Form Fa17-15/16 - Financial Aid Information Form
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2FA17-15/16(11/14)-FFAIF
2015-16 FINANCIAL AID INFORMATION FORM (FAIF)
1. Your name: ____________________________________________________________ __________________
(Last)
(First)
(M.I.) Maiden
SS# or UW-L ID#
2. Your permanent mailing address: _______________________________________________________________
(Street and #)
(City)
(State)
(Zip Code)
3.
Your 2015-16 campus address: _______________________________________________________________
(Street and #)
(City)
(State)
(Zip Code)
(If residence hall unknown write that)
4.
Where will you live during the school year:
UW-L Residence Hall
With family
Off campus housing
5.
Your date of birth: ____/____/____
6.
Cell Phone # ___________________
7.
You are a resident of what state:
WI
MN
Other
8.
Are you a U.S. citizen?
Yes
No
9.
Name of High School / Graduation Date: _________________________________________/______________
10. Your marital status:
Single
Married
Separated
Divorced
Widowed
11. Your academic major, if declared: _____________________________________________
12. Expected UW-L Graduation Date: _____________________________________________
13. When did you last attend UW-La Crosse? ________________________________________
14. Will you attend UW-La Crosse in Fall 2015?
Yes
No
Spring 2016?
Yes
No
15. How many credits do you estimate you will take in Fall 2015 _____ In Spring 2016 _____ (Fulltime is 12+ credits)
16. What other colleges, universities or technical schools have you attended? When?
__________________________________________________________ Dates: _______________________
__________________________________________________________ Dates: _______________________
17. Have you ever been convicted of any illegal drug offense while receiving financial aid?
Yes
No
18. I will study abroad _____ Fall 2015 _____ Spring 2016
19. Are you a transfer student to UW-L beginning in January of 2016 (Spring Semester)?
Yes
No
If yes, what school, if any, are you attending in fall of 2015? __________________________________________
Number of college/university credits you plan on transferring? ______________________
20. Are you interested in work-study?
Yes
No
(over)
Financial Aid Office
215 Graff Main Hall, University of Wisconsin-La Crosse, 1725 State Street, La Crosse, WI 54601
Phone: (608)785-8604, Fax: (608)785-8843
• e-mail:finaid@uwlax.edu
An affirmative action/equal opportunity employer
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