TEL 61
7
.573.8470 F
AX 61
7.720.3579
Suffolk
UNIVERSITY
BOST
ON
|
MADRID
|
DAKAR
2006–2007
FINANCIAL AID APPLICATION
2OF4
NAME (LAST, FIRST)
10. Dependent/Independent Verification of Student’s Status
Parental infor
mation may not be required if the student meets one of
the following criteria:
a. W
as the student born before January 1, 1983? Yes No
b. Is the student a veteran of the US Armed Forces? Yes No
c. Is the student a ward of the court or are both parents deceased?
Y
es No
d. Does the student have legal dependents other than a spouse?
Yes No
e. Is the student married?
Yes No
If you answered “yes” to any par
t of question 10, you are considered an
independent student and are not required to submit parental information.
11.
If you are a dependent student, did either of your parents graduate fromSuf
folk University? Yes No
If yes, you may be eligible for an alumni discount.
List below the name of the parent (while enrolled at Suffolk)
and graduation date.
NAME ____________________________________________________________
YEAR OF GRADUA
TION
________________________________________________
12. If more than one member of your family is enrolled full-time at Suffolk
University in an undergraduate program, please list name(s) and social secu-
rity number(s):
NAME ______________________________________________________________________________________
SOCIAL SECURITY NUMBER ________________________________________________________________
NAME
______________________________________________________________________________________
SOCIAL SECURITY NUMBER
________________________________________________________________
13. Income Information
It is the policy of Suf
folk University to verify the information on financial aid
applications submitted to this of
fice. To do this,
all new students applying for
financial aid must sign this for
m
and submit a signed copy of all pages of
your 2005 Federal Income T
ax Return
. In addition, if you are considered a
dependent student,
you must submit a signed copy of all pages of your par
-
ents’ 2005 Federal T
ax Return
. Be sure to include all applicable schedules.
Parent(s) check one
I (we) worked and will file a 2005 Federal Income T
ax Return.
Submit a SIGNED copy including all pages.
I (we) worked and will not file a 2005 Federal Income T
ax Return.
Submit copies of all 2005 W
-2 forms.
I (we) did not work and will not file a 2005 Federal Income T
ax Return.
Student (and spouse) check one
I (we) worked and will file a 2005 Federal Income T
ax Return.
Submit a SIGNED copy including all pages.
I (we) worked and will not file a 2005 Federal Income Tax Return.
Submit copies of all 2005 W-2 forms.
I (we) did not work and will not file a 2005 Federal Income Tax Return.
Parent(s)
Untaxed Income—Total Amount Received for 1/1/05 to 12/31/05
A) WAGES NOT ON TAX RETURN $ ___________________________
B) SOCIAL SECURITY $ ___________________________
C) AFDC/WELF
ARE $ ___________________________
D) CHILD SUPPOR
T $ ___________________________
E) TAX-DEFERRED CONTRIBUTION TO RETIREMENT PLAN $ ___________________________
F) OTHER $ ___________________________
TOTAL $ ___________________________
Student (and Spouse)
Untaxed Income—Total Amount Received for 1/1/05 to 12/31/05
A) WAGES NOT ON TAX RETURN $ ___________________________
B) SOCIAL SECURITY $ ___________________________
C) AFDC/WELF
ARE
$
___________________________
D) CHILD SUPPOR
T
$
___________________________
E) TAX-DEFERRED CONTRIBUTION TO RETIREMENT PLAN $ ___________________________
F) OTHER $ ___________________________
TOTAL $ ___________________________