FAFSA Free Application for Federal Student Aid
Federal Student Aid
WHAT IS THIS?Step One (Student)

For questions 1-31, leave blank any questions that do not apply to you (the student).

1. Your full name (exactly as it appears on your Social Security card) If your name has a suffix, such as Jr. or III, include a space between your last name and suffix.

2-7. Your mailing address

8. Your Social Security Number

9. Your date of birth

10. Your permanent telephone number

11-12. Your driver’s license number and driver’s license state (if you have one)

13. Your e-mail address. If you provide your e-mail address, we will communicate with you electronically. For example, when your FAFSA has been processed, you will be notified by e-mail. Your e-mail address will also be shared with your state and the colleges listed on your FAFSA to allow them to communicate with you. If you do not have an e-mail address, leave this field blank.

14. Are you a U.S. citizen?

Yes, I am a U.S. citizen (U.S. national). Skip to question 16.
No, but I am an eligible noncitizen. Fill in question 15.
No, I am not a citizen or eligible noncitizen. Skip to question 16.
15. Alien Registration Number

16. What is your marital status as of today?

17. Month and year you were married, remarried, separated, divorced or widowed.

18. What is your state of legal residence?

19. Did you become a legal resident of this state before January 1, 2008?

20. If the answer to question 19 is “No,” give month and year you became a legal resident.

21. Are you male or female?

22. If female, skip to question 23. Most male students must register with Selective Service to receive federal aid. If you are male, age 18-25 and not registered, fill in the circle and we will register you. See Notes page 2.

23. Have you been convicted for the possession or sale of illegal drugs for an offense that occurred while you were receiving federal student aid (such as grants, loans or work-study)? Answer “No” if you have never received federal student aid or if you have never had a drug conviction while receiving federal student aid. If you have a drug conviction for an offense that occurred while you were receiving federal student aid, answer “Yes,” but complete and submit this application, and we will mail you a worksheet to help you determine if your conviction affects your eligibility for aid. If you are unsure how to answer this question, call 1-800-433-3243 for help.

Some states and colleges offer aid based on the level of schooling your parents completed.
24. Highest school your father completed

25. Highest school your mother completed

26. When you begin college in the 2013-2014 school year, what will be your high school completion status?
High school diploma. Answer question 27.
General Educational Development (GED) certificate. Skip to question 28.
Homeschooled. Skip to question 28. .
None of the above. Skip to question 28.
27. What is the name of the high school where you received or will receive your high school diploma?

28. Will you have your first bachelor’s degree before July 1, 2013?

29. When you begin the 2013-2014 school year, what will be your grade level?

30. When you begin the 2013-2014 school year, what degree or certificate will you be working on?

31. Are you interested in being considered for work-study?

Step Two (Student)

Answer questions 32–57 about yourself (the student). If you are single, separated, divorced or widowed, answer only about yourself. If you are married or remarried as of today, include information about your spouse (husband or wife).

32. For 2012, have you (the student) completed your IRS income tax return or another tax return listed in question 33?
I have already completed my return
I will file but have not yet completed my return
I’m not going to file. Skip to question 38.

33. What income tax return did you file or will you file for 2012?
IRS 1040
IRS 1040A or 1040EZ
A foreign tax return. See Notes page 2. .
A tax return with Puerto Rico, another U.S. territory, or Freely
Associated State. See Notes page 2
34. If you have filed or will file a 1040, were you eligible to file a 1040A or 1040EZ? See Notes page 2.

For questions 35–44, if the answer is zero or the question does not apply to you, enter 0. Report whole dollar amounts with no cents.

35. What was your (and spouse’s) adjusted gross income for 2012? Adjusted gross income is on IRS Form 1040—line 37; 1040A—line 21; or 1040EZ—line 4.

36. Enter your (and spouse’s) income tax for 2012. Income tax amount is on IRS Form 1040—line 55; 1040A—line 35; or 1040EZ—line 10.

37. Enter your (and spouse’s) exemptions for 2012. Exemptions are on IRS Form 1040—line 6d or Form 1040A—line 6d. For Form 1040EZ, see Notes page 2.

