Georgia 4-H Scholarship Application - The Georgia 4-H Foundation

Georgia 4-H Achievement Scholarship Statement of Need*Complete ONLY if you wish to be considered for scholarships that review your financial need. Pleasecomplete this form and attach to your application.Please limit explanation to these pages only.Have you or do you plan to file for FAFSA? (Free Application for Federal Student Aid) □Yes □ NoAre you your sole support and will not receive assistance from parent/guardian? □Yes □ NoDetermination of Unmet Need:Costs per year:Tuition and FeesRoom and BoardMiscellaneous ExpensesBooks and SuppliesMealsOther ___________Other ___________$ ____________$ ____________$ ____________$ ____________$ ____________$ ____________$ ____________TOTAL ANNUAL COLLEGE COSTS$_____________Contributions per year:Expected Family ContributionExpected Student Contribution$____________$____________TOTAL ANNUAL CONTRIBUTION$(____________)2012 Financial Aid Awarded (Grants, Loans, scholarships, etc.):PELL$____________SEOG$____________Stafford$____________State Aid$____________ROTC$____________Scholarship__________________ $____________Scholarship__________________ $____________Scholarship__________________ $____________TOTAL 2012 AID AWARDED$(_____________)UNMET NEED (subtract total annual contributions and aid from total costs) $______________Page 4 of 5