Smith Aid Application/traditional U.s. Students

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Smith Aid Application/Traditional U.S. Students
2016-2017
Name
Email Address:
Smith ID or Last 4 digits of SSN:
Date of Birth:
The information you provide on this document will help us determine your eligibility for aid in 2016-2017.
Household Information:
List the people that your parent(s) will support between July 1, 2016 and June 30, 2017. Include:
yourself and your parent(s) you live with (including stepparent), and
your parent(s)' other children, even if they don't live with your parent(s) if (a) your parents provide more than half of their support
from July 1, 2016 through June 30, 2017, or (b) the children would be required to give parental information when applying for
Federal student aid, and
other people if they now live with your parents and your parents provide more than half their support and will continue to provide
more than half their support from July 1, 2016 through June 30, 2017.
Write the names of all household members. Also write in the name of the college for any household member, excluding parent(s), who
will be attending college at least half-time between July 1, 2016 and June 30, 2017, and will be enrolled in a degree or certificate
program. If you need more space, attach a separate page.
Full Name
Age
Date of Birth
Relationship
College
Enrollment
(Siblings
(FT/PT)
only)
Sophia Smith (example)
18
Sister
Central University
PT
Self
Additional Information:
A. If your parents are divorced or separated, please give us the name of your custodial parent: ______________________
Please give us the name of your non-custodial parent: _________________________________
B. Please attach a separate piece of paper with any additional information you feel may affect your financial aid eligibility.
How much of your 2016-17 educational costs can be paid by:
A.
Direct contribution from:
1. parents or relatives
$
__________
2. your savings, investments, or trusts
$
__________
3. educational benefits from Veterans
Administration, parent’s employer,
$
__________
Rehabilitation, or E.T. (circle source)
B.
Savings from your summer earnings
$
__________
Student’s employer
_______________________________

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