Questions 38 and 39 ask about earnings (wages, salaries, tips, etc.) in 2012. Answer the questions whether or not a tax return was filed. This information may be on the W-2 forms, or on IRS Form 1040—lines 7 + 12 + 18 + Box 14 (Code A) of IRS Schedule K-1 (Form 1065); on 1040A—line 7; or on 1040EZ—line 1. If any individual earning item is negative, do not include that item in your calculation.

38. How much did you earn from working in 2012?

39. How much did your spouse earn from working in 2012?

40. As of today, what is your (and spouse’s) total current balance of cash, savings and checking accounts? Don’t include student financial aid.

41. As of today, what is the net worth of your (and spouse’s) investments, including real estate? Don’t include the home you live in. Net worth means current value minus debt. See Notes page 2.

42. As of today, what is the net worth of your (and spouse’s) current businesses and/or investment farms? Don’t include a family farm or family business with 100 or fewer full-time or full-time equivalent employees. See Notes page 2.

43. Student’s 2012 Additional Financial Information (Enter the combined amounts for you and your spouse.)

a. Education credits (American Opportunity, Hope or Lifetime Learning tax credits) from IRS Form 1040—line 49 or 1040A—line 31.

b. Child support paid because of divorce or separation or as a result of a legal requirement. Don’t include support for children in your household, as reported in question 93.

c. Taxable earnings from need-based employment programs, such as Federal Work-Study and need-based employment portions of fellowships and assistantships.

d. Taxable student grant and scholarship aid reported to the IRS in your adjusted gross income. Includes AmeriCorps benefits (awards, living allowances and interest accrual payments), as well as grant and scholarship portions of fellowships and assistantships.

e. Combat pay or special combat pay. Only enter the amount that was taxable and included in your adjusted gross income. Don’t include untaxed combat pay.

f. Earnings from work under a cooperative education program offered by a college.

44. Student’s 2012 Untaxed Income (Enter the combined amounts for you and your spouse.)

a. Payments to tax-deferred pension and savings plans (paid directly or withheld from earnings), including, but not limited to, amounts reported on the W-2 forms in Boxes 12a through 12d, codes D, E, F, G, H and S.

b. IRA deductions and payments to self-employed SEP, SIMPLE, Keogh and other qualified plans from IRS Form 1040—line 28 + line 32 or 1040A—line 17.

c. Child support received for any of your children. Don’t include foster care or adoption payments.

d. Tax exempt interest income from IRS Form 1040—line 8b or 1040A—line 8b.

e. Untaxed portions of IRA distributions from IRS Form 1040—lines (15a minus 15b) or 1040A—lines (11a minus 11b). Exclude rollovers. If negative, enter a zero here.

f. Untaxed portions of pensions from IRS Form 1040—lines (16a minus 16b) or 1040A—lines (12a minus 12b). Exclude rollovers. If negative, enter a zero here.

g. Housing, food and other living allowances paid to members of the military, clergy and others (including cash payments and cash value of benefits). Don’t include the value of on-base military housing or the value of a basic military allowance for housing.

h. Veterans noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC) and/or VA Educational Work-Study allowances.

i. Other untaxed income not reported in items 44a through 44h, such as workers’ compensation, disability, etc. Also include the first-time homebuyer tax credit from IRS Form 1040—line 67. Don’t include student aid, earned income credit, additional child tax credit, welfare payments, untaxed Social Security benefits, Supplemental Security Income, Workforce Investment Act educational benefits, on-base military housing or a military housing allowance, combat pay, benefits from flexible spending arrangements (e.g., cafeteria plans), foreign income exclusion or credit for federal tax on special fuels.

j. Money received, or paid on your behalf (e.g., bills), not reported elsewhere on this form.

Step Three (Student)

Answer the questions in this step to determine if you will need to provide parental information. Once you answer “Yes” to any of the questions in this step, skip Step Four and go to Step Five on page 8.

45. Were you born before January 1, 1990?

46. As of today, are you married? (Also answer “Yes” if you are separated but not divorced.)

47. At the beginning of the 2013-2014 school year, will you be working on a master’s or doctorate program (such as an MA, MBA, MD, JD, PhD, EdD, graduate certificate, etc.)

