FAFSA on the Web Worksheet

2012 — 2013
FAFSA on the Web Worksheet

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www.fafsa.gov

DO NOT MAIL THIS WORKSHEET.

APPLICATION DEADLINES
Federal Deadline - June 30, 2013
State Aid Deadlines - See below.

The FAFSA on the Web Worksheet provides a preview of the questions
that you may be asked while completing the Free Application for Federal
Student Aid (FAFSA) online at www.fafsa.gov.
You must complete and submit a FAFSA to apply for federal student aid
and for most state and college aid. Write down notes to help you easily
complete your FAFSA anytime after January 1, 2012.
See the table to the right for state deadlines. Your application must be
submitted by midnight Central time. Also pay attention to the symbols
that may be listed after your state deadline. Check with your high
school counselor or your college’s financial aid administrator about
other deadlines. The Federal deadline is June 30, 2013.

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AK Education Grant and AK Performance Scholarship June 30, 2012 (date received)
Academic Challenge - June 1, 2012 (date received)
Workforce Grant - Contact the financial aid office.
Higher Education Opportunity Grant - June 1, 2012
(date received)
Initial awards - March 2, 2012 + *
Additional community college awards - September 2,
2012 (date postmarked) + *
February 15, 2012 (date received) # *
June 30, 2012 (date received) * For priority
consideration, submit application by May 15, 2012.
April 15, 2012 (date received)
May 15, 2012 (date processed)
July 1, 2012 (date received); earlier priority deadlines
may exist for certain programs.
Opportunity Grant - March 1, 2012 (date received) # *
As soon as possible after January 1, 2012. Awards
made until funds are depleted.
March 10, 2012 (date received)
April 1, 2012 (date received) # *
As soon as possible after January 1, 2012. Awards
made until funds are depleted.
June 30, 2013 (July 1, 2012 recommended)
May 1, 2012 (date received) #
March 1, 2012 (date received)
May 1, 2012 (date received)
March 1, 2012 (date received)
30 days after term starts (date received)
April 2, 2012 (date received)
MTAG and MESG Grants - September 15, 2012 (date
received)

HELP Scholarship - March 31, 2012 (date received)
MT March 1, 2012 (date received) #
NC As soon as possible after January 1, 2012. Awards

made until funds are depleted.
ND April 15, 2012 (date received) # Early priority deadlines

may exist for institutional programs.
NH NH is not offering a state grant this year.
NJ 2011-2012 Tuition Aid Grant recipients - June 1, 2012
(date received)

All other applicants

- October 1, 2012, fall & spring terms (date received)

- March 1, 2013, spring term only (date received)
NY June 30, 2013 (date received) + *
OH October 1, 2012 (date received)
OK March 1, 2012 (date received) #
OR OSAC Private Scholarships - March 1, 2012 (date received)

Oregon Opportunity Grant - February 1, 2012 (date

received)
PA All first-time applicants at a community college; a

business/trade/technical school; a hospital school of

nursing; or enrolled in a non-transferable two-year

program - August 1, 2012 (date received)

All other applicants - May 1, 2012 (date received)
RI
March 1, 2012 (date received) #
SC Tuition Grants - June 30, 2012 (date received)

SC Commission on Higher Education - As soon as

possible after January 1, 2012. Awards made until

funds are depleted.
TN State Grant - As soon as possible after January 1,

2012. Awards made until funds are depleted.

State Lottery - September 1, 2012 (date received) #
VT
As soon as possible after January 1, 2012. Awards

made until funds are depleted. *
WV Promise Scholarship - March 1, 2012 (date received) # *

WV Higher Education Grant Program - April 16, 2012

(date received) #

This Worksheet does not include all the questions from the
FAFSA. The questions that are included are ordered as they
appear on FAFSA on the Web. When you are online you may be
able to skip some questions based on your answers to earlier
questions.

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Applying is easier with the IRS Data Retrieval Tool!

