2016-17
TRANSFER
ADMISSIONS
APPLICATION
PACKET
Undergraduate Application
Transfer Applicant Evaluation Form
Financial Aid Early Version Award Application
Schedule a
campus visit.
•Request a visit online at www.gannon.edu/visit
•E-mail us at visit@gannon.edu
•Call our Campus Visit Coordinator at
1-800-GANNON-U (1-800-426-6668),
choose option 1 then option 4
Join us for one of our many
on-campus events.
•See your options at www.gannon.edu/events
•Admissions: (814) 871-7240
Fax: (814) 871-5803
admissions@gannon.edu
Non-discrimination Policy
It is the policy of Gannon University to affirmatively implement equal opportunity to all qualified
applicants and existing students and employees. In administering its affairs, the University shall not
discriminate against any person on any basis prohibited by law. All aspects of employment including
recruitment, selection, hiring, training, transfer, promotion, termination, compensation and benefits
conform to this policy. All aspects of student affairs and education of students including recruitment,
admissions, financial aid, placement, access to facilities, student discipline, student life and student
employment conform to this policy. Questions or inquiries regarding the University’s policy should
be directed to the Director of Human Resources, Gannon University, 109 University Square, Erie, PA
16541-0001; phone (814) 871-5615.
•Financial Aid: (814) 871-7337
Fax: (814) 871-5826
financialaid@gannon.edu
Advocate for Campus Accessibility
Dr. Harvey Kanter is the 504/ADA coordinator for students who are impaired in ways requiring
accommodation of facilities, programs, or services of the University. Students seeking information or
assistance in any matter regarding accessibility or accommodations should contact him at (814) 871-5522
promptly upon admission to the University.
•109 University Square, Erie, PA 16541
1-800-GANNON-U (1-800-426-6668)
Gannon University pursues a policy of non-discrimination in all activities and programs under its
sponsorship. Gannon University makes all decisions regarding selection for admission, financial assistance
to students, application for employment, and all other personnel actions without regard to race, creed,
color, national origin, age, sex or disability as defined by law. Questions or inquiries regarding the
University’s non-discrimination policy should be directed to the Director of Human Resources,
Gannon University, 109 University Square, Erie, Pennsylvania 16541-0001; Phone (814) 871-5615.
Contact us.
GANNON UNIVERSITY
Enrollment Instructions
Transfer
Admissions Process
Gannon University has a transfer
program to fit your needs. Whether
you are completing an associate’s
degree program, returning to school
after receiving an associate’s degree
or currently in a two-year or four-year
program, we make the transfer process
at Gannon easy to complete.
Students in good standing (generally
defined as having a 2.0 grade point average
or better on a 4.0 scale) at a two- or fouryear institution are invited to apply for
admission. Gannon University processes
admissions decisions on a rolling basis
for most majors.
Please return the completed Transfer
Admissions Application Packet with
the $25 non-refundable application fee
in the envelope provided. Make your
check or money order payable to Gannon
University. Please type or print clearly.
Transfer students should submit the
following:
Next-Step
If you already have an associate’s degree
from a regionally accredited institution
you can expedite the completion of a
bachelor’s degree by majoring in some
select fields (see next page). Gannon
guarantees acceptance of up to 64 credits
and allows students to enter Gannon with
junior level status. Only courses in which
grades of “C” (2.0) or better have been
earned are eligible for transfer. At least two
years of upper-division full-time study are
required to obtain a bachelor’s degree.
Apply Online
If you prefer, you can submit your
Admissions Application electronically
at www.gannon.edu/apply. If you choose
to do so, please complete the following:
• Request all official college transcripts
be sent to Gannon
• Use the enclosed Transfer Applicant Evaluation Form and submit to the
Dean of Students’ office at the most
recent institution you have attended
• Gannon University Transfer Admissions Application (pages 5-6) or Online Application (www.gannon.edu/apply)
• Submit the Financial Aid Early
Version Award (EVA) Application
• Transfer Applicant Evaluation Form
(page 7) from current or most recent school attended
Transfer Website
• All official college/institution transcripts
• If you have less than 30 college credits,
an official high school transcript
including SAT or ACT scores (high
school transcripts may also be
requested for other reasons)
• Financial Aid Early Version Award
(EVA) Application (pages 9-11); this
form may be sent in separately. The
EVA is also available online in PDF format
at www.gannon.edu/FinancialAid.
As a prospective transfer student, we
encourage you to visit our website
designed exclusively for your needs
at www.gannon.edu/transfer.
Application Deadlines
Gannon University processes admissions
decisions on a rolling basis for most majors.
Program for Students
with Learning Disabilities
Students who wish to apply to
Gannon’s Program for Students with
Learning Disabilities (PSLD) should
indicate so on page 6 of the application.
Once accepted, the Director of the
Program for Students with Learning
Disabilities may request the following:
• Personal letters of recommendation
from teachers, counselors or school
administrators
• WAIS-R scores (if over age 16) or
WISC-R scores and subscores (if
under age 16)
• Records from any professional with
whom you have worked, such as
psychologist, physician, learning
disabilities specialist, reading
specialist or math specialist
Financial Aid Process
First, complete the Gannon Financial
Aid Early Version Award (EVA)
Application.
The EVA awarding process begins
in mid-October.
Second, file the Free Application for
Federal Student Aid (FAFSA) form at
www.fafsa.ed.gov. We recommend you
submit this form online as soon as
possible after January 1. All requests from
the Financial Aid Office for information
should be returned promptly.
Some programs have limited enrollment.
You are encouraged to apply as soon as
possible. These programs are indicated by
asterisks on the next page.
3
GANNON UNIVERSITY • 2016-17
Academic Programs
Business
Accounting (BSB-ACCT)
Accounting Next-Step* (BSB-ACCT-NS)
Entrepreneurship (BSB-ENTR)
Entrepreneurship Next-Step*
(BSB-ENTR-NS)
Finance (BSB-FINA)
Finance Next Step* (BSB-FINA-NS)
Healthcare Management (BSB-HCMG)
Healthcare Management Next-Step*
(BSB-HCMG-NS)
International Management (BSB-INTL)
International Management Next-Step* (BSBINTL-NS)
Management (BSB-MGMT)
Management Next-Step* (BSB-MGMT-NS)
Marketing (BSB-MKTG)
Marketing Next-Step* (BSB-MKTG-NS)
Risk Management and Insurance (BSB-RSKM)
Risk Management and Insurance Next-Step*
(BSB-RSKM-NS)
Sport Management and Marketing
(BSB-SPRT-MKTG)
Sport Management and Marketing Next-Step*
(BSB-SPRT-NS)
Supply Chain Management (BSB-SCMG)
Supply Chain Management Next-Step*
(BSB-SCMG-NS)
Undecided Business (ND-UBUS)
Associate’s Degree Programs
Accounting (AS-ACCT)
Business Administration (AS-BADM)
Education
Early Childhood
Early Childhood PreK-4 (BS-ECED)
Early Childhood PreK-4/Special Education
PreK-8 (BS-ECSE)
Middle Level 4-8 Option 1: Single Content Area
Middle Level 4-8 English Language Arts/
Reading (BS-MLEL)
Middle Level 4-8 Mathematics (BS-MLMATH)
Middle Level 4-8 Science (BS-MLSCI)
Middle Level 4-8 Social Studies (BS-MLSS)
Middle Level 4-8 Option 2: Dual Content Areas
Middle Level 4-8 English Language Arts/
Reading & Mathematics (BS-MLELMA)
Middle Level 4-8 English Language Arts/
Reading & Science (BS-MLMLENSC)
Middle Level 4-8 Mathematics & Science
(BS-MLMASC)
Middle Level 4-8 Social Studies &
Mathematics (BS-MLSSMA)
Middle Level 4-8 Social Studies & Science
(BS-MLSSSA)
Dual Certification: Middle Level Option: Single
