Financial Aid Information Macphail Center For Music Page 2
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4Summer 2016
MacPhail Center for Music
Financial Aid Application
Only complete financial aid applications will be considered. Complete all sections of this application and
attach a copy of your most recently filed federal income tax form (1040, 1040A, 1040EZ). If you do not file a
federal income tax form, submit copies of other verification of income and/or support.
If you have any questions or need help filling out this application, please call the Student Services Center at
612-321-0100.
TYPE OR PRINT CLEARLY — Answer all questions completely.
Family Information
Parent/Guardian #1 or Adult Student
(first and last names):
Home Phone: (
)
Work Phone: (
)
Parent/Guardian #2 if applicable
(first and last names):
Home Phone: (
)
Work Phone: (
)
Home Address/City/State/Zip: ___________________________________________________________
Email address: ___________________________________________________
Employer:
Financial Information: Annual Household Income
Do you file federal tax forms 1040, 1040A or 1040EZ? (Y/N) _________
Number of exemptions (parents and children as listed on your federal income tax form):
Adjusted Gross Income from most recently filed federal income tax form: $
and/or
Other income (attach proof):
Description of income:
Amount of income:
$
$
$
$
Total Annual Income:
$
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