Answer all questions with your best answer. Indicate zero when appropriate. Do not leave anything blank. As the Estimator relies on a minimum of information, some family circumstances may be too complex to produce a financial aid estimate. If this is true in your case, we will notify you. In estimating financial aid eligibility, we assume you are a single U.S. citizen; a dependent (parental information must be included); and enrolled full time. We also assume that your family will pay the standard income tax for 2009 and use the standard deduction on your 2009 U.S. Income Tax Return.

Please print off the estimator, fill it out and send it to the Office of Financial Aid.

Stephens College
Office of Financial Aid
1200 E. Broadway
Columbia, MO 65215

Phone: (800) 876-7207 or (573) 876-7106
Fax: (573) 876-2320
E-mail: apply@stephens.edu or finaid@stephens.edu

Student's name

Address

City State Zip

Social security number
Home Phone

Date of birth

Student's 2009 income (wages, interest, etc.):
$

Student's 2009 paid U.S. income tax:
$

Student's cash, savings, checking account balance (as of today):
$

Student's high school grade point average:

Name of high school guidance counselor:
Counselor phone:

Parent Information
The term "parent" refers to the student's mother and/or father or adoptive parents. Foster parents and guardians are not defined as parents for financial aid purposes. If the student's parents are separated, divorced, widowed or re-married, please provide the requested information for parents (and any stepparent) with whom the student resided for the greater part of the past year. If your 2009 income is not yet available when you complete this form, please provide estimates.

Parents' marital status: Married/Remarried Single Separated/Divorced/Widowed

Parents' 2009 adjusted gross income:
$

Parents' 2009 paid U.S. income tax:
$

Parents' exemptions:

Parents' earned income credit:
$

Income earned from work by mother/stepmother:
$

Income earned from work by father/stepfather:
$

Parents' 2009 untaxed income (include yearly contributions to qualified retirement plans; social security received; child support received):
$

Amount of parents' cash, savings, checking accounts (as of today):
$

Net worth of investments, business and/or other real estate (do not include value of the family home or farm):
$

Number in family household, including student:

Age of older parent:

Number in household who will be enrolled in college at least half time during 2010-2011 (do not include parents):

I understand that after completion of this form, I may receive an early estimate of my eligibility for financial aid. I further understand that I also must complete the Free Application for Federal Student Aid (FAFSA) and submit it after Jan. 1, 2010, in order to finalize a financial aid award that may be offered. I understand that estimated financial aid may be subject to change upon review of the FAFSA and upon availability of funding.

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