| Marital Status: |
Are you (the student) married? (Answer "yes" if you are separated but not divorced.) Yes No |
| Children: |
Are you (the student) the primary source of financial support for any children? Yes No |
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| Number in Family: |
How many people are in your family's household? Count yourself and your spouse (if applicable). Count yourself, your spouse (if applicable), and any children who are under the age of 24. |
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One
Two
Three Four Five Six or more |
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| Number in College: |
Of the number in your family above, how many will be in college next year? |
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One Two or more Two |
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| Household Income: |
What is your household income? (Include income from work, child support, and other sources; if you are married, include your spouse's income.) Less than $30,000 Between $30,000 - $39,999 Between $40,000 - $49,999 Between $50,000 - $59,999 Between $60,000 - $69,999 Between $70,000 - $79,999 Between $80,000 - $89,999 Between $90,000 - $99,999 Above $99,999 |
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| Academic Year: 2011-12 | |
| Estimated total price of attendance: | $00,000 |
| a. Estimated tuition and fees | $00,000 |
| b. Estimated room and board | $00,000 |
| c. Estimated books and supplies | $00,000 |
| d. Estimated other expenses (Personal expenses, transportation, etc.) |
$00,000 |
| Estimated total grant aid: (Includes both merit and need based aid) |
$00,000 |
| Estimated net price: (Price of attendance minus grant aid) |
$00,000 |