Please provide the following information Your class level during the 2011-2012 academic year. New Freshman Sophomore Junior Senior Graduate Where do you plan to live? On Campus Off Campus Your state of legal residency. Georgia All Other US States Country other than United States Do you anticipate qualifying for the Georgia HOPE Scholarship program? Yes No * Undergraduate, Georgia students only. Are you a dependent or independent student? Dependent Independent * Graduate students are independent. Please list the dollar value of any scholarships or awards that you will receive. How many people (including you) live in your household? 2 3 4 5 6 7 8 9 10 11 12 13 or more How many people (including you) live in your household? 1 2 3 4 5 6 7 8 or more What is the total household income: $0-$7,999 $10,000 to $15,999 $16,000 to $23,999 $24,000 to $31,999 $32,000 to $39,999 $40,000 to $47,999 $48,000 to $55,999 $56,000 to $63,999 $64,000 to $72,999 $73,000 or more What is the total household income: $0-$9,999 $10,000 to $19,999 $20,000 to $29,999 $30,000 to $39,999 $40,000 to $49,999 $50,000 to $59,999 $60,000 to $69,999 $70,000 to $79,999 $80,000 to $92,999 $93,000 or more
Your class level during the 2011-2012 academic year. New Freshman Sophomore Junior Senior Graduate
Where do you plan to live? On Campus Off Campus
Your state of legal residency. Georgia All Other US States Country other than United States
Do you anticipate qualifying for the Georgia HOPE Scholarship program? Yes No * Undergraduate, Georgia students only.
Are you a dependent or independent student? Dependent Independent * Graduate students are independent.
Please list the dollar value of any scholarships or awards that you will receive.
How many people (including you) live in your household? 2 3 4 5 6 7 8 9 10 11 12 13 or more
How many people (including you) live in your household? 1 2 3 4 5 6 7 8 or more
What is the total household income: $0-$7,999 $10,000 to $15,999 $16,000 to $23,999 $24,000 to $31,999 $32,000 to $39,999 $40,000 to $47,999 $48,000 to $55,999 $56,000 to $63,999 $64,000 to $72,999 $73,000 or more
What is the total household income: $0-$9,999 $10,000 to $19,999 $20,000 to $29,999 $30,000 to $39,999 $40,000 to $49,999 $50,000 to $59,999 $60,000 to $69,999 $70,000 to $79,999 $80,000 to $92,999 $93,000 or more
