College Cost Analysis Intake Form
Please provide your details to help us analyze your college expenses.
Parent Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
State of Residence
*
Student Full Name
*
First Name
Last Name
Date of Birth
*
Graduation Year
*
Preferred Colleges(s) or University(ies) - List up to 5
*
Intended Program or Major
*
Preferred State - If any, type ANY
*
Residency Status Preference
*
In-State
Out-of-State
International
Housing Preference
*
On-Campus
Off-Campus
With Family
Years student plans to live on campus
Do you plan to have a meal plan?
Yes
No
Not Sure
GPA (current):
*
SAT/ACT Scores (N/A if not taken):
*
Extracurricular Activies:
Household Income
*
Current College Savings/529 Plans:
*
Current monthly contribution to college savings:
*
Number of children in college at same time:
Expected Financial Aid or Scholarships (annual amount)
*
Type of Scholarships/Aid (click all that apply)
Merit
Need-Based
Athletic
Other
Are you planning to file FAFSA/CSS Profile?
*
Please Select
Yes
No
When are you planning (or did) file FAFSA?
Other Anticipated Expenses (books, transportation, personal, etc.)
Submit
Should be Empty: