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FAFSA 10-11 (en) Form 2009-12-28.indd

FAFSA 10-11 (en) Form 2009-12-28.indd

FAFSA 10-11 (en) Form 2009-12-28.indd

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U.S. Departm<strong>en</strong>t of EducationFederal Stud<strong>en</strong>t AidSMFree Application for Federal Stud<strong>en</strong>t AidJuly 1, 20<strong>10</strong> — June 30, 20<strong>11</strong>®Step One (Stud<strong>en</strong>t): For questions 1-32, leave blank any questions that do not apply to you (the stud<strong>en</strong>t).Your full name (exactly as it appears on your Social Security card)1. Lastname2. FirstnameOMB # 1845-00013. MiddleinitialYour mailing address4. Number andstreet (includeapt. number)5. City (andcountry if notU.S.)8. Your Social Security Number 9. Your date MONTH DAYYEAR <strong>10</strong>. Your perman<strong>en</strong>t telephone numberof birth14. Are you a U.S.citiz<strong>en</strong>?Mark only one.See Notes page 2.– – M M D D 1 9 Y YYour Driver’s lic<strong>en</strong>se number (if you have one)<strong>11</strong>. Driver’s lic<strong>en</strong>s<strong>en</strong>umber19. Did you become a legalresid<strong>en</strong>t of this statebefore January 1, 2005?@( ) –13. Your e-mail address. If you provide your e-mail address, we will communicate with you electronically. For example, wh<strong>en</strong> your <strong>FAFSA</strong> has be<strong>en</strong> processed, you willbe notified by e-mail. Your e-mail address will also be shared with your state and the colleges listed on your <strong>FAFSA</strong> to allow them to communicate with you. If youprefer to be contacted by postal mail or do not have an e-mail address, please leave this field blank.18. What is yourstate of legalresid<strong>en</strong>ce?Yes, I am a U.S. citiz<strong>en</strong> (U.S. national). Skip to question 16. 1No, but I am an eligible noncitiz<strong>en</strong>. Fill in question 15. 2No, I am not a citiz<strong>en</strong> or eligible noncitiz<strong>en</strong>. Skip to question 16. 36. StateReport your marital status as of the date you sign your <strong>FAFSA</strong>.If your marital status changes after you sign your <strong>FAFSA</strong>, you cannot change this information.16. What is yourmarital status asof today?I am singleI am married/remarriedSTATE<strong>12</strong>I am separatedI am divorced or widowedYesNo<strong>12</strong>34<strong>12</strong>. Driver’s lic<strong>en</strong>sestateA7. ZIP code15. Ali<strong>en</strong> Registration Number17. Month and year youwere married,separated,divorced or widowed20. If the answer to question 19is “No,” give month and yearyou became a legal resid<strong>en</strong>t.MONTHMONTHYEARM M Y Y Y YYEARM M Y Y Y Y21. Are you maleor female?MaleFemale<strong>12</strong>If female, skip to question 23.22. Most male stud<strong>en</strong>ts must register with Selective Service to receivefederal aid. If you are male, age 18-25 and not registered, fill in thecircle and we will register you. See Notes page 2.Register me<strong>12</strong>3. Have you be<strong>en</strong> convicted for the possession or sale of illegal drugs for an off<strong>en</strong>se that occurred while you were receivingfederal stud<strong>en</strong>t aid (such as grants, loans or work-study)?Answer “No” if you have never received federal stud<strong>en</strong>t aid or if you have never had a drug conviction while receiving federal stud<strong>en</strong>t aid.If you have a drug conviction for an off<strong>en</strong>se that occurred while you were receiving federal stud<strong>en</strong>t aid, answer “Yes,” but complete andsubmit this application, and we will mail you a worksheet to help you determine if your conviction affects your eligibility for aid. If you areunsure 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 par<strong>en</strong>ts completed.NoYes1324. Highest school your father completed25. Highest school your mother completedMiddle school/Jr. highMiddle school/Jr. highHigh schoolHigh schoolCollege or beyondCollege or beyondOther/unknown1 2 3 4Other/unknown1 2 3 426. Wh<strong>en</strong> you begin college in the 20<strong>10</strong>-20<strong>11</strong> school year, what will be your high school completion status?High school diploma ....................................................................1Homeschooled ....................................................................3G<strong>en</strong>eral Educational Developm<strong>en</strong>t (GED) certificate ........2None of the above ..............................................................4For Help–www.stud<strong>en</strong>taid.ed.gov/completefafsaPage3

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