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Early Estimate Form
With the information below, Ancilla College will be able to provide you with an estimate of the amount of financial aid available to the student for the academic year beginning August 2012 and ending May 2013.

Email:
Name of student: *
Date Prepared:
Name of Parent:
Mailing address: *
City, State, Zip: *
Enrollment status projected: (hours estimated each semester)
Full Time (12 hours or more)
½ time (6-8 hours)
¾ time (9-11 hours)
less than ½ time
Marital status:
Single
Divorced
Married; student only enrolled at least ½ time
Married; student and spouse both enrolled at least ½ time
Number in household * (parents, student, siblings living at home):
Number in any college in 2012-2013: *
(household members enrolled next year at Ancilla or any other college, parents not included)
Current age of older parent:
Current age of student:
Expected high school graduation date: *
(Month and Year)
Expected high school grade point average: *
(Current or estimated GPA)
High School: *
(for anticipated 2012 high school graduates)
Expected diploma type: Core 40 Honors Technical
Is the student an Indiana resident? Yes No
Has the student taken either the ACT or SAT exam? Yes No
If yes, what was the ACT or SAT composite score? ACT:
SAT:
Is the student eligible for the
Indiana 21st Century Scholar Program?		 Yes No
Have you already applied to Ancilla College? Yes No
Athletic area of interest (if applicable)
The following financial data is required for both parents and student
Enter 0 for any item that does not apply. No estimate can be made without financial information.
PARENT
 STUDENT
Total estimated income for 2011:
Federal Tax estimated to be paid for 2011:
Are you paying child support?
If yes, monthly amount is:
Are you receiving child support?
If yes, monthly amount is:
Total amount of cash, savings and investments:
Estimated net home equity:
Estimated net worth of business or farm:
Other investments:

From this information, Ancilla College will provide an estimated financial aid award for the student. It is the responsibility of the student and parents to fully complete the FAFSA (Free Application for Federal Student Aid) form and other relevant financial aid materials on a timely basis. Actual financial aid award results may vary from the estimate provided, based on changing data and circumstances.