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MSU Financial Aid Worksheet
This is NOT THE FREE APPLICATION for FEDERAL STUDENT AID.

"This worksheet will assist Minot State University in determining your estimated Financial Aid eligibility.  This includes Federal loans, grants and work-study programs.  When this worksheet is submitted, it will be electronically submitted to the Minot State University's Football Office.  Our Financial Aid Office will estimate your financial aid eligibility based upon the data from this worksheet.  One of the Coaches will contact you with the results.

Financial Aid Worksheet

  • Please use 2005 actual tax information, if actual tax information is not available you may enter estimated 2005 tax information.  The data should include your (student) tax information and your parent's tax information.
  • This is only an estimate. Your actual eligibility for financial aid will be based upon the completion of a Free Application for Federal Student Aid (FAFSA), which is available from your high school counselor or from the Minot State University Financial Aid Office, (701) 858-3375, after January 1, 2006.
  • If you are giving information about your stepparent, note that whenever this form says "parents," we also mean your stepparent.
  • Feel free to call us at (701) 858-4450, or toll free at 1-800-777-0750, if you have any questions as you complete this form.

WARNING!
This is not a secure connection. You will be sending sensitive information that may be read by others.

Family and Dependent Student Information

1. First Name:
Middle Name:
Last Name:

2. Street:
 
City:
ST/Prov.:
Zip:
Email:

3. Telephone:
GPA: - Self Reported
ACT/SAT: - Self Reported
Counselor: - If known
Activities:

4. Parents' Marital Status:
* - If you live with a parent and stepparent, choose "Married."

5. Age of each 2004-05 household member
(incl. parents and all dependents:

6. Number of family members in college for 2004-05
(including yourself):

STUDENT INCOME/ASSET INFORMATION

7. What type of tax return will be filed?
8. Adjusted Gross Income:
9. Federal Tax Actually Paid:
(less return amount)
10. Earnings:
11. Untaxed Income:
(Social Security, AFDC, etc.)
12. Cash, checking, and liquid savings:
13. Investments:
(stocks, bonds, CDs, etc.)
14. Debt against investments:
15. Other Resources while in school:
(Voc-Rehab, VA, VEAP)

Parents' Income Information
Note: For the following questions, use actual or estimated calendar year figures only.

16. What type of return will be filed?
17. Number of exemptions claimed:
18. Adjusted Gross Income:
19. Federal Tax Actually Paid:
(less return amount)
20. Father's
(or stepfather if you reside with him)
21. Mother's
(or stepmother if youreside with her)
22. Social Security Benefits Received:
23. AFDC or ADC Benefits Received:
24. Child Support Received:
25. Other Untaxed Income:
(IRA/Keogh Payments, Earned Income Credit,
Workers Compensation, Housing Allowances)
26. Child Support Paid:

Parent Asset Information

27. Cash, checking, and liquid savings:
28. Educational Credits:

29. Other real estate and investments
including stocks, bonds, CDs,
money market funds, mutual funds, etc.
(do not include home or retirement funds) 		- What is it worth?
- What is owed?

30. Business: - What is it worth?
- What is owed?

31. Investment Farm
(do not include a family farm if it is
the principal place of residence and your
parents claimed on Schedule F of the tax
return that "materially participated in
the farm's operation.") 		- What is it worth?
- What is owed?



 
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