48. Are you currently serving on active duty in the U.S. Armed Forces for purposes other than training? See Notes page 2.

49. Are you a veteran of the U.S. Armed Forces? See Notes page 2.

50. Do you have children who will receive more than half of their support from you between July 1, 2013 and June 30, 2014?

51. Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their support from you, now and through June 30, 2014?

52. At any time since you turned age 13, were both your parents deceased, were you in foster care or were you a dependent or ward of the court? See Notes page 9.

53. As determined by a court in your state of legal residence, are you or were you an emancipated minor? See Notes page 9.

54. As determined by a court in your state of legal residence, are you or were you in legal guardianship? See Notes page 9.

55. At any time on or after July 1, 2012, did your high school or school district homeless liaison determine that you were an unaccompanied youth who was homeless? See Notes page 9.

56. At any time on or after July 1, 2012, did the director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and Urban Development determine that you were an unaccompanied youth who was homeless? See Notes page 9.

57. At any time on or after July 1, 2012, did the director of a runaway or homeless youth basic center or transitional living program determine that you were an unaccompanied youth who was homeless or were self-supporting and at risk of being homeless? See Notes page 9.

If you (the student) answered “No” to every question in Step Three, go to Step Four.

If you answered “Yes” to any question in Step Three, skip Step Four and go to Step Five on page 8.

(Health professions students: Your college may require you to complete Step Four even if you answered “Yes” to any Step Three question.)

If you believe that you are unable to provide parental information, see Notes page 9.

Step Four (Parent)

Complete this step if you (the student) answered “No” to all questions in Step Three. Answer all the questions in Step Four even if you do not live with your parents. Grandparents, foster parents, legal guardians, aunts and uncles are not considered parents on this form unless they have legally adopted you. If your parents are living and married to each other, answer the questions about them. If your parent is single, widowed, divorced, separated or remarried, see the Notes on page 9 for additional instructions.

58. What is your parents’ marital status as of today?

59. Month and year they were married, remarried, separated, divorced or widowed.

What are the Social Security Numbers, names and dates of birth of the parents reporting information on this form?
If your parent does not have a Social Security Number, you must enter 000-00-0000. If the name includes a suffix, such as Jr. or III, include a space between the last name and suffix. Enter two digits for each day and month (e.g., for May 31, enter 05 31).

60. FATHER’S/STEPFATHER’S SOCIAL SECURITY NUMBER

61. FATHER’S/STEPFATHER’S LAST NAME, AND

62. FIRST INITIAL

63. FATHER’S/STEPFATHER’S DATE OF BIRTH

64. MOTHER’S/STEPMOTHER’S SOCIAL SECURITY NUMBER

65. MOTHER’S/STEPMOTHER’S LAST NAME, AND

66. FIRST INITIAL

67. MOTHER’S/STEPMOTHER’S DATE OF BIRTH

68. Your parents’ e-mail address. If you provide your parents’ e-mail address, we will let them know your FAFSA has been processed. This e-mail address will also be shared with your state and the colleges listed on your FAFSA to allow them to electronically communicate with your parents.

69. What is your parents’ state of legal residence?

70. Did your parents become legal residents of this state before January 1, 2008?

71. If the answer to question 70 is “No,” give the month and year legal residency began for the parent who has lived in the state the longest.

72. How many people are in your parents’ household?
Include:
• yourself, even if you don’t live with your parents,
• your parents,
• your parents’ other children if (a) your parents will provide more than half of their support between July 1, 2013 and June 30, 2014, or (b) the children could answer “No” to every question in Step Three on page 5 of this form, and
• other people if they now live with your parents, your parents provide more than half of their support and your parents will continue to provide more than half of their support between July 1, 2013 and June 30, 2014.

73. How many people in your parents’ household (from question 72) will be college students between July 1, 2013 and June 30, 2014? Always count yourself as a college student. Do not include your parents. You may include others only if they will attend, at least half-time in 2013-2014, a program that leads to a college degree or certificate.

In 2011 or 2012, did you, your parents or anyone in your parents’ household (from question 72) receive benefits from any of the federal programs listed? Mark all that apply. Answering these questions will not reduce eligibility for student aid or these programs. 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.

