Undergraduate Financial Aid Application 2013-14

About You
Personal Information
* First Name
Middle Initial
* Last Name
Name When You First Applied (If different from above)
* Date of Birth
* WWU Student ID Number
* Social Security Number (xxx-xx-xxxx)
* Citizenship
Permanent Contact Information
* Home Address
* City
State/Province
* Zip Code
* Country
* Home Phone
* Cell phone number
* Email Address (non-WWU):
School Year Contact Information
School Year Mailing Address (if different from above)
City
State/Province
Zip/Postal Code
Country
School Year Phone Number
*Other (living in housing classified as "other" may affect your eligibility for a WWU Grant)

Monthly rent:
$
Academic Information
School You Attended in 2012-13 (if any)
How many credits do you plan to take at WWU? (12-16 is a full load)
* Fall ’13
* Winter ’14
* Spring ’14
* Summer ’14
* Major Field(s) of Study
Your Financial Resources
If you receive any of the following, please specify the amount(s).
Veteran’s Benefits
$
Outside scholarships you are eligible to use at WWU (not awarded by WWU). Specify the type and amount for each.

* From which conference?
* Through which parent?
If one of your parents was employed by a church organization in 2012 and received any of the following, please indicate the amount(s).
Parsonage/Housing Allowance
$
Taxed Educational Benefits
$
Untaxed Educational Benefits
$
Your Family
All fields required. If not applicable, type "N/A".
Your Father
* Name
* Address
* City
State/Province
* Zip/Postal Code
* Phone
* Country
Your Father’s Occupation Information
* Occupation
* Employer
* Employers Address
* City
State/Province
* Zip/Postal Code
* Employer’s Phone
* Country
Your Mother
* Name
* Address
* City
State/Province
* Zip/Postal Code
* Phone
* Country
Your Mother’s Occupation Information
* Occupation
* Employer
* Employers Address
* City
State/Province
* Zip/Postal Code
* Employer’s Phone
* Country
Your Word
I affirm that I have received a high school diploma or its equivalent or will have prior to accepting any financial aid. I agree to notify Student Financial Services of any increase in funds in excess of $100 that I may receive during the academic year. I understand that I may need to supply additional information and a copy of my parents’ and/or my 2012 tax return(s).
* Walla Walla University’s use of your electronic signature requires your consent. You have the right to have this document provided to you in paper form at no charge. You also have the right to withdraw your consent, to use your electronic signature, by contacting a University representative. Consequences for withdrawing your consent, if any, will be discussed with you when the withdrawal request is received.

By typing in your name and clicking on the "Submit" button below, you are providing electronic consent to use your electronic signature and agree that all information you are providing to Walla Walla University on this document is true, complete and correct to the best of your knowledge.    
  * Response required