Content Area & Special Education PreK-8
Middle Level 4-8 English Language Arts/
Reading & Special Education PreK-8
(BS-MLELSPED)
Middle Level 4-8 Mathematics & Special
Education PreK-8 (BS-MLMASPED)
Middle Level 4-8 Science & Special
Education PreK-8 (BS-MLSCSPED)
Middle Level 4-8 Social Studies & Special
Education PreK-8 (BS-MLSSSPED)
4
Secondary Education
Secondary Education Biology (BA-BIOL-SEC)
Secondary Education English
(BA-ENGL-SEC)
Secondary Education Mathematics
(BS-MATH-SEC)
Secondary Education Social Studies
(BA-SOCS-SEC)
K-12
Spanish (BA-SPAN-K12)
Undecided Education
Undecided Education (ND-UEDU)
Associate’s Degree Programs
Early Childhood Education (AS-ECED)
Early Childhood Education/Early
Intervention(AS-ERCH)
Engineering, Computer
and Information Sciences
Bioinformatics (BS-BINF)
Biomedical Engineering (BS-BIOMENG)
Computer Science (BS-CSCI)
Electrical Engineering (BSE-ELEC)
Electrical Engineering
5-year Co-op (BSE-ELE5)
Environmental Engineering (BS-ENVE)
Environmental Science (BS-ENVS)
Industrial Engineering (BS-IE)
Information Systems (BS-IS)
Mechanical Engineering (BSM-MENG)
Mechanical Engineering
5-year Co-op (BSM-MCE5)
Software Engineering (BS-SFEN)
Undecided Engineering (ND-UENG)
Health Professions
Medical Technology (BS-MEDT)
Medical Technology Next-Step* (BS-MEDT-NS)
Nursing (BSN-NURS)**
Nursing Next-Step* (BSN-RNBS-NS)
Nutrition and Human Performance (BS-NHP)
Public Health (BS-PBHL)
Respiratory Care (BS-RESP)
Sport and Exercise Science (BS-SPRT)
Undecided Health Sciences (ND-UHLS)
Master’s Degree Programs
5-year Athletic Training (BS-SPRT-MAT)
5-year Exercise Science (BS-EXER5)
5-year Occupational Therapy (BS-OT5)**
5-year Occupational Therapy Next-Step*
(MS-OCCT2) for Occupational Therapy
Assistants only
5-year Physician Assistant (BS-PHY5)**
Associate’s Degree Programs
Radiologic Sciences (AS-RADS)**
Respiratory Care (AS-RESP)
Humanities and Social Sciences
Advertising Communication (BS-ADVC)
Communication Arts [electronic media]
(BA-COMA)
Communication Arts Next-Step*
[electronic media] (BA-COMA-NS)
Criminal Justice (BA-CRJS)
Criminal Justice Next-Step* (BA-CRJS-NS)
English (BA-ENGL)
English Next-Step* (BA-ENGL-NS)
Foreign Language and Literature (BA-FRGN)
Foreign Language and International
Studies: Business Option (BA-FLBO)
Foreign Language and International
Studies: Government Option (BA-FLGO)
History (BA-HIST)
Interdisciplinary Studies (BA-INTRDISP)
International Studies (BA-INTLST)
Journalism Communication (BA-JRCM)
Legal Studies/Paralegal (BA-LEGL)
Mortuary Science (BS-MRTS)
Philosophy (BA-PHIL)
Political Science (BA-POLS)
Political Science Next-Step* (BA-POLS-NS)
Pre-Law (ND-PLAW)
Pre-Law 3+3 Early Admissions (ND-PLW3)
Psychology (BA-PSYC)
Psychology Next-Step* (BA-PSYC-NS)
Social Work (BA-SCWK)
Social Work Next-Step* (BA-SCWK-NS)
Theatre (BA-THEA)
Theatre and Communication Arts (BA-THCA)
Theology (BA-THEO)
Undecided Humanities (ND-UHUM)
Associate’s Degree Programs
Criminal Justice (AA-CRJS)
Interdisciplinary Studies (AA-INTRDISP)
Legal Studies/Paralegal (AA-LEGL)
Pre-Professional Medical
Chiropractic (ND-PCHI)
Dentistry (ND-PDEN)
Medicine (ND-PMED)
Optometry (ND-POPT)
Pharmacy (ND-PPHR)
Physical Therapy
Options:
Biology (BS-BIOL-PT)
Chemistry (BS-CHEM-PT)
Mathematics (BS-MATH-PT)
Psychology (BA-PSYC-PT)
Science (BS-SCI-PT)
Sport and Exercise Science (BS-SPRT-PT)
Undecided Health Sciences (ND-UHLS-PT)
Podiatry (ND-PPOD)
Veterinary Medicine (ND-PVET)
Sciences
Biochemistry (BS-BIOCHEM)
Biology (BS-BIOL)
Biology Next-Step* (BS-BIOL-NS)
Chemical Engineering [cooperative]
(ND-CHME)
Chemistry (BS-CHEM)
Chemistry Next-Step* (BS-CHEM-NS)
Environmental Science (BS-ENVS)
Forensic Science (BS-FORENSCI)
Freshwater and Marine Biology (BS-FWMARBIO)
Mathematics (BS-MATH)
Science (BS-SCI)
Science Next-Step* (BS-SCI-NS)
Undecided Science (ND-USCI)
Undeclared (ND-UNDC)
Explore options and work with a career advisor to
choose the best major for you.
*These programs are limited to transfer students who
already have an associate’s degree in arts or sciences
from a regionally accredited college. It is not necessary
for a student to have an associate’s degree in the field
that they are pursuing a bachelor’s degree (except for
nursing and occupational therapy). Gannon graduates
are not eligible for this program. See previous page for
more information.
**Limited enrollment
Alumni Fee Waiver:
Alumni’s Name and Graduation Date
$25 application fee
Transfer Admissions Application
First Name
GANNON UNIVERSITY • 2016-17
(Please Print All Information)
Middle Name Last Name
Nickname or Preferred First Name
Suffix
Other last name(s) under which your transcripts might be submitted
Home/Permanent Address (Number and Street)
Social Security Number (U.S. Citizens Only)
 Male
Birth Date
City, State/Province, Zip/Postal
Country
 Female
Home Telephone Number (Including Area Code)
Mailing Address (if different than Home/Permanent address)
Cell Phone Number (Including Area Code)
E-mail Address
City, State/Province, Zip/Postal
Preferred Contact Method (Check One)
 Home Phone
 Cell Phone
 E-mail
Country
Citizenship/Language (Check One)
 U.S. Citizen
 Dual U.S. Citizen
 U.S. Permanent Resident: Visa Type
 Other Citizenship: Visa Type
Alien Registration #
Country of Citizenship
Country of Birth
First/Native Language
Ethnicity/Race (Optional; this information is for statistical purposes only and has no bearing on admission to the University.)
Are you Hispanic/Latino?  Yes  No
Check the following race(s) that apply to you:
 American Indian or Alaska Native
 Black or African American
 Asian
 Native Hawaiian or Other Pacific Islander
 White
Religious Affiliation (Optional; this information is for statistical purposes only and has no bearing on admission to the University.)
 Roman Catholic  Episcopal  Greek Catholic  Lutheran  Greek Orthodox
 Methodist
 Jewish  Presbyterian  Baptist
 Other:
Are you a member of a Roman Catholic parish in the Diocese of Erie, PA?  Yes  No
(check for Diocesan-related financial aid award eligibility from Gannon)
If yes, name and location of parish:
Additional Personal Information (Check if applicable.)
