2017-2018 Knox College Financial Aid Application

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Please preview the form before starting to make sure you will be able to complete the entire form in one sitting.

PART A - Student Personal Information

Student Type:*

New

Returning

ID#*

First Name*

Middle Name

Last Name*

Birthdate*

Social Security Number*
The student's SSN is necessary to match information to your FAFSA information.
Please use numbers only, no dashes or spaces.

Permanent Address*

Country

Street

City

Region

Postal Code

Home Phone*

Cell Phone

Email Address*

PART B - Parent Information

Parent information should be provided for the parent(s) and stepparent who live in your primary household regardless of whether or not they are married.

Parent 1:

First Name*

Last Name*

Occupation

Employer

Work/Cell Phone

E-mail Address

Parent 2:

First Name*

Last Name*

Occupation

Employer

Work/Cell Phone

E-mail Address

PART C - Household Members

Fill in the information about the people in your primary household between July 1, 2017 and June 30, 2018 below.

Include: •yourself •your parent(s)•your parent(s)’ dependent children if they will receive more than half of their support from your parent(s) or if they would be required to provide parental information when applying for federal student aid.

Note: If you answered “yes” to any question between #46 and #58 on the FAFSA and have been determined to be independent for financial aid purposes, include yourself and other people if they meet the criteria listed above.

Include other people only if they live with and receive more than half of their support from your parent(s) or you at this time, AND this support will continue between July 1, 2017 and June 30, 2018. The number of household members and the number in college must match the answers you provide on the FAFSA.

Number of members in your household*

Person 1 First Name*

Person 1 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Person 2 First Name*

Person 2 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

Person 3 First Name*

Person 3 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

Person 4 First Name*

Person 4 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

Person 5 First Name*

Person 5 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

Person 6 First Name*

Person 6 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

Person 7 First Name*

Person 7 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

Person 8 First Name*

Person 8 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

Person 9 First Name*

Person 9 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

Person 10 First Name*

Person 10 Last Name*

Age*

Relationship to student*

Will attend college at least half-time in 2017-2018?

Yes

No

Name of college in 2017-2018

Year in college in 2017-2018

Tuition fees, room, and board

Scholarships and gift aid

Amount of parents' contribution

PART D – Financial Information

Did you or your parent pay child support in 2015 because of divorce or separation or as a result of a legal requirement?*
Do not include support for children listed as household members in part C of this form.

Yes

No

Amount of child support paid*
Provide a dollar amount below.

Name of person who paid child support*

Name of person to whom child support was paid*

Name(s) of children for whom child support was paid*

Did you or your parent receive Social Security benefits that were not taxed in 2015?*
Refer to Social Security 1099 benefit statements.

Yes

No

Amount received by student*
Provide a dollar amount below.

Amount received by all other household members*
Provide a dollar amount below.

Do you or your parent(s) own a home?*

Yes

No

What is the current market value of the home?*
Provide a dollar amount below.

How much is owed on the home?*
Provide a dollar amount below.

What is the monthly mortgage payment?*
Provide a dollar amount below.

Do you or your parent(s) own additional real estate other than your home?*

Yes

No

What is the current market value of the additional real estate?*
Provide a dollar amount below.

How much is owed on the additional real estate?*
Provide a dollar amount below.

Do you or your parent(s) own a business and/or investment farm?*

Yes

No

Regardless of the number of employees, what is the current market value of the business and/or investment farm?*
Provide a dollar amount below.

How much is owed on the business and/or investment farm?*
Provide a dollar amount below.

Are you eligible for employer paid tuition benefits in 2017-2018?*

Yes

No

Amount*
Provide a dollar amount below.

PART E – Other Student Information

In 2015 or 2016, did anyone in your household receive SNAP (Supplemental Nutrition Assistance Program) benefits?*

Yes

No

Are or were you in legal guardianship as determined by a court in your state of legal residence?*

Yes

No

Submit supporting documentation (i.e. court order) by uploading copies (create one PDF or Word document) below or submit later by e-mailing financialaid@knox.edu

Are you eligible to receive Veteran’s Educational Benefits in 2017-2018?*

Yes

No

Submit a copy of your Certificate of Eligibility (obtained from the Veterans Administration) by uploading copies (create one PDF or Word document) below or submit later by e-mailing financialaid@knox.edu

Is your parent eligible to transfer Veteran’s Educational Benefits to you in 2017-2018?*

Yes

No

Submit a copy of your parent’s Certificate of Eligibility (obtained from the Veterans Administration) by uploading copies (create one PDF or Word document) below or submit later by e-mailing financialaid@knox.edu

PART F – Non-Custodial Parent

To be answered by the parent who completes this form about the non-custodial parent if the student’s biological or adoptive parents are divorced, separated, or never married.

Is there a non-custodial parent?*

Yes

No

Non-custodial parent’s first name

Non-custodial parent’s last name

Year of separation or divorce

Occupation

Employer

How much will the non-custodial parent contribute to the student’s education for the 2017–2018 year?
Provide a dollar amount below that does not include child support.

May we discuss financial assistance and billing documents with the non-custodial parent?*

Yes

No

PART G – Student And Parent Certifications and Signatures

Warning: Federal regulations state that purposely giving false or misleading information may result in a fine, a prison sentence, or both.

I (We) certify that all of the information reported to qualify for federal student aid is complete and correct. I (We) authorize Knox College to release updated or corrected information to the Federal Student Aid Processing Center. The student and one parent whose information is reported on this form must sign.

Student signature*
Type student's full name here.

Date*

Parent Signature
Type parent's full name here.

Date