LENOIR-RHYNE UNIVERSITY

FINANCIAL AID EARLY ESTIMATE FORM (2009–2010)

 

PURPOSE OF THIS FORM

This form will be used by Lenoir-Rhyne University to provide prospective student athletes with an early estimate of federal, state and institutional aid eligibility. The estimate will only be as accurate as the figures provided. This form is not to be used as a replacement for the Free Application for Federal Student Aid (FAFSA).
 

The FAFSA can be completed online as early as January 1, 2010 at the FAFSA website www.fafsa.ed.gov and MUST be completed as soon as possible once your 2009 financial figures are available, in order to receive an actual offer of financial assistance. No award of financial assistance will be made from this estimate, only an approximation of financial assistance.

 

Questions about this form? Contact Todd Lawing at (828) 328-7114 or lawingt@lr.edu

 
Part 1.   Student Information
 

First Name: 

Middle Name: 

Last Name: 

Permanent Address: 

City: 

State: 

Zip Code: 

E-mail Address: 
Home Phone:

Date of Birth: 

mm/dd/yy

County of Residence: 

Religious Affiliation: 

Anticipated Major: 

Athlete: 

  Yes  No       If Yes, which sport?  

Name of coach recruiting you:  

Cumulative GPA: 

SAT: 

Math:   Verbal:  Writing:

ACT:
Select One: 

 Freshman Transfer
 
 

Part 2.   Family and Household Information

List yourself, your parents and the people that your parent(s) will support in 2008 and will continue to support in 2008. Generally this means your parents, their dependent children under the age of 24 and/or any other person they will support. If your parents are divorced, report the information for the parent and stepparent (if applicable) that you lived with the most in 2008.
   
    Full Name Date of Birth Relationship to Student

Total number of dependents that will be attending college in academic year 2008-2009:

 
 

Part 3.  Student Status

Please answer the following with “Yes” or “No”. If you cannot answer “Yes” to any of these questions you MUST include both student and parent information in Part 4 and Part 5.
 
Were you born before January 1, 1983? Yes  No 
Are you married? Yes  No 
Are you a veteran of the U.S. Armed Forces? Yes  No 
Are (or were) you an orphan or ward of the court until age 18? Yes  No 
Do you have legal dependents other then a spouse? Yes  No 
Do you have a Bachelors degree?  Yes  No 
   
   

Part 4.  Family Financial "Snapshot"

In order to get an accurate picture of eligibility, we are asking for completed 2008 income information. Please use your 2008 income tax return to answer the following questions. Please remember that any significant change in your 2008 income status will result in a corresponding change in your eligibility once the FAFSA is filed. If you have your updated 2008 financial figures or an estimate of those, we encourage you to use those, and complete the FAFSA as soon as possible.
Student's 2008 Income, Earnings and Benefits
The following 2008 income Tax Figures are from: 1040EZ, 1040A or Telefile
 1040
 I did not file a 2008 Federal Tax Return
Student's 2008 Adjusted Gross Income (ACH): $.00
Student's 2008 Income Tax Paid: $.00
Student's 2008 Income Earned from work: $.00
Student's 2008 Untaxed Income: $.00

* This should include the following: tax-exempt interest income; untaxed annuities and pensions (excluding rollovers); 2008 payments to IRA, KEOUGH, 401(k), and 403(b) plans; worker's compensation; housing, food or other living allowances paid to members of clergy or military; cash support received and any other untaxed income or benefit not previously listed.

Parent's 2008 Income, Earnings and Benefits
The following 2008 income Tax Figures are from: 1040EZ, 1040A or Telefile
 1040
 I did not file a 2008 Federal Tax Return
Parent's 2008 Adjusted Gross Income (ACH):  $.00
Parent's 2008 Income Tax Paid:  $.00
Father's 2008 Income Earned from work:  $.00
Mother's 2008 Income Earned from work:  $.00
Parent's 2008 Untaxed Income:  $.00

* This should include the following: tax-exempt interest income; untaxed annuities and pensions (excluding rollovers); 2008 payments to IRA, KEOUGH, 401(k), and 403(b) plans; worker's compensation; housing, food or other living allowances paid to members of clergy or military; cash support received and any other untaxed income or benefit not previously listed.
 
 
Part 5.  Student and Parent Asset Information
 
 Student's Assets   Parent's Assets
$.00 Cash, Savings, and Checking
(Account Balances as of Today)		 $.00
$.00 Net Worth of Real Estate/Investments
(Value minus Debt - Do Not Include Home)		 $.00
$.00 Net Worth of Business
(Value minus Debt)		 $.00
$.00 Net Worth of Investment Farm
(Value minus Debt)		 $.00
 

All information provided by me, or any other person on this form is true and complete to the best of my knowledge.
I understand that the results from this form will be an estimate only and that official awards for admitted students are made only after a processed 2009-2010 FAFSA is received by the financial aid office.




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