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Beginning February 1, 2012 students and parents who have completed
their 2011 IRS tax return will be able to use FAFSA on the Web to
electronically view their tax information. With just a few simple steps,
the tax information can also be securely transferred into the FAFSA.

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Sign your FAFSA with a Federal Student Aid PIN!

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If you do not have a PIN, you can apply for one at www.pin.ed.gov.
Your PIN allows you to electronically sign when you submit your FAFSA.
If you are providing parent information, one parent must also sign your
FAFSA. To sign electronically, your parent should also apply for a PIN.

Free help is available!
You do not have to pay to get help or submit your FAFSA. Submit your
FAFSA for free online at www.fafsa.gov. Federal Student Aid provides
free help online at www.fafsa.gov or you can call 1-800-4-FED-AID
(1-800-433-3243). TTY users (hearing impaired) can call 1-800-730-8913.
NOTES:

STATE AID DEADLINES

AK

AR

CA

CT
DC

DE
FL
IA

ID
IL

IN
KS
KY

LA
MA
MD
ME
MI
MN
MO
MS

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This Worksheet is optional and should only be completed if
you plan to use FAFSA on the Web.
Sections in purple are for parent information.

Pay attention to the symbols that may be listed after
your state deadline.

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Check with your financial aid administrator for these states
and territories:
AL, AS *, AZ, CO, FM *, GA, GU *, HI *, MH *, MP *, NE, NM, NV *,
PR, PW *, SD *, TX, UT, VA *, VI *, WA, WI and WY *.

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U.S. Department of Education
Federal Student Aid

# For priority consideration, submit application by date specified.
+ Applicants encouraged to obtain proof of mailing.
* Additional form may be required.
Federal Student Aid logo and FAFSA are service marks or registered service marks of Federal Student Aid, U.S. Department of Education.

WWW.FAFSA.GOV

2012-2013 FAFSA ON THE WEB WORKSHEET

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SECTION 1 - STUDENT INFORMATION
After you are online, you can add up to ten colleges on your FAFSA. The colleges will receive the information from your processed
FAFSA.

Student’s Last Name

First Name

Social Security Number

Student Citizenship Status (check one of the following)
❑ U.S. citizen (U.S. national)

❑ Neither citizen nor eligible noncitizen

❑ Eligible noncitizen (Enter your Alien Registration Number in the box to the right.)
Generally, you are an eligible noncitizen if you are:

Your Alien Registration Number

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• A permanent U.S. resident with a Permanent Resident Card (I-551);

• A conditional permanent resident with a Conditional Green Card (I-551C);
• The holder of an Arrival-Departure Record (I-94) from the Department of Homeland Security showing any of the following designations: “Refugee,” “Asylum
Granted,” “Parolee” (I-94 confirms paroled for a minimum of one year and status has not expired), T-Visa holder (T-1, T-2, T-3, etc.) or “Cuban-Haitian Entrant;” or

Student Marital Status (check one of the following)

❑ Married or remarried

❑ Separated

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❑ Single

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• The holder of a valid certification or eligibility letter from the Department of Health and Human Services showing a designation of “Victim of human trafficking.”

❑ Divorced or widowed

You will be asked to provide information about your spouse if you are married or remarried.

Selective Service Registration

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If you are male and 25 or younger, you can use the FAFSA to register with Selective Service.

Student Aid Eligibility Drug Convictions

❑ I have never received federal student aid

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❑ I have never attended college

❑ I have never had a drug conviction

If you did not check any of these boxes, you will be asked more questions online.

