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Usethisworksheettohelpcollectyourfamily'sfinancialinformationbeforeyoubeginyourPROFILE
Application.ThisworksheetonlycontainsthequestionsyouwillbeaskedonyourPROFILEApplicationwhich
hasbeenpersonalizedforyoubasedonyouranswerstotheRegistrationquestions.Ifyouwillbeaskedto
choosefromalistofpresetresponseoptions,theyarelistedbesidethequestionbelow.TheHelpCodeforeach
questionwillhelpyoulineupyouranswersonceyoureonline,andwillactasareferencenumberifyou
contactcustomerserviceforhelpwithaspecificquestion.
Ifyousubmitteda201516PROFILEApplication,someinformationonthisyear'sapplicationmaybeprefilled
fromlastyear'sapplication.Ifso,itwillshowonthisworksheet.Pleasereviewthisinformationcarefully.
CustomizedinstructionsareprovidedontheHomePage.Asyoucompleteyouronlineapplication,youwillfind
onlinehelp.
Documentsneeded:
Tosavetimewhilefillingouttheapplication,pleasegatherthefollowinginformation(whenapplicable)forthe
studentapplicant(andstudent'sspouse,ifmarried)andthestudent'sparent(s)beforestartingthe
application:
2014federalincometaxreturn(s),ifcompleted
2013federalincometaxreturn(s)
W2formsandotherrecordsofmoneyearnedin2015
Recordsofuntaxedincomeandbenefitsfor2014and2015
Currentbankstatements
Currentmortgageinformation
Recordsofsavings,stocks,bonds,trusts,andotherinvestments
Ifyouhaventcompleteda2015federalincometaxreturnbutwillbefilingone,itisrecommendedthatonebe
completedbeforethePROFILEApplicationisfilledout.However,ifthestudent'scollege(s)orprogram(s)have
anearlypriorityfilingdate,andcompletingthetaxreturnisnotpossible,estimate2015incomeandbenefits
tothebestofyourabilityusingincomeandtaxrecordsfrom2014inadditiontosalaryandbenefitrecords
from2015.Questionsthatcontaintaxlinereferencesaredisplayedbasedonthetaxreturnyouoryour
parentsreportfilingorplanningtofilefor2015.Ifyoufiledadifferenttaxreturntypeinapreviousyear,or
youneedadditionalhelpestimating,seetheHelpDeskformoreinformationonestimating,includingtips,
draftU.S.federalincometaxforms,andaU.S.federalincometaxlinereferencetable.
QuestionWorksheets
Someofthequestionshavetheirownworksheetsthatwillhelpyouarriveatyouranswer.Entertheamount
foreachlineitem.Theonlineworksheetswilladdupthenumbersforyouandtransferthetotaltothe
appropriatebox.Oryoumayaddthesubquestionstogetheronthisworksheetandenterthetotalinthe
appropriatebox.
FamilyMemberListing(FM)
AlthoughSectionFMbelowonlyprovidesspacefortwofamilymembers,youronlineapplicationwillprovide
spacesforallofthemembersofyourfamily.Ifyouareanindependentstudentandyourschoolhasrequested
datafromyourparents,informationonmembersofyourhouseholdwillbeaskedinonesectionand
informationonmembersofyourparents'householdwillbeaskedinanother.
Whencompletingtheonlineapplication:
NumberformatWhenaquestionasksforanumberanamountofmoney,atelephonenumber,etc.
enternumbersonly.Donotentercurrencysymbols,commas(,),periods(.),orcents(decimals)ina
financialfield.Roundtothenearestdollarorwholenumber.Innonfinancialfields(e.g.telephonenumber),
donotenterhyphens,parentheses,orspaces.Throughouttheapplication,pleaseusethefollowing
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charactersonly:letters(AZ),numbers(09)andpunctuation(.,:??!$@%#=)
UserNamePutyourusernameandpasswordinasafeandaccessibleplace.Youwillneedittoreturnto
yourPROFILEApplication.Youmayusethesameusernamefromyeartoyear.Usingthesameusername
andpasswordnextyearwillprefillsomeofyourinformation.
OntimeYourapplicationwillbeconsideredontimeifyousubmityourPROFILEbymidnightEastern
Timeofyourearliestpriorityfilingdate.TheCollegeBoardwillbeginprocessingyourapplicationimmediately
aftersubmission.
InternationalApplicants
Ifyourcountry'staxyeardoesnotfollowthecalendaryearyoushouldcollectinformationlistedaboveforyour
country'slasttaxyearthatendedorwillendbeforeApril1,2016,andtheyearprevioustothat.If,for
example,yourcountry'staxyearrunsfromApril1toMarch31,collecttheinformationforthetaxyearthat
endedorwillendMarch31,2016andthetaxyearthatendedMarch31,2015.Ifyourcountry'staxyearruns
fromJuly1toJune30,collecttheinformationforthetaxyearthatendedJune30,2015andthetaxyear
thatendedJune30,2014.Throughouttheapplication,whereveryouareaskedforinformationfrom"your
country'smostrecenttaxyear,"reportinformationfromyourcountry'slasttaxyearthatendedorwillend
March31,2016.
Youwillalsobeaskedquestionsaboutyourhouseholdexpenses.Youshouldgatherthoserecordsaswell.
YoumustcompletetheapplicationinEnglishusingstandardAmericankeyboardcharacters:letters(AZ),
numbers(09)andpunctuation(.,:??!$@%#=).Umlauts,tildes,orsimilarcharactersnotfoundona
standardAmericankeyboardmaycauseprocessingproblems.
PrintingthisWorksheet
Wehavefoundthatdependingontheprinterandyourdefaultsettingstherightsideofthepagemaybecut
offwhenyouprint.
IfyouareusingInternetExplorer(IE),therecommendedbrowserforviewingPROFILEOnline,youcanadjust
yourmarginsbyclickingonFile>PageSetupinthetopleftcornerofyourscreen(IE'stoolbar).Inthebottom
rightcornerofthePageSetupbox,changeallmarginsto.25.Thiswillaffecteverythingyouviewandprintvia
IE.
Ifyouaren'tusingIE,ordonotwishtochangeyourIEdefaultsettings,youcanensurethatthefullpage
printsinanumberofways:
Clickingonprintandthenchangingyourprintoptionstoprintthedocumentatapercentageslightlybelow
100%.Wherethisoptionisfounddependsontheprinter,butmaybefoundundertabssuchas"Effects"or
"Advanced."
Clickingonprintandthenchoosinglandscape.Thiswillcauseittoprintonmorepages.
Changingyourprintdefaultsettings.Howtodothiswilldependontheprinter.Thiswillaffecteverything
youprint.
DonotmailthisformtotheCollegeBoard.ItisaPreApplicationWorksheetandcannotbe
processed.Anyworksheetsreceivedwillbedestroyed.
Parents'Data(PD)
Thissectionasksforinformationaboutthestudent'sparent(s)whoseinformationisbeinggiven
onthisapplication.Ifaquestiondoesnotapply,youmayleaveitblank.
Question
Parent1Parent'srelationshiptothestudent
Response
Father
Help
Code
PD100
Mother
Stepfather
Stepmother
Legalguardian
OtherExplaininSectionES
Name
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PD105
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Dateofbirth(MMDDYYYY)
PD110
Isthisparentselfemployedorunemployed?
Yes,selfemployed
PD115
Yes,unemployed
No
Ifthisparentisunemployedenterthedateunemploymentbegan
(MMDDYYYY)
PD120
Occupation
PD125
Employer
PD130
Numberofyearsatcurrentplaceofemployment
PD135
Preferreddaytimetelephonenumber(##########
numbersonly)
PD140A
ThisparentplanstodrawSocialSecurityuponretirement.
Yes
PD145
No
Thisparenthasacivilserviceorstatesponsoredretirementplan.
Yes
PD150
No
Thisparenthasamilitarysponsoredretirementplan.
Yes
PD155
No
Thisparenthasaunionoremployersponsoredretirementplan.
Yes
PD160
No
ThisparenthasanIRA,Keogh,orothertaxdeferredretirement
plan.
Thisparenthasanotherretirementplan.
Yes
PD165
No
Yes
PD170
No
Enterthetotalcurrentvalueofthisparent'staxdeferred
retirement,pension,annuity,andsavingsplans.IncludeIRA,
SRAKeogh,SEP,401(a),401(k),403(b),408,457,501(c)plans,
etc.
Whatisthehighestlevelofeducationthisparentcompleted?
Middleschool/Jr.high
PD175A
PD178
Highschool
College/universityorbeyond
Other/unknown
Willthisparentattendcollegeoruniversityatleastoneterm
duringthe201617schoolyear?(Ifso,completethenext
question.)
No,willnotattend
PD180
Yes,fulltime
Yes,halftime
Whattypeofcollegeoruniversitywillthisparentattend?
2yearpubliccollege
PD190
2yearprivatecollege
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4yearpublic
college/university
4yearprivate
college/university
graduate/professionalschool
proprietaryschool
Parent2Parent'srelationshiptothestudent
Father
PD195
Mother
Stepfather
Stepmother
Legalguardian
OtherExplaininSectionES
Name
PD200
Dateofbirth(MMDDYYYY)
PD205
Isthisparentselfemployedorunemployed?
Yes,selfemployed
PD210
Yes,unemployed
No
Ifthisparentisunemployedenterdateunemploymentbegan
(MMDDYYYY)
PD215
Occupation
PD220
Employer
PD225
Numberofyearsatcurrentplaceofemployment
PD230
Preferreddaytimetelephonenumber(##########
numbersonly)
PD235A
ThisparentplanstodrawSocialSecurityuponretirement.
Yes
PD240
No
Thisparenthasacivilserviceorstatesponsoredretirementplan.
Yes
PD245
No
Thisparenthasamilitarysponsoredretirementplan.
Yes
PD250
No
Thisparenthasaunionoremployersponsoredretirementplan.
Yes
PD255
No
ThisparenthasanIRA,Keoghorothertaxdeferredretirement
plan.
Thisparenthasanotherretirementplan.
Yes
PD260
No
Yes
PD265
No
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Enterthetotalcurrentvalueofthisparent'staxdeferred
retirement,pension,annuity,andsavingsplans.IncludeIRA,
SRAKeogh,SEP,401(a),401(k),403(b),408,457,501(c)plans,
etc.
Whatisthehighestlevelofeducationthisparentcompleted?
Middleschool/Jr.high
PD270A
PD273
Highschool
College/universityorbeyond
Other/unknown
Willthisparentattendcollegeoruniversityatleastoneterm
duringthe201617schoolyear?(Ifso,completethenext
question.)
No,willnotattend
PD275
Yes,fulltime
Yes,halftime
Whattypeofcollegeoruniversitywillthisparentattend?
2yearpubliccollege
PD285
2yearprivatecollege
4yearpublic
college/university
4yearprivate
college/university
graduate/professionalschool
proprietaryschool
Parents'HouseholdInformation(PH)
Thissectionasksforinformationaboutthestudent'sparents'household.Anytimeaquestionsays
"you"or"your"itisreferringtothestudent.Anytimeaquestionsays"parents"itisreferringto
thestudent'sparent(s)whoseinformationisbeinggivenonthisapplication.Ifthestudent's
parentsdonothaveanemailaddress,youmayleavethatquestionblank.
Question
Response
Help
Code
Howmanypeopleareinyourparents'household?Always
includeyourself(evenifyoudonotlivewithyourparents)and
yourparent(s).Listtheirnamesandgiveinformationabout
theminSectionFM(dependents)andSectionPD(parents).
PH100A
Howmanypeopleinyourparents'householdwillbecollege
studentsenrolledatleasthalftimebetweenJuly1,2016and
June30,2017?Donotincludeyourparents.Includeyourself.
PH105A
Whatisyourparents'state,territory,orprovinceoflegal
residence?
PH120
Whatisyourparent'spreferredemailaddress?
PH125
Atanytimeduring2014or2015didyourparent(s)receive
SupplementalNutritionAssistanceProgram(SNAP)/foodstamp
benefits?
Yes
No
Atanytimeduring2014or2015didanyoneinyourparent(s)
householdreceivefreeorreducedpricelunch?
Yes
Atanytimeduring2014or2015didyourparent(s)receive
Women,InfantsandChildrenProgram(WIC)benefits?
Yes
Asoftoday,areeitherofyourparentsadislocatedworker?
PH130
PH131
No
PH132
No
Yes
PH135
No
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Parents'2015Income&Benefits(PI)
Thissectionasksforinformationaboutthestudent'sparents'incomeandbenefitsfor2015.Any
timeaquestionsays"you"or"your"itisreferringtothestudent.Anytimeaquestionsays
"parents"itisreferringtothestudent'sparent(s)whoseinformationisbeinggivenonthis
application.Ifaquestiondoesnotapply,enter"0"(zero).
Question
Selectyourparents'taxfilingstatusforthe2015taxyear.
Response
Single
Help
Code
PI095
Marriedfilingjointly
Marriedfilingseparately
Headofhousehold
Qualifyingwidow(er)with
dependentchild
Estimateyourparents'totalnumberofexemptionsfor2015
usingtheir2014IRSForm1040,line6d.
PI100D
Estimateyourparents'2015wages,salaries,andtipsusingtheir
2015paystubsand2014IRSForm1040,line7.
PI105D
Estimatetheamountoftaxableinterestincomeyourparentswill
earnin2015usingtheir2015investmentdocumentsand2014
IRSForm1040,line8a.
PI110D
Estimatetheamountoftaxabledividendincomeyourparentswill
earnin2015usingtheir2015investmentdocumentsand2014
IRSForm1040,line9a.
PI115C
Estimateyourparents'netincome(orloss)frombusiness,farm,
rents,royalties,partnerships,estates,trusts,etc.usingtheir
2015financialdocumentsand2014IRSForm1040,lines12,
17,and18.Toenteraloss,useaminus()sign.
PI120B
Estimatethetotalamountofyourparents'othertaxableincome
suchasalimonyreceived,capitalgains(orlosses),pensions,
annuities,etc.usingtheir2015financialdocumentsand2014
IRSForm1040,lines10,11,13,14,15b,16b,19,20band21.
Toenteraloss,useaminus()sign.
PI125D
Estimateyourparents'2015totaladjustmentstoincomeusing
their2014IRSForm1040,line36and2015financial
documents.
PI130C
Estimateyourparents'2015adjustedgrossincomeusingtheir
2014IRSForm1040,line37and2015financialdocuments.To
enteraloss,useaminus()sign.
PI135D
Estimatetheincometaxyourparentswillpayfor2015using
their2014IRSForm1040,line56and2015paystubsandother
financialdocuments.
PI140D
EstimatetheAdditionalMedicareTaxyourparentswillpayfor
2015.Seehelpfordetails.
PI142B
Estimatetheamountof2015educationcredits(American
Opportunity,HopeandLifetimeLearning)thatyourparentswill
claimfor2015usingtheir2015financialdocumentsand2014
IRSForm1040,line50.
PI145C
Estimatetheamountofyourparents'itemizeddeductionsfor
2015fromtheir2015financialdocumentsand2014IRS
ScheduleA,line29.Enter"0"(zero)iftheywillnotitemize
deductions.
PI150B
Estimatetheincomeparent1earnedorexpectstoearnfrom
workin2015usinghisorher2015W2form(s)ifheorshehas
PI155D
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receivedthemyourparent's2014IRSForm1040,lines7,12,
and18andIRSScheduleK1(Form1065),Box14(CodeA)(if
lines12or18arenegative,treatthemaszero)andpaystubs
andotherincomedocumentationfor2015.Ifyourparentsfileda
jointreturn,useonlyparent1'sportionoflines7,12,and18
andBox14toestimate.(Parent1istheparentyouenteredin
PD105.)
Estimatetheincomeparent2earnedorexpectstoearnfrom
workin2015usinghisorher2015W2form(s)ifheorshehas
receivedthemyourparent's2014IRSForm1040,lines7,12,
and18andIRSScheduleK1(Form1065),Box14(CodeA)(if
lines12or18arenegative,treatthemaszero)andpaystubs
andotherincomedocumentationfor2015.Ifyourparentsfileda
jointreturn,useonlyparent2'sportionoflines7,12,and18
andBox14toestimate.(Parent2istheparentyouenteredin
PD195.)
PI160D
CommissionedofficersonlyEnterthecombatpayorspecial
combatpaythatyourparentsreceivedorexpecttoreceivefor
2015thatistaxableandwillbeincludedinyourparents'
adjustedgrossincome(AGI)becauseoneorbothofthemare
commissionedofficers.Itisusuallyaportionoftheamount
reportedinhisorherW2Box1.Donotenteruntaxedcombat
payreportedinW2Box12,CodeQ.Thisdoesnotapplyto
commissionedwarrantofficers.
PI163B
Entertheuntaxedsocialsecuritybenefitsyourparentsreceived
orexpecttoreceiveforallfamilymembersexceptyou,the
student,in2015.
PI165A
EntertheamountofTemporaryAssistanceforNeedyFamilies
(TANF)yourparentsreceivedorexpecttoreceivein2015.
PI175
Entertheamountofchildsupportyourparentsreceivedor
expecttoreceiveforallchildrenin2015.(Donotenterthe
amountofchildsupporttheypaidorexpecttopay.Enterthat
amountinPE100.)
PI180A
EstimatetheamountofdeductibleIRAand/orSEP,SIMPLE,or
Keoghpaymentsyourparentsmadeandwillmakein2015
usingtheir2015financialdocumentsand2014IRSForm1040,
lines28and32.
PI185C
EntertheuntaxedportionsofIRAdistributions,excluding
"rollovers"yourparentsreceivedorexpecttoreceivein2015.
Estimatefor2015usingfinancialdocumentsfor2015and2014
IRSForm1040,lines15aminus15b.
PI187C
Entertheamountofpayments(paiddirectlyorwithheldfrom
earnings)totaxdeferredpensionandsavingsplansyourparents
madeorexpecttomakein2015including,butnotlimitedto,
amountsreportedonW2FormsinBoxes12athrough12d,
codesD,E,F,G,H,andS.Includeuntaxedpaymentsto401(k)
and403(b)plans.
PI190A
Entertheuntaxedportionofpensionsexcluding"rollovers"your
parentsreceivedorexpecttoreceivein2015.Estimatefor
2015usingfinancialdocumentsfor2015and2014IRSForm
1040,lines16aminus16b.
PI192C
Estimatetheamountofthetuitionandfeesdeductionyour
parentswillclaimin2015usingtheir2014IRSForm1040line
34andfinancialdocuments.
PI195C
Enterthetotalamountwithheldortobewithheldfromyour
parents'wagesin2015tocontributetoaflexiblespending
accountformedicalexpenses.
PI200B
Enterthetotalamountwithheldortobewithheldfromyour
parents'wagesin2015tocontributetoaflexiblespending
PI201B
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accountfordependentcareexpenses.
Estimatetheamountofthehealthsavingsaccountdeduction
yourparentswillclaimfor2015usingtheir2014IRSForm1040
line25andfinancialdocuments.
PI202B
Enterthetotalamountwithheldortobewithheldfromyour
parents'wagesin2015tocontributetoaHealthSavingsAccount
(HSA).
PI203B
EstimatetheamountofEarnedIncomeCredityourparentswill
claimfor2015usingtheir2014IRSForm1040,line66a.
PI205D
Entertheadditionalchildtaxcredityourparentsplantoclaimfor
2015.Estimatefor2015using2014IRSForm1040,line67and
financialdocumentsfor2015.
PI207C
Entertheamountofhousing,food,andotherlivingallowances
yourparentsreceivedorexpecttoreceivein2015fromtheir
employerorothersourcesasmembersofthemilitary,clergy,or
otherprofession.Includecashpaymentsandcashvalueof
benefits.Don'tincludethevalueofonbasemilitaryhousingor
thevalueofabasicmilitaryallowanceforhousing.
PI210A
Enterthevalueofonbasemilitaryhousingorthevalueofthe
basicmilitaryallowanceforhousingyourparentsreceivedor
expecttoreceivein2015asmembersofthemilitary.Include
cashpaymentsandcashvalueofbenefits.
PI211A
Enterthevalueofveterans'noneducationalbenefitssuchas
Disability,DeathPension,orDependency&Indemnity
Compensation(DIC)orVAEducationalWorkStudyallowances
yourparentsreceivedorexpecttoreceivein2015.
PI212A
Estimatetheamountoftaxexemptinterestincomeyourparents
receivedorwillreceivein2015usingtheir2015financial
documentsand2014IRSForm1040,line8b.
PI215D
Estimatetheamountofforeignincomeexclusionyourparents
willreportfor2015usingtheir2015financialdocumentsand
2014IRSForm2555,line45orForm2555EZ,line18.
PI220B
Entertheamountofcashyourparentsreceivedandanymoney
paidontheirbehalf(e.g.,bills)in2015.(Don'tincludechild
supportoranyotheramountsreportedelsewhereonthis
application.)
PI230A
Entertheamountofotheruntaxedincomeyourparentsreceived
orexpecttoreceivein2015.Seetheworksheetfortypesof
incometoincludeandtheinstructionsfortypesofincometo
exclude.
PI225D
PI225DWorksheet
PI
225WM
PI
225WO
PI225WP
PI
225WR
Anyotheruntaxedincomeandbenefits
PI225WT
PI225DWorksheetTotal
Anyuntaxedmilitaryservicebenefitsnotreportedelsewhere
onthisapplication
Workers'Compensation
BlackLungBenefits,RefugeeAssistance
UntaxedportionsofRailroadRetirementbenefits
Parents'2014Income&Benefits(PP)
Thissectionasksforinformationaboutthestudent'sparents'incomeandbenefitsfromthe
previousyear.Anytimeaquestionsays"you"or"your"itisreferringtothestudent.Anytimea
questionsays"parents"itisreferringtothestudent'sparent(s)whoseinformationisbeinggiven
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onthisapplication.Ifaquestiondoesnotapply,enter"0"(zero).
Question
Response
Help
Code
Enteryourparents'2014adjustedgrossincomefromtheir2014
IRSForm1040,line37.
PP100A
Entertheincometaxyourparentspaidfor2014fromtheir2014
IRSForm1040,line56.
PP105A
Entertheamountofyourparents'itemizeddeductionsfor2014
fromtheir2014IRSScheduleA,line29.Enter"0"(zero)ifthey
didnotitemizedeductions.
PP110
Entertheamountofyourparents'2014untaxedincomeand
benefits.
PP115D
PP115DWorksheet
Socialsecuritybenefitsreceivedforallfamilymembers
exceptthestudent(untaxedportiononly)
TemporaryAssistanceforNeedyFamilies(TANF)
Childsupportreceivedforallchildren(Notchildsupport
paid)
PP
115WB
PP
115WD
PP
115WE
IRAdeductionsand/orpaymentstoSEP,SIMPLE,Keoghand
otherqualifiedplansfrom2014IRSForm1040,lines28and +
32
PP
115WF
Paymentstotaxdeferredpensionandsavingsplans(paid
directlyorwithheldfromearnings)including,butnotlimited
to,amountsreportedonW2FormsinBoxes12athrough
12d,codesD,E,F,G,H,andS.Includeuntaxedpayments
to401(k)and403(b)plans.
PP
115WH
Tuitionandfeesdeductionfrom2014IRSForm1040,line
34
ContributionstoFlexibleSpendingAccounts(FSAs)for
dependentcareandmedicalspending(usuallywithheldfrom
wages)ortheHealthSavingsAccount(HSA)deduction
reportedonIRSForm1040,line25
EarnedIncomeCreditfrom2014IRSForm1040,line66a
Housing,food,andotherlivingallowancesreceivedby
military,clergy,andothers(includingcashpaymentsand
cashvalueofbenefits)
PP115WI
PP
115WK
PP
115WL
PP
115WO
Taxexemptinterestincomefrom2014IRSForm1040,line
8b
PP
115WP
Foreignincomeexclusionfrom2014IRSForm2555,line43
orForm2555EZ,line18
PP
115WR
UntaxedportionsofIRAdistributions,excluding"rollovers,"
from2014IRSForm1040,lines15aminus15b
PP
115WS
Untaxedportionsofpensions,excluding"rollovers,"from
2014IRSForm1040,lines16aminus16b
PP
115WU
PP
115WW
PP
115WY
PP
115W1
Additionalchildtaxcreditfrom2014IRSForm1040,line67
VeteransnoneducationalbenefitssuchasDisability,Death
Pension,orDependency&IndemnityCompensation(DIC)
Workers'Compensation
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BlackLungBenefits,RefugeeAssistance
UntaxedportionsofRailroadRetirementbenefits
Cashreceivedoranymoneypaidonyourbehalf(e.g.,bills)
Allotheruntaxedincomeandbenefits
PP115DWorksheetTotal
PP
115W2
PP
115W4
PP
115W5
PP
115W6
Parents'2016ExpectedIncome&Benefits(PF)
Thissectionasksforinformationaboutthestudent'sparents'expectedincomeandbenefits.Any
timeaquestionsays"you"or"your"itisreferringtothestudent.Anytimeaquestionsays
"parents"itisreferringtothestudent'sparent(s)whoseinformationisbeinggivenonthis
application.Ifaquestiondoesnotapply,enter"0"(zero).Iftheexpectedtotalincomeand
benefitswilldifferfromthe2015totalby10%ormore,explaininSectionES.
Question
Response
Help
Code
Entertheamountofincomeparent1expectstoearnfromwork
in2016.(Parent1istheparentyouenteredinPD105.)
PF100A
Entertheamountofincomeparent2expectstoearnfromwork
in2016.(Parent2istheparentyouenteredinPD195.)
PF105A
Entertheamountofothertaxableincomeandbenefitsyour
parentsexpecttoreceivein2016.
PF110A
Entertheamountofuntaxedincomeandbenefitsyourparents
expecttoreceivein2016.
PF115A
PF115AWorksheet
Socialsecuritybenefitsexpectedtobereceivedforallfamily
membersexceptthestudent(untaxedportiononly)
PF
115WA
TemporaryAssistanceforNeedyFamilies(TANF)expectedto
bereceived
PF
115WB
Childsupportexpectedtobereceivedforallchildren(Not
childsupportexpectedtobepaid)
PF
115WC
DeductibleIRAand/orSEP,SIMPLE,orKeoghpayments
expectedtobemade
PF
115WE
Paymentstotaxdeferredpensionandsavingsplans
expectedtobemade
PF
115WF
PF
115WH
Tuitionandfeesdeductionexpectedtobereceived
AmountsexpectedtobecontributedtoFlexibleSpending
Accounts(FSAs)fordependentcareandmedicalspending
(usuallywithheldfromwages)oraHealthSavingsAccount
(HSA)thatwillbereportedonIRSForm1040
EarnedIncomeCreditexpectedtobereceived
PF115WJ
Housing,food,andotherlivingallowancesexpectedtobe
receivedbymilitary,clergy,andothers(includingcash
paymentsandcashvalueofbenefits)
PF
115WK
Taxexemptinterestincomeexpectedtobereceived
Foreignincomeexclusionexpectedtobereceived
PF115WI
PF
115WM
PF
115WN
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UntaxedportionsofIRAdistributions,excluding"rollovers"
expectedtobereceived
Untaxedportionsofpensions,excluding"rollovers"expected
tobereceived
Additionalchildtaxcreditexpectedtobereceived
VeteransnoneducationalbenefitssuchasDisability,Death
Pension,orDependency&IndemnityCompensation(DIC)
expectedtobereceived
Workers'Compensationexpectedtobereceived
PF
115WO
PF
115WP
PF
115WQ
PF
115WR
PF
115WT
BlackLungBenefits,RefugeeAssistanceexpectedtobe
received
PF
115WV
UntaxedportionsofRailroadRetirementbenefitsexpectedto
bereceived
PF
115WX
Cashexpectedtobereceivedoranymoneyexpectedtobe
paidonyourbehalf(e.g.,bills)
PF
115WY
Allotheruntaxedincomeandbenefitsexpectedtobe
received
PF
115W1
PF115AWorksheetTotal
Parents'Assets(PA)
Thissectionasksforinformationaboutthestudent'sparents'assets.Anytimeaquestionsays
"you"or"your"itisreferringtothestudent.Anytimeaquestionsays"parents"itisreferringto
thestudent'sparent(s)whoseinformationisbeinggivenonthisapplication.Ifanumericquestion
doesnotapply,enter"0"(zero).Ifanonnumericquestion(e.g.yes/noquestionsaboutasset
ownership)doesnotapply,youmayleaveitblank.
Question
Response
Help
Code
Entertheamountyourparentshaveintheircash,savings,and
checkingaccountsasoftoday.
PA100A
Enterthetotalvalueofyourparents'assetsheldinthenames
ofyour(thestudent's)brothersandsisterswhoareunderage19
andnotcollegestudents.
PA105A
Whatisthetotalcurrentmarketvalueofyourparents'
investments?Donotincludeyourparents'home,business,farm,
realestate,orretirementplans.
PA120A
PA120AWorksheet
Trustfunds
Stocks,stockoptions(iflessthan$0,report$0),bonds,
savingsbonds,&mutualfunds
Moneymarketfunds
Certificatesofdeposit
Coverdellsavingaccounts.
Section529collegesavingsorprepaidtuitionplans
Nonqualified(nonretirement)annuities
PA
120WA
PA
120WB
PA
120WC
PA
120WD
PA
120WE
PA
120WF
PA
120WG
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Commodities
Precious&strategicmetals
Installment&landsalecontracts(includingsellerfinanced
mortgages)
Allotherinvestments
PA120AWorksheetTotal
PA
120WH
PA
120WI
PA
120WJ
PA
120WK
Whatdoyourparentsoweontheirinvestments?
PA125A
Whatisthetotalcurrentmarketvalueofyourparents'real
estate?
PA180B
Whatdoyourparentsoweontherealestatetheyown?
PA185B
Whatyearwasyourparents'realestatepurchased?
PA190B
Whatwasthepurchasepriceofyourparents'realestate?
PA195B
Parents'Expenses(PE)
Thissectionasksforinformationaboutthestudent'sparents'expenses.Anytimeaquestionsays
"you"or"your"itisreferringtothestudent.Anytimeaquestionsays"parents"itisreferringto
thestudent'sparent(s)whoseinformationisbeinggivenonthisapplication.Ifaquestiondoes
notapply,answer"0"(zero).
Question
Response
Help
Code
Entertheamountofchildsupportyourparent(s)paidorexpect
topayin2015becauseofdivorceorseparationorastheresult
ofalegalrequirement.(Donotentertheamountofchildsupport
youreceivedorexpecttoreceive.EnterthatamountinPI180.)
PE100
Entertheamountofchildsupportyourparent(s)expecttopay
in2016becauseofdivorceorseparationorastheresultofalegal
requirement.(Donotentertheamountofchildsupportyou
expecttoreceive.)
PE105
Enterhowmuchyourparent(s)repaidorexpecttorepayontheir
educationalloansin2015.
PE110
Enterhowmuchyourparent(s)expecttorepayontheir
educationalloansin2016.
PE115
Entertheamountofmedicalanddentalexpensesyourparent(s)
paidorexpecttopayin2015thatwerenotcoveredbyinsurance
oramedicalordentalplan.
PE120A
Entertheamountofmedicalanddentalexpensesyourparent(s)
expecttopayin2016thatwillnotbecoveredbyinsuranceora
medicalordentalplan.
PE125
Enterthetotalelementary,juniorhighschool,andhighschool
tuitionyourparent(s)paidorexpecttopayfordependent
childrenin2015.Donotincludetuitionpaidforyou,thestudent.
PE130A
Enterthetotalelementary,juniorhighschool,andhighschool
tuitionyourparent(s)expecttopayfordependentchildrenin
2016.Donotincludetuitionpaidforyou,thestudent.
PE135
Forhowmanydependentchildrendidyourparent(s)pay
elementary,juniorhighschool,andhighschooltuitionforin
2015?Donotincludeyou,thestudent.
PE140A
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Forhowmanydependentchildrendoyourparent(s)expectto
payelementary,juniorhighschool,andhighschooltuitionforin
2016?Donotincludeyou,thestudent.
PE145
Whatisyourparents'monthlyrentalpayment?
PE150B
Student'sData(SD)
Thissectionasksforinformationaboutthestudent.Anytimeaquestionsays"you"or"your"itis
referringtothestudent.Ifafinancialquestiondoesnotapply,enter"0"(zero).Ifanonfinancial
question(e.g.nameofschool)doesnotapply,youmayleaveitblank.
Question
Response
Enterthenameoftheschool,college,oruniversityyou
attend/attendedduringthe201516academicyear.
Whatis/wasyouryearinschoolduringthe201516schoolyear?
NotEnrolled
Help
Code
SD100
SD105A
11thgrade
12thgrade
13thyear
1styrcollege
2ndyrcollege
3rdyrcollege
4thyrcollege
5thyrcollege
1styrgrad/prof
2ndyrgrad/prof
3rdyrgrad/prof
4thyrgrad/prof
Other
Howmuchdidyouorwillyoureceiveinscholarships,grants,and
giftaidduringthe201516academicyear?
SD110A
Howmuchdidorwillyourparentspayforyoureducationforthe
201516academicyear?
SD115A
Whatisyourstate,territory,orprovinceoflegalresidence?
SD120
Whenyouwereage13orolder,werebothofyourparents
deceased,wereyouinfostercare,orwereyouadependent/ward
ofthecourt?
Yes
SD145
AtanytimeonorafterJuly1,2015didyoureceiveanofficial
determinationthatyouareanunaccompaniedyouthwhois
homelessoratriskofbeinghomeless?
Yes
Areyou,orhaveyoubeen,anUpwardBoundparticipant?
Yes
No
SD150
No
SD159
No
Student's2015IncomeandBenefits(SI)
Thissectionasksforinformationaboutthestudent's(andthestudent'sspouse's,ifmarried)
incomeandbenefits.Anytimeaquestionsays"you"or"your"itisreferringtothestudent(and
student'sspouse's,ifmarried).Ifaquestiondoesnotapply,enter"0"(zero).
Question
Entertheincomeyouearnedorexpecttoearnfromworkin
Response
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Help
Code
SI125G
352),/(&XVWRPL]HG3UH$SSOLFDWLRQ:RUNVKHHW
2015.
Entertheamountoftaxabledividendandinterestincomeyou
earnedorexpecttoearnin2015.
SI135B
Entertheamountofanyotheruntaxedincomeyoureceivedor
expecttoreceivein2015.
SI160G
SI160GWorksheet
Taxdeductiblepaymentstoqualifiedretirementorpension
plansmadein2015
Taxexemptinterestincomeearnedin2015
SI
160WE
SI160WJ
Paymentstotaxdeferredpensionandsavingsplans(paid
directlyorwithheldfromearnings)madein2015.
SI
160WL
Untaxedamountyoureceivedinpension,annuity,or
retirementbenefitsin2015.
SI
160W8
SI
160WQ
SI
160WR
Workers'Compensation
VeteransEducationalWorkStudyallowances
VeteransnoneducationalbenefitssuchasDeathPension,
Disability,Dependency&IndemnityCompensation(DIC),
etc.
SI
160WS
Housing,food,andotherlivingallowancespaidtomembers
ofthemilitary,clergy,andothers(includingcashpayments
andcashvalueofbenefits)
SI
160WU
Cashreceivedoranymoneypaidonthestudent'sbehalf
(e.g.,bills),notreportedelsewhereonthisapplication
Anyotheruntaxedincomeandbenefits
SI160GWorksheetTotal
Entertheamountof2015AmeriCorpsearningsyoureportedor
expecttoreporttotheIRSinyouradjustedgrossincome.
SI
160WV
SI
160WW
SI165B
Student'sExpectedResourcesfor201617(SR)
Thissectionasksforinformationaboutthestudent(andthestudent'sspouse's,ifmarried)
expectedincomeandresources.Anytimeaquestionsays"you"or"your"itisreferringtothe
student.Ifaquestiondoesnotapply,enter"0"(zero).
Question
Ifyoureceived/willreceiveveterans'educationbenefitsduring
July1,2016June30,2017,whattypeofbenefitsdidyou/will
youreceive?
Response
Post9/11GIBill(Chapter
33)
Help
Code
SR100
MontgomeryGIBillActive
Duty(Chapter30)
MontgomeryGIBill
SelectedReserve(Chapter
1606)
ReserveEducational
AssistanceProgram(Chapter
1607)
Dependents'Educational
Assistance(Chapter35)
VocationalRehabilitationand
Employment(Chapter31)
Anyothertypeofveterans'
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educationbenefits
Entertheamountofveterans'educationbenefitsyou
received/expecttoreceivepermonthduringJuly1,2016June
30,2017.
SR103
Forhowmanymonthsdidyou/willyoureceiveveterans'
educationbenefitsduringJuly1,2016June30,2017?
SR105
Enterthetotalamountyouexpecttoearninwages,salaries,
tips,etc.duringthesummerof2016.(3months)
SR110A
Enterthetotalamountyouexpecttoearninwages,salaries,
tips,etc.duringthe201617schoolyear.(9months)
SR115
Enterthetotalamountofgrants,scholarships,fellowships,etc.
includingAmeriCorpsbenefitsyoureceivedorexpecttoreceive
fromsourcesotherthanthecollegesoruniversitiestowhichyou
areapplying.(ListsourcesinExplanations/SpecialCircumstances
(ES).)
SR150
Entertheamountoftuitionbenefitsyouwillreceivefromyour
parents'employer(s)and/oryouremployer.
SR155A
Entertheamountyourparentsthinktheywillbeabletopayfor
your201617collegeexpenses.
SR160A
Enterthetotalamountyouexpecttoreceivefromyourrelatives
andallothersources.(Listsourcesandamountsin
Explanations/SpecialCircumstances(ES).)
SR165A
Student'sAssets(SA)
Thissectionasksforinformationaboutthestudent's(andstudent'sspouse's,ifmarried)assets.
Anytimeaquestionsays"you"or"your"itisreferringtothestudent(andstudent'sspouse's,if
married).Ifanumericfinancialquestiondoesnotapply,enter"0"(zero).Ifanonfinancial
question(e.g.yes/noquestionsaboutanassetyoudonotown)doesnotapply,youmayleaveit
blank.
Question
Response
Help
Code
Entertheamountyouhaveincash,savings,andchecking
accountsasoftoday.
SA100A
EnterthetotalvalueofyournoneducationIRA,Keogh,401k,
403b,etc.accountsasofDecember31,2015.
SA105
Whatisthetotalcurrentmarketvalueofyourinvestments
includingUniformGiftstoMinors?
SA110A
SA110AWorksheet
UniformGiftstoMinors(orsimilaraccounts)
Stocks,stockoptions(iflessthan$0,enter$0),bonds,
savingsbonds,&mutualfunds
Moneymarketfunds
Certificatesofdeposit
Nonqualified(nonretirement)annuities
Commodities
Precious&strategicmetals
SA
110WA
SA
110WB
SA
110WD
SA
110WE
SA
110WF
SA
110WG
SA
110WH
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Installment&landsalecontracts(includingsellerfinanced
mortgages)
Allotherinvestments
SA110AWorksheetTotal
SA
110WI
SA
110WL
Whatdoyouoweonyourinvestments?
SA115A
Enterthetotalvalueofallofthetrustsofwhichyouarea
beneficiary.Ifyoudonotorwillnotbenefitfromatrust,enter
zero(0)andskipthenexttwoquestions(SA175andSA180).
SA170A
Ifyouarethebeneficiaryofatrust,isanyincomeorpartofthe
principalfromthetrust(s)currentlyavailable?
Yes
Ifyouarethebeneficiaryofatrust,whoestablishedthetrust?
Student'sparents
SA175
No
SA180
Other
FamilyMemberListingParents'Household(FM)
GiveinformationforallfamilymembersenteredinquestionPH100exceptthestudentandthe
student'sparent(s).Thenumberoffamilymemberspacesprovidedbelowisbasedonyour
answertoquestionPH100.Iftherearetoomanyortoofewspacesbelow,pleasereviewand
correctyouranswertoquestionPH100.Ifafinancialquestiondoesnotapply,enter"0"(zero).If
anonfinancialquestion(e.g.nameofschool)doesnotapply,youmayleaveitblank.
Question
Response
Help
Code
FamilyMember1
Fullnameoffamilymember
FM100
Relationshiptostudent
Student'sbrother/sisteror
halfbrother/sister
FM105
Student'sgrandparent
Student's
stepbrother/stepsister
OtherExplaininSectionES
Age
FM110
Enterthenameoftheeducationalinstitution(school,college,or
university)thispersonattends/attendedduringthe201516
academicyear.
FM115
Whatis/wasthisperson'syearinschoolduringthe201516
academicyear?
FM120A
Howmuchare/weretheeducationalfees(tuitionandother
educationalcharges)forthispersonforthe201516academic
year?
FM125A
Howmuchare/werethechargesforroomandboard(housing
andmeals)forthispersonforthe201516academicyear?
FM126A
Howmuchdidthispersonreceiveinscholarships,grants,orgift
aidduringthe201516academicyear?
FM130A
Howmuchdidyourparentspayforthisperson'seducationfor
the201516academicyear?
FM135A
Willthispersonattendcollegeatleastonetermduringthe2016
17academicyear?
No,willnotattend
FM140A
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Yes,fulltime
Yes,halftime
Ifthispersonwillattendcollege,whattypeofcollegewillthis
personattend?
2yearpublic
college/university
FM150A
2yearprivate
college/university
4yearpublic
college/university
4yearprivate
college/university
Graduate/post
grad/professionalschool
Proprietaryschool
Enterthenameoftheeducationalinstitution(school,college,or
university)thispersonwillattendduringthe201617academic
year.
FM155
Whatwillbethetotalcostofattendingtheeducationalinstitution
(school,college,oruniversity)thispersonwillattendduringthe
201617academicyear?
FM160A
Howmuchwillyourparentspayforthisperson'seducationfor
the201617academicyear?
FM165A
Fullnameoffamilymember
FM100
Relationshiptostudent
Student'sbrother/sisteror
halfbrother/sister
FM105
FamilyMember2
Student'sgrandparent
Student's
stepbrother/stepsister
OtherExplaininSectionES
Age
FM110
Enterthenameoftheeducationalinstitution(school,college,or
university)thispersonattends/attendedduringthe201516
academicyear.
FM115
Whatis/wasthisperson'syearinschoolduringthe201516
academicyear?
FM120A
Howmuchare/weretheeducationalfees(tuitionandother
educationalcharges)forthispersonforthe201516academic
year?
FM125A
Howmuchare/werethechargesforroomandboard(housing
andmeals)forthispersonforthe201516academicyear?
FM126A
Howmuchdidthispersonreceiveinscholarships,grants,orgift
aidduringthe201516academicyear?
FM130A
Howmuchdidyourparentspayforthisperson'seducationfor
the201516academicyear?
FM135A
Willthispersonattendcollegeatleastonetermduringthe2016
17academicyear?
No,willnotattend
FM140A
Yes,fulltime
Yes,halftime
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Ifthispersonwillattendcollege,whattypeofcollegewillthis
personattend?
2yearpublic
college/university
FM150A
2yearprivate
college/university
4yearpublic
college/university
4yearprivate
college/university
Graduate/post
grad/professionalschool
Proprietaryschool
Enterthenameoftheeducationalinstitution(school,college,or
university)thispersonwillattendduringthe201617academic
year.
FM155
Whatwillbethetotalcostofattendingtheeducationalinstitution
(school,college,oruniversity)thispersonwillattendduringthe
201617academicyear?
FM160A
Howmuchwillyourparentspayforthisperson'seducationfor
the201617academicyear?
FM165A
Explanations/SpecialCircumstances(ES)
Usethisspacetoexplainanyunusualexpensessuchashighmedicalordentalexpenses,
educationalandotherdebts,childcare,eldercare,orspecialcircumstancessuchaslossof
employment.Alsogiveinformationforanyoutsidescholarshipsyouhavebeenawarded.Please
limityourresponsesto2000characters.(Charactersincludespaces,linereturns,etc.)Any
informationbeyond2000characterswillnotbesavedandreportedtoyourschools.Donotcopy
andpaste.Extracharactersmaybeincludedwhenyoucopyandyourfulltextmaynotbesaved.If
morespaceisneeded,usesheetsofpaperandsendthemdirectlytoyourcolleges,universities,
andprograms.Includethestudent'snameonallcorrespondence.Youmustprovidethis
informationinEnglish.
SupplementalQuestions(SQ)
Thissectioncontainsadditionalquestionsrequiredbyoneormoreofyourcollegesandprograms.
Attheendofthesectionisalistofthecollegesandprogramsthatrequestedthemandthe
questioncodeseachrequested.Wewillreporttheanswerstothequestionsinthissectiononlyto
thecollegesandprogramsthatrequestedthem.Ifyouneedhelpansweringthesequestions,
contactthecollegeorprogramrequestingtheinformation.Youmustprovidethisinformationin
English.
Question
Response
Ifyourparentsownrealestateotherthantheirhome,enterthe
numberofpropertiesthattheyown.(Besuretoincludethetotal
valueofalltherealestateandthetotalamountowedinPROFILE
HelpCodePA180.)
Foreachpropertyreported,providetheyearofpurchase,the
purchaseprice,thecurrentmarketvalue,andtheamountowed.
Ifanypartofyourfamily'sprimaryresidenceisusedasrental
property,enterthepercentusedasrental.(Formatiswhole
numbersonly,0100.)
Help
Code
SQ111
SQ114
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CONTACT|ABOUTUS|PRIVACY|TERMSOFUSE |LINKTOUS
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2016TheCollegeBoard