Beyond Sports Foundation
Financial Aid Form 2015-2016
Parent(s)/Guardian(s) ______________________________________
______________________________________
Please provide a copy of your most recent IRS form W-2 along with this completed form to determine financial eligibility.
US Citizen Yes / No
Eligible Non-Citizen Yes / No
Are you an orphan or ward of the court?
Yes / No
High School _______________________________
1. Name and ages of parents and dependent family members in the household as of September 2015:
2. Number of Dependent children expected to be enrolled at least half-time in college as undergraduates during the 2015-2016 academic year. (Do
not include parents or children in private elementary or secondary schools) ________
For questions 3-9, provide date for the tax years listed
2014 (Actual)
2015 (Estimated)
3. Parents’ adjusted gross income (line 37 1040) or (line 21 1040A)
$___________
$_____________
4. Federal income taxes paid (line 57 1040) or (line 35 1040A)
$___________
$_____________
5. Father’s wages, salaries, tips, and other compensation
$___________
$_____________
6. Mother’s wages, salaries, tips, and other compensation
$___________
$_____________
7. Parents’ other taxable income (interest, dividends, pensions,
annuities, rents, royalties, partnerships, trusts, alimony, etc…
$___________
$_____________
8. Parents’ untaxed income (soc. sec. benefits, welfare, child
support, IRA, Keogh, tax def. payments to pensions, etc…
$____________
$_____________
9(a) Student’s wages and other taxable non-wage income
$____________
$_____________
9(b) Student’s untaxed income and benefits
$____________
$_____________
10. Student’s assets (cash, savings, checking, real estate, bonds,
stocks, money market, mutual funds)
$__________
$_____________
11. Circle marital status of parents: single/married/separated/divorced/widowed
12. Parents’ cash, savings, and checking account funds
$____________
13. Parents’ other investments (real estate, stocks, bonds, trusts, money market,
mutual funds, rental property equity, etc…)
$____________
14. Business or farm equity (if over 100 employees)
$____________
Beyond Sports Foundation 1350 Old Skokie Rd Suite 205 Highland Park, Illinois 60035-3058 T: 847-748-8190 F: 847-748-8270
Beyond Sports Foundation
Financial Aid Form 2015-2016
If the Beyond Sports Foundation has questions about the above information, they may call or email at:
(
) ____________________ (M-F 9am – 4pm) (
) _______________________ (eve.) email____________________
We understand that participation in the Beyond Sports Foundation Financial Aid Planning Form will provide an estimate of financial need and student
aid award and does not constitute a financial commitment on behalf of the Beyond Sports Foundation. Beyond Sports Foundation will notify you of
eligibility once all required documents are received.
________________________________________
Student’s Signature
________________________________________
Student-Athlete Name Printed
________________________________________
Parent or Guardian Signature
_________________________________________
Date
Beyond Sports Foundation 1350 Old Skokie Rd Suite 205 Highland Park, Illinois 60035-3058 T: 847-748-8190 F: 847-748-8270