 Currently serving on active duty in the U.S. Armed Forces (for purposes other than training)
 Dependant of Veteran; eligible for VA benefits
 Veteran of the U.S. Armed Forces
Have you ever been convicted of a misdemeanor, felony or other crime?  Yes  No
Have you applied for admission to the University previously?
 Yes
 No When?
Applying for: (Select one from each column.)
 Fall 20_____Term
 Freshman Admission
 Full-Time  Spring 20_____Term
 Transfer Admission
 Part-Time
 Summer 20_____Term
 I plan to live in Gannon Housing
 I plan to live at home
 I plan to live off-campus
Area of Academic Interest (list only one, extras listed will not be considered)
See academic programs offered on the opposite page. (Education and Physical Therapy applicants must indicate a specific option.)
Major
Academic Program Code
5
GANNON UNIVERSITY TRANSFER ADMISSIONS APPLICATION • 2016-17
High Schools/Secondary Schools Attended (list the most recent first)
Name
Address, City, State, Zip School Code
Graduation Date
Name
Address, City, State, Zip School Code
Graduation Date
Colleges and Institutions Attended (list all attended—most recent first; include colleges attended while in high school)
Name
City, State
Number of credits completed Currently enrolled?  Yes  No
Name
City, State
Number of credits completed Currently enrolled?  Yes  No
Name
City, State
Number of credits completed Currently enrolled?  Yes  No
Have You Taken the SAT or ACT Examination? (list month/year)
 Yes, I have completed the SAT/ACT on these dates: Date 1
Date 2  No, I plan to take the SAT/ACT in the future on these dates: Date 1
Date 2
Check the appropriate box if you are interested in any of the following:
 Honors Program  Army ROTC
 Program for Students with Learning Disabilities
 Yes
Are you a Phi Theta Kappa Member?
 No
Extracurricular Activities
List any activity that you wish to be involved in at Gannon. Please continue on a separate sheet of paper if necessary.
Work Experience/Volunteer Experience (if medical related, please be specific)
Type of Work
Dates
Employer
Address
Type of Work
Dates
Employer
Address
Personal Statement (optional, yet recommended)
Choose one of the topics and on a separate sheet, type a one-page response:
1. How have you applied a classroom lesson to your daily life? 2. Ask and answer one question that you wish we had asked.
Parent/Guardian/Family Information
Name of Father/Guardian ( Living  Deceased) Name of Mother/Guardian ( Living  Deceased)
Address
Address
City, State/Province, Zip/Postal
Country City, State/Province, Zip/Postal
Country
 8 years or less of elementary school
 Some high/secondary school, but not diploma
 Graduated from high/secondary school (or equivalent)
 1 to 3 years of college (including study at a technical, community or
junior college)
 A 4-year undergraduate college degree (bachelor’s degree)
 A master’s degree
 A professional degree (medicine, dentistry, law, philosophy or other
similar degrees)
 8 years or less of elementary school
 Some high/secondary school, but not diploma
 Graduated from high/secondary school (or equivalent)
 1 to 3 years of college (including study at a technical, community or
junior college)
 A 4-year undergraduate college degree (bachelor’s degree)
 A master’s degree
 A professional degree (medicine, dentistry, law, philosophy or other
similar degrees)
Employer/Occupation
Employer/Occupation
Gannon Graduate?  Yes  No If yes, indicate class year
Gannon/VMC Graduate?  Yes  No If yes, indicate class year
My signature below indicates all information in my application is complete, accurate and honestly presented. I am also granting Gannon University
permission, if necessary, to request any missing credentials and verify that all information is correct. I understand any misrepresentation may void
my application.
6
SignatureDate
GANNON UNIVERSITY • 2016-17
Transfer Applicant Evaluation Form
Applicants:
Please complete the top portion of this form and submit it to the Dean of Students of the most recent college attended.
This form may be duplicated if needed.
Last Name
First Name (Formal)
Middle Name
Suffix
Social Security Number
Other last name(s) under which your transcript(s) might be submitted
Address (Number and Street)
City
State
Zip/Postal Code
School to which you are submitting this form
Date of attendance
The Family Educational Rights and Privacy Act of 1974, as amended, guarantees confidentiality of student educational records.
In an effort to expedite my transfer, I authorize the Dean of Students to release all information as it pertains to the questions below.
SignatureDate
Dean of Students:
One of your students, named above, has applied for admission to Gannon University. Please complete this form as completely
as possible and return it to: Office of Admissions • Gannon University • 109 University Square • Erie, Pennsylvania 16541-0001
1. Is this student eligible to continue/return to your institution?  Yes  No
Comments
2. Has this student been dismissed from your institution? Academically  Yes  No
Disciplinary  Yes  No
Comments
3. Has there been any type of non-academic disciplinary action with regard to this student?  Yes  No
Comments
4. Has there been any reason to question this student’s emotional stability?  Yes  No
Comments
Name
Title
Institution
Telephone Number (Including Area Code)
Signature
Date
7
GANNON UNIVERSITY TRANSFER APPLICATION EVALUATION FORM • 2016-17
8
Office of Admissions • 109 University Square • Erie, Pennsylvania 16541-0001
1-800-GANNON-U (1-800-426-6668) • admissions@gannon.edu • www.gannon.edu
GANNON UNIVERSITY • 2016-17
Financial Aid Early Version Award Application
Information provided on this form is used to estimate your eligibility for federal, state and institutional aid.
Your information is considered confidential and will be secured within the Financial Aid Office.
Instructions
1.
2.
3.
4.
Complete all of the items. Estimate if actual figures are unavailable.
Do not leave items blank. Where a dollar amount is requested and your response is none, enter “NONE” or zeros.
Use a separate sheet of paper to explain any unusual circumstances.
In addition, Gannon requires all students who want to be considered for Financial Aid (including loans) to file the
Free Application for Federal Student Aid (FAFSA) and to list Gannon University, code number 003266.
Section 1
Social Security Number
First Name
Birth Date: Month/Day/Year
Middle Name
Last Name
Please indicate any other name(s) under which your financial aid information might be submitted
Address (Number and Street)
City
State
Zip/Postal Code
Home Telephone Number (Including Area Code)
Possible area(s) of academic concentration/major(s)
Citizenship (check one)
 U.S. Citizen
 Dual U.S. Citizen
 Other Citizenship: Visa Type
 U.S. Permanent Resident: Visa Type
Alien Registration #
Country of Citizenship
Country of Birth
First/Native Language
If you are not a U.S. citizen and live in the United States, how long have you been in the country?
Residency (check one)Status (check one)
 Commuter  On Campus Housing
 Full-Time  Part-Time
Are you a member of a Roman Catholic parish in the Diocese of Erie, PA?  Yes  No
If yes, name and location of parish
Section 2
Were you born before January 1, 1993?  Yes  No
At the beginning of the 2016-17 school year, will you be working on a master’s or doctorate program
(such as an MA, MBA, MD, JD, PhD, EdD or graduate certificate, etc.)?  Yes  No
As of today, are you married? (Answer “Yes” if you are separated but not divorced)  Yes  No
Do you have children who receive more than half of their support from you?  Yes  No
Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their support from you,
now and through June 30, 2017?  Yes  No
Are both of your parents deceased, or are you (or were you until age 18) a ward/dependent of the court?  Yes  No
Are you a veteran of the U.S. Armed Forces?  Yes  No
If you answered “yes” to any of the above questions, complete Column A on the next page.
If you answered “no” to all of the above questions, complete both Columns A and B on the next page.
9
GANNON UNIVERSITY FINANCIAL AID EVA APPLICATION • 2016-17
Section 3
2015 Income, Earnings and Benefits (estimate if prior to tax returns being filed)
Column A: Student (and Spouse)
This section must be completed in order to be considered for need-based aid.
1. 2015 adjusted gross income (IRS Form 1040, 1040A, 1040EZ or estimate).............