74. Supplemental Security Income (SSI)

75. Supplemental Nutrition Assistance Program (SNAP)

76. Free or Reduced Price Lunch

77. Temporary Assistance for Needy Families (TANF)

78. Special Supplemental Nutrition Program for Women, Infants and Children (WIC)

79. For 2012, have your parents completed their IRS income tax return or another tax return listed in question 80?
My parents have already completed their return
My parents will file but have not yet completed their return
My parents are not going to file. Skip to question 86

80. What income tax return did your parents file or will they file for 2012?

81. If your parents have filed or will file a 1040, were they eligible to file a 1040A or 1040EZ? See Notes page 2.

82. As of today, is either of your parents a dislocated worker? See Notes page 9.

For questions 83–92, if the answer is zero or the question does not apply, enter 0. Report whole dollar amounts with no cents.

83. What was your parents’ adjusted gross income for 2012? Adjusted gross income is on IRS Form 1040—line 37; 1040A—line 21; or 1040EZ—line 4.

84. Enter your parents’ income tax for 2012. Income tax amount is on IRS Form 1040—line 55; 1040A—line 35; or 1040EZ—line 10.

85. Enter your parents’ exemptions for 2012. Exemptions are on IRS Form 1040—line 6d or on Form 1040A—line 6d. For Form 1040EZ, see Notes page 2.

Questions 86 and 87 ask about earnings (wages, salaries, tips, etc.) in 2012. Answer the questions whether or not a tax return was filed. This information may be on the W-2 forms, or on IRS Form 1040—lines 7 + 12 + 18 + Box 14 (Code A) of IRS Schedule K-1 (Form 1065); on 1040A—line 7; or on 1040EZ—line 1. If any individual earning item is negative, do not include that item in your calculation.

86. How much did your father/stepfather earn from working in 2012?

87. How much did your mother/stepmother earn from working in 2012?

88. As of today, what is your parents’ total current balance of cash, savings and checking accounts?

89. As of today, what is the net worth of your parents’ investments, including real estate? Don’t include the home in which your parents live. Net worth means current value minus debt. See Notes page 2.

90. As of today, what is the net worth of your parents’ current businesses and/or investment farms? Don’t include a family farm or family business with 100 or fewer full-time or full-time equivalent employees. See Notes page 2.

91. Parents’ 2012 Additional Financial Information (Enter the amounts for your parent[s].)
a. Education credits (American Opportunity, Hope or Lifetime Learning tax credits) from IRS Form 1040—line 49 or 1040A—line 31.

b. Child support paid because of divorce or separation or as a result of a legal requirement. Don’t include support for children in your parents’ household, as reported in question 72.

c. Your parents’ taxable earnings from need-based employment programs, such as Federal Work-Study and need-based employment
portions of fellowships and assistantships.

d. Your parents’ taxable student grant and scholarship aid reported to the IRS in your parents’ adjusted gross income. Includes AmeriCorps benefits (awards, living allowances and interest accrual payments), as well as grant and scholarship portions of fellowships and assistantships.

e. Combat pay or special combat pay. Only enter the amount that was taxable and included in your parents’ adjusted gross income. Do not enter untaxed combat pay.

f. Earnings from work under a cooperative education program offered by a college.

92. Parents’ 2012 Untaxed Income (Enter the amounts for your parent[s].)

a. Payments to tax-deferred pension and savings plans (paid directly or withheld from earnings), including, but not limited to, amounts reported on the W-2 forms in Boxes 12a through 12d, codes D, E, F, G, H and S.

b. IRA deductions and payments to self-employed SEP, SIMPLE, Keogh and other qualified plans from IRS Form 1040—line 28 + line 32 or 1040A—line 17.

c. Child support received for any of your parents’ children. Don’t include foster care or adoption payments.

d. Tax exempt interest income from IRS Form 1040—line 8b or 1040A—line 8b.

e. Untaxed portions of IRA distributions from IRS Form 1040—lines (15a minus 15b) or 1040A—lines (11a minus 11b). Exclude rollovers. If negative, enter a zero here.

