RM_StatsFirst Name *Last Name *Address Address Line 1 * Address Line 2 City * State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State or Region * Zip * Email * High School *City *Name of Principal *Graduation Date (M/Y) * Give numeric answers only; special circumstances affecting your financial need should be included in your essay. Blank spaces will yield 0 review points. If your answer is zero, write “0.”Can your parents claim you as a dependent on their IRS income tax return or is your tax status married filing jointly? * Yes No How much did your parents or spouse earn from working (adjusted gross income: wages, salaries, tips, etc.) in the most recent tax year? Answer this question even if they have not filed a tax return for the most recent estimate) *How much did you earn from working (adjusted gross income: wages, salaries, tips, etc.) in the most recent tax year? Answer this question even if you have not filed a tax return for the most recent tax year (please estimate) *Approximately how much will the total expenses be to attend your educational program for one academic year (usually the next up-coming paramedic class). Include tuition, books, off campus room and board, and school-related fees *Approximately how much will your actual out-of-pocket costs be (including loans) to attend your educational program for one academic year? Do not include expenses covered by scholarships, grants or tuition reimbursement. Cannot exceed answer to #4. *Upload Essay: (PDF Only)Upload Recommendation Letter: (PDF Only) Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
