Supplemental Data Form

This form is used to supplement the information provided on the Free Application for Federal Student Aid (FAFSA).

If you would prefer a PDF version to fill out by hand, you can complete the 2022-23 Supplemental Data Form.

Campus Center building and clocktower in early morning with tallgrasses in the foreground

SECTION A: GENERAL INFORMATION

Must be completed by ALL applicants

STUDENT IDENTIFICATION

FINANCIAL AID INFORMATION


SECTION B: PARENTS' INFORMATION

For all DEPENDENT students

FAFSA INFORMATION

*If more than 6 dependents, list additional family members under Other Special Circumstances.

DIVORCED/SEPARATED PARENTS

Completed by the parent who files or helps file this form.

PARENTS' ASSETS

Include a family farm which is your principal place of residence and source of revenue. Such farms are NOT to be reported on the FAFSA.
Include a small family business which you own and control and that has 100 or fewer employees. Such businesses are NOT to be reported on the FAFSA.

PARENTS' 2022 EXPECTED INCOME


SECTION C: REQUEST FOR CONSIDERATION OF SPECIAL CIRCUMSTANCES

When this form is processed, formulas will be applied which assess how much the parents can contribute and how much the student can contribute. This effective family contribution will be based on parents' and student's income and assets with standard allowances made for other necessary expenses. Sometimes families have special circumstances which substantially affect their ability to contribute towards educational expenses. Two of the most common special circumstances at Dordt University are tuition paid for other family members at elementary or high schools, and excessive medical/dental expenses. Occasionally other factors may affect the family's contribution, such as: a significant reduction in parental income for the upcoming year, other non-discretionary expenses not mentioned on the form, a higher cost of living than the national average, a significant debt not reported on the form, or a natural disaster. (Special circumstances refer to something unique to your family.) If you would like to request consideration for special circumstances, please complete the appropriate items below.

By completing the box/boxes below and submitting this form I/we certify that all information is correct and complete: