echodoc - XXX-XX-4253 GO THIS IS A COPY OF YOUR 2009-2010...

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Page 1 THIS IS A COPY OF YOUR 2009-2010 APPLICATION INFORMATION DO NOT MAIL THIS DOCUMENT OR A COPY OF THIS DOCUMENT TO FEDERAL STUDENT AID. Assumed fields, based on the data you entered, are marked with an '*' (asterisk) sign. Step 1. (Q1 – Q32) Student's Last Name Student's First Name Student's Middle Initial Student’s Permanent Mailing Address Student's Permanent City Student's Permanent State Student's Permanent Zip Code Student's Social Security Number Student's Date of Birth Student's Permanent Home Phone Number Student's Driver’s License Number Student's Driver’s License State Student’s E-Mail Address Student's Citizenship Status Student's Alien Registration Number Student's Marital Status Student's Marital Status Date Student's State of Legal Residence Was Student a Legal Resident Before January 1, 2004? Student's Legal Residence Date Is the Student Male or Female? Register Student for Selective Service? Drug Conviction Affecting Eligibility? Father’s Educational Level Mother’s Educational Level High School or Equivalent Completed? First Bachelor's Degree by July 1, 2009? Student's Grade Level in College in 2009-2010 Type of Degree/Certificate Student’s Enrollment Status for 2009-2010 Interested in Work-study or Student Loans? Planning to Become an Elementary or Secondary School Teacher? Step 2. (Q33 – Q47) Student Filed 2008 Income Tax Return? Student's Type of 2008 Tax Form Used Student Eligible to File a 1040A or 1040EZ? Student’s 2008 Adjusted Gross Income Student’s 2008 U.S. Income Tax Paid Student’s 2008 Exemptions Claimed Student’s 2008 Income Earned from Work Spouse’s 2008 Income Earned from Work Student’s Total of Cash, Savings, and Checking Accounts Student’s Net Worth of Current Investments Student’s Net Worth of Businesses/Investment Farms Will Student Receive VA Education Benefits? Type of VA Education Benefits to Receive
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echodoc - XXX-XX-4253 GO THIS IS A COPY OF YOUR 2009-2010...

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