
Term (select one): Fall Spring Winter Summer I Summer II