f. Untaxed portions of pensions from IRS Form 1040—lines (16a minus 16b) or 1040A—lines (12a minus 12b). Exclude rollovers. If negative, enter a zero here.

g. Housing, food and other living allowances paid to members of the military, clergy and others (including cash payments and cash value of benefits). Don’t include the value of on-base military housing or the value of a basic military allowance for housing.

h. Veterans noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC) and/or VA
Educational Work-Study allowances.

i. Other untaxed income not reported in items 92a through 92h, such as workers’ compensation, disability, etc. Also include the firsttime homebuyer tax credit from IRS Form 1040—line 67. Don’t include student aid, earned income credit, additional child tax credit, welfare payments, untaxed Social Security benefits, Supplemental Security Income, Workforce Investment Act educational benefits, on-base military housing or a military housing allowance, combat pay, benefits from flexible spending arrangements (e.g., cafeteria plans), foreign income exclusion or credit for federal tax on special fuels.

Step Five (Student)

Complete this step only if you (the student) answered “Yes” to any questions in Step Three.

93. How many people are in your household?
Include:
• yourself (and your spouse),
• your children, if you will provide more than half of their support between July 1, 2013 and June 30, 2014, and
• other people if they now live with you, you provide more than half of their support and you will continue to provide more than half of their support between July 1, 2013 and June 30, 2014.

94. How many people in your (and your spouse’s) household (from question 93) will be college students between July 1, 2013 and June 30, 2014? Always count yourself as a college student. Include others only if they will attend, at least half-time in 2013-2014, a program that leads to a college degree or certificate.

In 2011 or 2012, did you (or your spouse) or anyone in your household (from question 93) receive benefits from any of the federal programs listed? Mark all that apply. Answering these questions will not reduce eligibility for student aid or these programs. 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.

95. Supplemental Security Income (SSI)

96. Supplemental Nutrition Assistance Program (SNAP)

97. Free or Reduced Price Lunch

98. Temporary Assistance for Needy Families (TANF)

99. Special Supplemental Nutrition Program for Women, Infants and Children (WIC)

100. As of today, are you (or your spouse) a dislocated worker? See Notes page 9.

Step Six (Student)

Indicate which colleges you want to receive your FAFSA information. Enter the six-digit federal school code and your housing plans. You can find the school codes at www.fafsa.gov or by calling 1-800-4-FED-AID. If you cannot get the code, write in the complete name, address, city and state of the college. For state aid, you may wish to list your preferred college first. To find out how to have more colleges receive your FAFSA information, read What is the FAFSA? on page 10.

101. a
1ST FEDERAL SCHOOL CODE
OR
NAME OF
COLLEGE
ADDRESS
AND CITY
STATE
HOUSING PLANS
101. b on campus, with parent, off campus

Step Seven (Student and Parent)

Read, sign and date.

If you are the student, by signing this application you certify that you (1) will use federal and/or state student financial aid only to pay the cost of attending an institution of higher education, (2) are not in default on a federal student loan or have made satisfactory arrangements to repay it, (3) do not owe money back on a federal student grant or have made satisfactory arrangements to repay it, (4) will notify your college if you default on a federal student loan and (5) will not receive a Federal Pell Grant from more than one college for the same period of time. If you are the parent or the student, by signing this application you certify that all of the information you provided is true and complete to the best of your knowledge and you agree, if asked, to provide information that will verify the accuracy of your completed form. This information may include U.S. or state income tax forms that you filed or are required to file. Also, you certify that you understand that the Secretary of Education has the authority to verify information reported on this application with the Internal Revenue Service and other federal agencies. If you sign any document related to the federal student aid programs electronically using a personal identification number (PIN), you certify that you are the person identified by the PIN and have not disclosed that PIN to anyone else. If you purposely give false or misleading information, you may be fined up to $20,000, sent to prison, or both.

102. Date this form was completed

103. Student (Sign below)

Parent (A parent from Step Four sign below.)

If you or your family paid a fee for someone to fill out this form or to advise you on how to fill it out, that person must complete this part.

Preparer’s name, firm and address

104. Preparer’s Social Security Number (or 105)

105. Employer ID number (or 104)

106. Preparer’s signature and date
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