Valpo's Financial Aid Estimator

Student data
Name:
Address:
City, State Zip: ,
Home phone:
E-mail address:
SSN (no dashes):
Date of birth:
High School Graduation Year:

Grade Average:
Please choose the grade average that
best describes your high school
performance in the following academic courses: English, Mathematics, Science, Social Science, Foreign Language

 

 
ACT or SAT score (best composite):

ACT:   
ACT Writing Score:

SAT: 
SAT Writing Score

Check all that apply: Child of a VU Alumnus
Child of a full-time, rostered, professional
      Lutheran church worker
 Indiana residents only:
21st Century Scholar Program
Academic Honors Program
Core 40 Program
Status at VU (select one): New Freshman
Transfer
College Transfer Students: Member of Phi Theta Kappa Yes No
College Grade Point Average
Total # of completed credits when you enroll at Valpo
Enrollment year
(e.g., 2006-07;2007-2008):
Student's estimated annual income:
Value of student's current assets:
(current value of saving/
checking accounts,stock, bonds,
CD's trust funds, other securities)

 


Parent data
Married/Remarried:
(If remarried, include parent and stepparent information)
Single/Divorced/Widowed:
(include *only* the custodial parent's information)
Age of older parent:
Total household size:
Number of family members attending college during your first academic year at VU:
(Enrolled at least halftime; including yourself,
other dependent children, but not parents)

Father/Stepfather's annual income earned from work:
(include wages, business/farm income)
Mother/Stepmother's annual income earned from work:
(include wages, business/farm income)
Estimated parent adjusted gross income (from 1040 form):
(Include taxable income such as wages, dividends, interest income, capital gains/losses, business income, pensions, annuities, Social Security benefits, alimony, unemployment compensation, and any other income.)


Estimated parent untaxed income:
(Include untaxed income such as Social Security
benefits, child support, worker's compensation,
welfare benefits, contributions to or accounts withheld for tax deferred pensions, clergy or military housing allowance or parsonage value, and any other income.)




Estimated value of current assets:
(current value minus any debt with the asset.)
Include: cash, savings, checking, investments, trust funds, money market funds, mutual fund, CD's, stocks, bonds, other securities, business, investment farm and other real estate.
Do not include: a home that is your primary
residence, a family farm if you live on it, or the
value of your retirement plans.





 

Certification Statement

I certify that the information on this form is estimated to the best of my ability. I understand that the financial aid estimate notification from Valparaiso University is only an estimate and that I must file the Free Application for Federal Student Aid (FAFSA) and be admitted to Valparaiso University to apply for and receive an actual financial aid award.

I agree (sign below by typing in CAPS)
Student signature:
Parent signature: