Fillable Form Fa17-15/16 - Financial Aid Information Form (Page 2 of 2) in pdf

21. During the 2015-2016 school year, will you receive money from any of these sources:

_____ No _____ Yes

If yes, check box below or enter amount for source(s) received

Graduate Assistantship

Non-Resident Tuition Waiver

Vocational Rehabilitation

AmeriCorps

Residence Hall Assistance

Wisconsin GI Bill Tuition Waiver

National Guard Tuition Reimbursement

Other State VA Benefits

Federal VA Benefits

Federal Military Tuition Assistance (TA)

Private Scholarships:

$ __________ per year; Source _____________________________________ Renewable? Y N ______ Years

$ __________ Employer Tuition Reimbursement

$ __________ Other __________________________________________________________

22. If you have unusual circumstances or special situations, please explain below:

23. PARENT SIGNATURE(S)

(

If parental information is required on the Free Application for Federal Student Aid (FAFSA))

I authorize the UW-L Financial Aid Office to share information from my child’s financial aid file with my son or daughter. All information on this form, on my

federal income tax form, and on my son's or daughter's FAFSA is true and complete to the best of my knowledge.

I understand that the UW-L Financial Aid Office may request federal and state income tax forms and other documents in order to complete federal, state, or

institutional verification of my son’s or daughter’s financial aid application.

Signature of Parent ______________________________________Signature of Parent/Step-parent ________________________________

24. STUDENT SIGNATURE

I understand that, in order to apply for grants, student loans, or Federal Work-Study employment, a 2015-2016 Free Application for Federal Student Aid

(FAFSA) must be filed using 2014 Federal Income Tax Forms. Applying before March 15, 2015, assures first consideration for funding. Late applicants will

be considered for residual amounts. A separate UW-L institutional application form must be filed in order to apply for financial aid for the 2015 or 2016

Summer Sessions. I understand that I am responsible for the completion of my financial aid application. Once assigned a UW-L email address, I understand

that email is an official form of communication in the University of Wisconsin System and I will be receiving important financial aid information at my UW-L

email address and at the WINGS Student Center on-line. I further understand that when my application/file is complete that my financial aid award will be

made available via the WINGS Student Center on-line. I understand that I must make sufficient academic progress to remain eligible for financial aid. All

information on this form, on my federal income tax form, and on my FAFSA is true and complete to the best of my knowledge. I authorize the UW-L Financial

Aid Office to share information from my financial aid file with any member(s) of my family whose information was required to be on the FAFSA and with any

agencies that need that information for financial aid or scholarship programs. I understand that the UW-L Financial Aid Office may request federal and state

income tax forms and other documents in order to complete federal, state or institutional verification of my application.

Date 2015-2016 FAFSA was filed: ______________________________

Today’s Date: ____________________________________________

Student’s Signature _____________________________________________________________________________________________________________

REMINDER: Financial Aid Awards will be available through the WINGS Student Center on-line