Texas Application For State Financial Aid (Tasfa) - 2016-2017 Page 2
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4Section II: Household Information
12. If you are a dependent student, please list the names of ALL family members , including your parent(s), who will be supported by your
parent(s) from July 1, 2016 to June 30, 2017. If you are an independent student, you should include family members who are supported by
you. (See instructions for additional information.) Attach additional sheets if necessary.
Names
Age
Relationship
Which college/university will
[Include parent(s) and sibling(s),
to student
student be attending?
or spouse (if applicable)]
(e.g. sister, son)
Self
Total number in household:
Total number in college in 2016–2017:
Section III: Additional Information
Student:
13. Independent students only:
18. Housing plans for 2016–2017: Where do you plan to live?
As of today, are you or your spouse a dislocated worker?
On campus
Yes
No
Don’t know
Off campus
Commuter/With parent or relative
14. Did you work in 2015?
Yes
No
19. At the start of the 2016–2017school year, you will enroll:
If Yes, did you file a U.S federal (or foreign) income tax return for 2015?
Full time
Less than 1/2 time
Yes (Attach tax return, tax transcript, and W-2's)
3/4 time
Not sure
No
Will file
1/2 time
15. Marital status (as of today):
20. Have you received funds from either of the following grant
Single
Separated
programs while attending a prior institution?
Married or Remarried
Divorced or Widowed
a. TEXAS Grant Program
Yes
No
Month and year married, remarried, separated, divorced
b. Top 10% Scholarship Program
Yes
No
or widowed ____________
c. TEOG
Yes
No
16. Have you been convicted of a felony or a crime involving
d. If you are transferring from a prior institution, did you earn
a controlled substance?
Yes
No
an Associate Degree?
17. Do you have authorization (e.g. DACA) to work in the U.S.?
Yes (Enter date earned the Associate Degree ____________)
Yes Enter SSN: ________________________
No
No
N/A (not applicable)
Parent:
21. Did your parents work in 2015?
Yes
No
24. Mother/Stepmother’s highest level of education completed
Middle school/Jr. high
High school
If Yes, did they file a U.S federal (or foreign) income tax return for 2015?
College or beyond
Other/unknown
Yes (Attach tax return, tax transcript, and W-2's)
No
Will file
25. Enter your mother’s/stepmother’s date of birth:
22. Is either of your parents a dislocated worker?
Yes
No
26. Father/Stepfather’s highest level of education completed
Middle school/Jr. high
High school
23. What is your parent's marital status?
College or beyond
Other/unknown
Never married
Married or Remarried
Divorced or Separated
Widowed
Unmarried and both parents living together
27. Enter your father’s/stepfather’s date of birth:
Month and year married, remarried, separated, divorced or
widowed ____________
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2016–2017 Texas Application for State Financial Aid
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