Student Information
First Name :
Middle Name:
Last Name :
CSS ID or Student SSN# :
Date of birth :
(eg, 01/01/45)
Home address :
City :
State :
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District of Columbia
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Zip :
Please enter N/A if the field is not applicable to the student.
Home phone :
E-mail address :
Driver's License Number/State :
Intended major :
Housing Information
Where will you be living during the 2005-2006 school year?
on-campus off-campus
with my parent(s)
Outside Scholarships/Resources
List the name and annual amount of all outside funding (scholarships, VA Benefits, JTPA, DRS funding, etc.) you will be receiving for the 2005-2006 school year. Indicate when the funding will be paid (all during fall, all during spring or divided equally between both semesters).
Not applicable
1. Scholarship name
amount $
Paid Only Fall Paid Only Spring Paid Equally Both Semesters
2. Scholarship name
amount $
Paid Only Fall Paid Only Spring Paid Equally Both Semesters
3. Scholarship name
amount $
Paid Only Fall Paid Only Spring Paid Equally Both Semesters
4. Scholarship name
amount $
Paid Only Fall Paid Only Spring Paid Equally Both Semesters
Previous College Education
List ALL colleges, trade schools, etc. you have attended, even if you did not receive financial aid or credit. List in order of attendance. Click on the radio button beside "HS" if you were enrolled in that college while still in high school.
Not applicable
1. HS
Dates attended to
2. HS
Dates attended to
3. HS
Dates attended to
4. HS
Dates attended to
Have you borrowed a SELF Loan at any of the schools listed above? Yes No
Minnesota State Grant Eligibility Questions
Eligibility for the Minnesota State Grant is limited to the equivalent of 12 quarters/8 semesters of full-time previous post-secondary attendance (under current legislation).
For funding consideration, applicants must have their FAFSA received and processed by the Federal Processor prior to the 15th day of their semester start date.
Eligible students must be enrolled for 15 or more credits per semester in order to qualify for the maximum grant.
1. When did/will you graduate from high school or obtain a GED?
Month: Year:
2. Name of the high school you graduated/will graduate from:
City:
State:
3a. Have you always lived in Minnesota? Yes (skip 3b and 4) No (answer 3b and 4)
3b. If you answered "No" to question 3a:
Current state of residency:
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District of Columbia
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Month: Year:
4. Have you lived in Minnesota for one full year without attending college? Yes No
5. What state did your parents live in when you completed the 2005-2006 FAFSA?
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District of Columbia
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
6. Do you plan on taking 15 or more credits per semester during the 2005-2006 school year? Yes No
7. If you answered "No" to question 6, how many credits will you take each semester? Fall: Spring: MN State Grant awards are prorated when taking less than 15 credits per semester.
Signature
By clicking "Submit", I testify that to the best of my knowledge the information contained in this application is complete and accurate.