Highest school your mother completed

❑ Middle school/Jr. high
❑ High school

❑ College or beyond
❑ Other/unknown

❑ Middle school/Jr. high
❑ High school

❑ College or beyond
❑ Other/unknown

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Highest school your father completed

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SECTION 2 - STUDENT DEPENDENCY STATUS

❑ I was born before
January 1, 1989

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If you can check ANY of the following boxes, you will not have to provide parental information. Skip to page 4.
If you check NONE of the following boxes, you will be asked to provide parental information. Go to the next page.
❑ I am married

❑ I will be working on a master’s or doctorate program (e.g., MA, MBA,
MD, JD, PhD, EdD, graduate certificate)

❑ I am serving on active duty in
the U.S. Armed Forces

❑ I am a veteran of the U.S. Armed
Forces

❑ I have children and I provide more than half of their support

❑ Since I turned age 13, both of
my parents were deceased

❑ I was in foster care since turning
age 13

❑ I have dependents (other than children or my spouse) who live with
me and I provide more than half of their support

❑ I was a dependent or ward of
the court since turning age 13

❑ I am currently or I was an
emancipated minor

❑ I am currently or I was in legal
guardianship

❑ I am homeless or I am at risk of
being homeless

NOTES:

For Help — 1-800-433-3243

2012-2013 FAFSA ON THE WEB WORKSHEET

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SECTION 3 - PARENT INFORMATION
Who is considered a parent? “Parent” refers to a biological or adoptive parent. Grandparents, foster parents, legal guardians, older siblings,

and uncles or aunts are not considered parents on this form unless they have legally adopted you. In case of divorce or separation, give information
about the parent you lived with most in the last 12 months. If you did not live with one parent more than the other, give information about the
parent who provided you the most financial support during the last 12 months or during the most recent year you received support. If your divorced
or widowed parent has remarried, also provide information about your stepparent.

Providing your father’s information? You will need:

Providing your mother’s information? You will need:

Father’s/Stepfather’s Social Security Number

Mother’s/Stepmother’s Social Security Number

Father’s/Stepfather’s name

Mother’s/Stepmother’s name

Father’s/Stepfather’s date of birth

Mother’s/Stepmother’s date of birth

❑ Check here if your father/stepfather is a dislocated worker

❑ Check here if your mother/stepmother is a dislocated worker

Did you know?

Did your parents file or will they file a 2011 income tax return?

If your parents file a tax return with the IRS, they
may be eligible to use the IRS Data Retrieval Tool,
which is the easiest way to provide accurate tax
information. In a few simple steps, they may be
able to view their tax return information and
transfer it directly into your FAFSA.

❑ My parents have already completed a tax return

❑ My parents will file, but have not yet completed a tax return

❑ My parents are not going to file an income tax return

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What was your parents’ adjusted gross income for 2011?

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Your parents will need their tax returns and/or W-2 forms to complete the FAFSA.

Skip this question if your parents did not file taxes. Adjusted gross income is on IRS Form 1040—Line 37;
1040A—line 21; or 1040EZ—line 4.

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The following questions ask about earnings (wages, salaries, tips, etc.) in 2011. Answer the questions whether or not a tax return was
filed. This information may be on the W-2 forms, or on the IRS Form 1040—Line 7 + 12 + 18 + Box 14 (Code A) of IRS Schedule K-1
(Form 1065); 1040A—line 7; or 1040EZ—line 1.

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How much did your mother/stepmother earn from working in 2011?

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How much did your father/stepfather earn from working in 2011?

In 2010 or 2011, did anyone in your parents’ household receive: (Check all that apply.)
❑ Supplemental Security Income (SSI)

❑ Food Stamps

❑ Free or Reduced Price School Lunch

❑ Temporary Assistance for Needy Families (TANF)
❑ Special Supplemental Nutrition Program for Women, Infants and Children (WIC)

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Note: Supplemental Nutrition Assistance Program (SNAP) is the new name for Food Stamps. SNAP, Food Stamps and/or TANF may have a different
name in your parents’ state. Call 1-800-4-FED-AID to find out the name of the state’s program.

