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Student/Spouse Worksheet C

Question 42 on your FAFSA was left blank.  Please complete and submit this form as part of the financial aid application process.  If the question does not apply, please enter "N/A" (Not Applicable).

Student Information
First Name:
Last Name:
Last 4 Digits of Social Security Number:
Student ID Number:
Education Credits

Education credits (Hope and Lifetime Learning tax credits) from IRS Form 1040 - line 50 or 1040A - line31.

Amount:
Child Support Paid

Child support paid because of divorce or separation or as a result of a legal requirement. Don't include support for children in your household, as reported in question 90.

Amount:
Need-Based Employment

Taxable earnings from need-based employment programs, such as Federal Work-Study and need-based employment portions of fellowships and assistantships.

Amount:
Grant And Scholarship Aid

Student grant and scholarship aid reported to the IRS in your adjusted gross income. Includes Americorps benefits (awards, living allowances and interest accrual payments) as well as grant or scholarship portions of fellowships and assistantships.

Amount:
Enter Total Amount Here

Add all of the amounts together.

Total:
Electronic Signature

By submitting this online document, you certify that the information on this form is true and correct. You further understand that if you purposely give false or misleading information on this form in order to obtain financial assistance, that your financial aid will be cancelled and that you may be subject to fines, imprisonment, or both.

Please Select One:
I Disagree
I Agree

Some required answers are missing or incorrect.