Rocky Mountain Biological Laboratory

Financial Aid Form

Who Must Complete This Form?

High School students in the Gunnison School District who would like to apply for a RMBL Scholarship.

The information in the form will be kept confidential. Please answer the questions to the best of your ability.

General Information

Your Full Name:
By completing and submitting this form, you are certifying that, to the best of your knowledge, the information contained herein is correct and complete. And you are giving RMBL your permission to verify it. Please notify RMBL of any changes in your financial situation.
Please check this box if you understand and agree to the previous statements:
Your Finances
Estimated costs for your current school year (please itemize in detail):
Estimated funds available (please list sources, e.g. savings, grants, loans, parents, etc.):
Do you usually have a summer job? / yesno
Do you work during the school year? / yesno
If so, how many hours do you work during the school year?
Did you receive financial support from your parents this school year? / yesno
Did your parents claim you as an income tax exemption this year? / yesno
How many dependents do your parents claim?
Student, Spouse and Parent Financial Statement
The following questions should be answered from your (or your parents', if you are a dependent) most current U.S. federal income tax return. All financial information is kept confidential.
Corresponding line numbers from 2016 U.S. Tax Forms (1040, 1040A, 1040EZ) are listed, when known.
Year your figures are from:
Student / Spouse / Father / Mother
Wages, salary, tips, etc.
1040 line 7; 1040A line 7; 1040EZ line 1)
Taxable Interest income
1040 line 8a; 1040A line 8a; 1040EZ line 2)
Ordinary Dividends after IRS exclusion
1040 line 9a; 1040A line 9a; 1040EZ n/a)
Other taxable income
1040 lines 10-19,21; 1040A lines 10-13; 1040EZ line 3)
IRA Deduction
1040 line 32; 1040A line 17; 1040EZ n/a
US income tax paid
1040 line 63; 1040A line 39; 1040EZ line 12
Itemized deductions
1040 line 40; 1040A n/a; 1040EZ n/a
Non-taxable income
Taxable Social security benefits
1040 line 20b; 1040A line 14b; 1040EZ n/a
Cash, savings, checking accounts

If you feel that this form may not present a realistic picture of your finances, please explain:

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