Did your parents have any of the following items in 2011?
Check all that apply. Once online, you may be asked to report amounts paid or received by your parents.
Additional Financial Information

Untaxed Income

❑ American Opportunity, Hope or Lifetime
Learning tax credits
❑ Child support paid
❑ Taxable earnings from work-study, assistantships
or fellowships
❑ Taxable grant and scholarship aid reported to
the IRS
❑ Combat pay or special combat pay
❑ Cooperative education program earnings

❑ Payments to tax-deferred pension and
savings plans
❑ Child support received
❑ IRA deductions and payments to selfemployed SEP, SIMPLE and Keogh
❑ Tax exempt interest income
❑ Untaxed portions of IRA distributions

❑ Untaxed portions of pension distributions
❑ Housing, food and other living allowances
paid to members of the military, clergy
and others
❑ Veterans noneducation benefits
❑ Other untaxed income not reported, such
as workers’ compensation or disability

Your parents may be asked to provide more information about their assets.
Your parents may need to report the net worth of their current businesses and/or investment farms.
NOTES:
WWW.FAFSA.GOV

2012-2013 FAFSA ON THE WEB WORKSHEET

PAGE 3

SECTION 4 - STUDENT INFORMATION
Did you know?

Did you file or will you file a 2011 income tax return?

If you file a tax return with the IRS, you may be eligible to
use the IRS Data Retrieval Tool, which is the easiest way to
provide accurate tax information. In a few simple steps,
you may be able to view your tax return information and
transfer it directly into your FAFSA.

❑ I have already completed my tax return

❑ I will file, but I have not completed my tax return

❑ I’m not going to file an income tax return

You will need your tax returns and/or W-2 forms to complete the FAFSA.

What was your (and spouse’s) adjusted gross income for 2011?
Skip this question if you or your spouse did not file taxes. Adjusted gross income is on IRS Form 1040—Line 37;

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1040A—line 21; or 1040EZ—line 4.

The following questions ask about earnings (wages, salaries, tips, etc.) in 2011. Answer the questions whether or not a tax return
was filed. This information may be on the W-2 forms, or on the IRS Form 1040—Line 7 + 12 +18 + Box 14 (Code A) of IRS Schedule K-1
(Form 1065); 1040A—line 7; or 1040EZ—line 1.

How much did you earn from working in 2011?

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❑ Check here if you are a dislocated worker

How much did your spouse earn from working in 2011?
❑ Check here if your spouse is a dislocated worker

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$

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In 2010 or 2011, did anyone in your household receive: (Check all that apply.)
❑ Supplemental Security Income (SSI)
❑ Food Stamps
❑ Free or Reduced Price School Lunch

❑ Temporary Assistance for Needy Families (TANF)
❑ Special Supplemental Nutrition Program for Women, Infants and Children (WIC)

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Note: Supplemental Nutrition Assistance Program (SNAP) is the new name for Food Stamps. SNAP, Food Stamps and/or TANF may have a different
name in your state. Call 1-800-4-FED-AID to find out the name of the state’s program.

Untaxed Income

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Additional Financial Information

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Did you or your spouse have any of the following items in 2011?
Check all that apply. Once online you may be asked to report amounts paid or received.
❑ Payments to tax-deferred pension and
savings plans
❑ Child support received
❑ IRA deductions and payments to selfemployed SEP, SIMPLE and Keogh
❑ Tax exempt interest income
❑ Untaxed portions of IRA distributions

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❑ American Opportunity, Hope or Lifetime
Learning tax credits
❑ Child support paid
❑ Taxable earnings from work-study, assistantships
or fellowships
❑ Taxable grant and scholarship aid reported to
the IRS
❑ Combat pay or special combat pay
❑ Cooperative education program earnings

❑ Untaxed portions of pension distributions
❑ Housing, food and other living allowances
paid to members of the military, clergy
and others
❑ Veterans noneducation benefits
❑ Other untaxed income not reported, such
as workers’ compensation or disability
❑ Money received or paid on your behalf

You may be asked to provide more information about your (and your spouse’s) assets.
You may need to report the net worth of current businesses and/or investment farms.
NOTES:

Do not mail this Worksheet. Go to www.fafsa.gov to complete and submit your application.
For more information on federal student aid, visit www.studentaid.ed.gov.
You can also talk with your college’s financial aid office about other types of student aid that may be available.
For Help — 1-800-433-3243

2012-2013 FAFSA ON THE WEB WORKSHEET

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