$_____________.00$_____________.00
2. 2015 U.S. income tax paid (IRS Form 1040, 1040A, 1040EZ or estimate)................
$_____________.00$_____________.00
3. 2015 total number of exemptions (IRS Form 1040, 1040A or 1040EZ)....................
_____________ 4. 2015 income earned from work......................................................................Student
$_____________.00 Father $_____________.00
5. 2015 income earned from work....................................................................... Spouse
$_____________.00 Mother $_____________.00
6. 2015 untaxed income and benefits (yearly totals only) PART A
A. 2015 earned income credit.................................................................................
$_____________.00$_____________.00
B. SNAP (Supplemental Nutrition Assistance Program) or TANF (Temporary
Assistance for Needy Families)..........................................................................
$_____________.00$_____________.00
C. Social Security benefits for all members of the household.................................
$_____________.00$_____________.00
7. 2015 untaxed income and benefits (yearly totals only) PART B
A.Yearly contribution payments to tax deferred pensions or savings plans..........
$_____________.00$_____________.00
B. Child support received for all children..............................................................
$_____________.00$_____________.00
C. Worker’s compensation.....................................................................................
$_____________.00$_____________.00
D. Other untaxed income or benefits.....................................................................
$_____________.00$_____________.00
8. Child support paid out because of divorce, separation or legal requirement.............
$_____________.00$_____________.00
Current Asset Information
Column A: Student (and Spouse)
Column B: Parents
List Net Worth
List Net Worth
9. Cash, savings and checking accounts $_____________.00
Column B: Parents
_____________
$_____________.00
10. Real estate and investments
$_____________.00
$_____________.00
(Do not include the value of the family home, life insurance or retirement plans. Include other real estate, trust funds, UGMA, UTMA,
money market and mutual funds, certificates of deposit, stocks, bonds, college savings plans and pre-paid tuition plans.)
11. Business and farm
$_____________.00
 Check here if business or farm employs less than 100 employees.
$_____________.00
Section 4
Parental Data Section
Current marital status of the parent you reside with:
 Married/Remarried
 Single
 Divorced/Separated
 Unmarried, both parents living together
Parent 1 (Father/Mother/Stepparent) (Student, if independent)
Parent 2 (Father/Mother/Stepparent) (Spouse, if independent)
Address
Address
Occupation
Occupation
Employer’s Name
Employer’s Name
Number of years employed at above
10
 Widowed
If unemployed, how long?
Age
Number of years employed at above
If unemployed, how long?
Age
GANNON UNIVERSITY FINANCIAL AID EVA APPLICATION • 2016-17
List parents’ dependents below, including all children and other dependents. (use an additional sheet of paper, if necessary)
Independent students must list children.
Name
Age School Attending
in 2016-17
Tuition and
Fee Costs
Number in Household
from July 1, 2016 to June 30, 2017
Source and Amount of Aid Full- or
Part-Time Year in School
Major
Number in College in 2016-17 Academic Year
(do not include parents or graduate students in the number enrolled in college)
Divorced/Separated Parental Information (provide information on non-custodial parent)
Name of non-custodial parent (parent not included on page 10)
Occupation
Age
Address Employer
Date of divorce/separation
Who claims student on tax form?
Section 5
Student’s Gender
 Male
 Female
Ethnicity/Race (Optional; this information is for statistical purposes only and has no bearing on admission to the University.)
Are you Hispanic/Latino?  Yes  No
Check the following race(s) that apply to you:
 American Indian or Alaska Native
 Black or African American
 Asian
 Native Hawaiian or Other Pacific Islander
 White
Please list other schools to which you are applying:
1.
2. 3.
Certification Statement
Note: This application must be signed by the student and at least one parent.
Signing this form allows release of financial aid information to the custodial parent/guardian listed on this application.
I (we) certify that this information is accurate and complete to the best of my (our) knowledge.
Applicant’s Signature
Date
Parent/Spouse’s Signature (if applicable)
Date
11
UM/GUP/1000/815