EOC PRE-APPLICATION WORKSHEET
Participant Name
*
First Name
Last Name
Participant Email
*
example@example.com
Participant Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
mm-dd-yyyy
Participant Social Security Number
*
999-99-9999
Required Information for Parent/Step-Parent 1
Parent 1 - Legal First and Last Name
First Name
Last Name
Social Security Number
999-99-9999
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
mm-dd-yyyy
Phone Number
(999)999-9999
Check if parent/step-parent is currently a dislocated worker
Parent/step-parent is currently a dislocated worker
Have your parent(s) completed a 2019 IRS tax return or other tax document?
Already filed
Will file
Will not file
Total Wages, Salary, Tips
Have your parent(s) completed a 2020 IRS tax return or other tax document?
Already filed
Will file
Will not file
Total Wages, Salary, Tips
Required Information for Parent/Step-Parent 2
Parent 2 - Legal First and Last Name
First Name
Last Name
Social Security Number
999-99-9999
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
mm-dd-yyyy
Phone Number
(999)999-9999
Check if parent/step-parent is currently a dislocated worker
Parent/step-parent is currently a dislocated worker
Have your parent(s) completed a 2019 IRS tax return or other tax document?
Already filed
Will file
Will not file
Total Wages, Salary, Tips
Have your parent(s) completed a 2020 IRS tax return or other tax document?
Already filed
Will file
Will not file
Total Wages, Salary, Tips
FAFSA Specific Questions for Parents
As of today, what is your parents' marital status?
*
Never Married
Married/Remarried
Divorced
Separated
Widowed
Month and year your parents were married, separated, divorced, widowed, or remarried?
mm/yyyy
List year if anyone in the household received any of the following benefits
List of benefits (Note: Food stamps and/or TANF may have a different name in your state)
Rows
Received
Year
Supplemental Security Income (SSI)
Supplemental Nutrition Assistance Program (SNAP)
Free or Reduced Priced School Lunch
Special Supplemental Nutrition Program for Women, Infants and Children (WIC)
Medicad
Family Independence (FI)
Parent Income (Combine if Married)
As of today, what is your parents’ total current balance of cash, savings, and checking accounts?
As of today, what is the net worth of your parents’ investments, including real estate? Don’t include the home in which your parents live or retirement funds. Net worth means current value minus debt.
As of today, what is the net worth of your parents’ current businesses and/or investment farms? Don’t include a family farm or family business with 100 or fewer full-time or full-time equivalent employees
Rows
Received
Amount
American Opportunity, Hope or Lifetime Learning tax credits
Child support paid
Taxable earnings from work-study, assistantships or fellowships
Taxable grant and scholarship aid reported to the IRS
Combat pay or special combat pay
Cooperative education program earnings
Payments to tax-deferred pension and savings plan
Child support received
IRA deductions and payments to self-employed
SEP, SIMPLE and Keogh
Tax exempt interest income
Untaxed portions of IRA distributions
Untaxed portions of Pension distributions
Housing, food and other living allowances paid to members of the military, clergy, etc.
Veterans non-education benefits
Other untaxed income not reported, such as workers’ compensation or disability
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