2014-2015 APPLICATION SUMMARY REPORT

Student ID 1272395
Student Demographics
Student Demographic Information
Student's Last Name (question 1) Howell
Student's First Name (question 2), Student's Middle Initial (question 3) Jordan J
Student's Social Security Number (question 8) XXX-XX-3571
Student's Date of Birth (question 9) 08/14/1996
Is the Student Male or Female? (question 21) Male
Student's Permanent Mailing Address (question 4) 914 Tipperary Drive
Student's Permanent City (question 5) Vacaville
Student's Permanent State (question 6), Student's Permanent ZIP Code (question 7) California
95688
Has Student Lived in State for at Least 5 Years? Yes
Student's State of Legal Residence (question 18) California
Was Student a Legal Resident Before January 1, 2009? (question 19) Yes
Student's Legal Residence Date (question 20)
Student's Permanent Home Phone Number (question 10) (707) 999-8716
Student's E-mail Address (question 13) thunderfan17@gmail.com
Student's Marital Status (question 16) Single
Student's Marital Status Date (question 17)
Does Student Want to Provide Driver's License Information? Yes
Student's Driver's License Number (question 11) F5621660
Student's Driver's License State (question 12) California
Student Eligibility
Student's Citizenship Status (question 14) Yes, I am a U.S. citizen (or U.S. national)
Student's Alien Registration Number (question 15)
Is Student Registered With Selective Service? No
Register Student With Selective Service? No (question 22)
High School or Equivalent Completed? (question 26) High School Diploma
Student's Grade Level in College in 2014-2015 (question 29) Never attended college/1st Yr.
Type of Degree/Certificate (question 30) ASSOCIATE DEGREE (GENERAL EDUCATION/TRANSFER
PROGRAM)
Interested in Work-study? (question 31) No
First Bachelor's Degree by July 1, 2014? (question 28) No
Parent 1 Educational Level (question 24) Some college no credit
Parent 2 Educational Level (question 25) High School
Drug Conviction Affecting Eligibility? (question 23) Eligible for aid
Student Aid Eligibility Worksheet
Student's High School Name (question 27) Elise P. Buckingham Charter Magnet High School
Student's High School City (question 27) Vacaville
Student's High School State (question 27) California
School Selection
School Information
First College (question 103a) Solano Community College (001292)
First Housing Plans (question 103b) With parent
Second College (question 103c) Napa Valley College (001247)
Second Housing Plans (question 103d) With parent
Third College (question 103e) Sacramento City College (001233)
Third Housing Plans (question 103f) With parent
Fourth College (question 103g)
Fourth Housing Plans (question 103h)
Fifth College (question 103i)
Fifth Housing Plans (question 103j)
Sixth College (question 103k)
Sixth Housing Plans (question 103l)
Seventh College (question 103m)
Seventh Housing Plans (question 103n)
Eighth College (question 103o)
Eighth Housing Plans (question 103p)
Ninth College (question 103q)
Ninth Housing Plans (question 103r)
Tenth College (question 103s)
Tenth Housing Plans (question 103t)
Dependency Status
Dependency Determination
Student Born Before January 1, 1991? (question 46) No
Is Student Married? (question 47) No
Working on Master's or Doctorate in 2014-2015? (question 48) No
Does Student Have Children He/She Supports? (question 51) No
Does Student Have Dependents Other than Children/Spouse? (question 52) No
Is Student on Active Duty in U.S. Armed Forces? (question 49) No
Is Student a Veteran? (question 50) No
Parents Deceased?/Student Ward of Court?/In Foster Care? (question 53) No
Is or Was Student an Emancipated Minor? (question 54) No
Is or Was Student in Legal Guardianship? (question 55) No
Is Student Homeless or At Risk of Being Homeless? No
Is Student an Unaccompanied Homeless Youth as Determined by High School/Homeless Liaison?
(question 56) No
Is Student an Unaccompanied Homeless Youth as Determined by HUD? (question 57) No
Is Student an Unaccompanied Homeless Youth as Determined by Director of Homeless Youth Center?
(question 58) No
Parent Demographics
Parental Demographic Information
Parents' Marital Status (question 59) Married or Remarried
Parents' Marital Status Date (question 60) 07/2007
Parent 1 (Father's/Mother's/Stepparent's) Social Security Number (question 61) XXX-XX-0185
Parent 1 (Father's/Mother's/Stepparent's) Last Name (question 62) Howell-Thompson
Parent 1 (Father's/Mother's/Stepparent's) First Name Initial (question 63) T
Parent 1 (Father's/Mother's/Stepparent's) Date of Birth (question 64) 05/06/1969
Parent 2 (Father's/Mother's/Stepparent's) Social Security Number (question 65) XXX-XX- 7769
Parent 2 (Father's/Mother's/Stepparent's) Last Name (question 66) Thompson
Parent 2 (Father's/Mother's/Stepparent's) First Name Initial (question 67) S
Parent 2 (Father's/Mother's/Stepparent's) Date of Birth (question 68) 08/13/65
Parents' E-mail Address (question 69) tracijt69@yahoo.com
Have Parents Lived in State for at Least 5 Years? Yes
Parents' State of Legal Residence (question 70) California
Were Parents Legal Residents Before January 1, 2009? (question 71) Yes
Parents' Legal Residence Date (question 72)
Parents' Number of Family Members in 2014-2015 (question 73) 5
Parents' Number in College in 2014-2015 (Parents Excluded) (question 74) 0
Financial Information
Parent Financial Information
Parents Filed 2013 Income Tax Return? (question 80) Filed
Parents' 2013 Tax Return Filing Status (question 82) MARRIED-FILED JOINT RETURN
Parents' Type of 2013 Tax Form Used (question 81) IRS 1040
Parents' 2013 Adjusted Gross Income (question 85) $11,970
Parent 1 (Father's/Mother's/Stepparent's) 2013 Income Earned from Work (question 88)
$11,970
Parent 2 (Father's/Mother's/Stepparent's) 2013 Income Earned from Work (question 89) $0
Is Parent a Dislocated Worker? (question 84) No
Parents Received Supplemental Security Income? (question 75)
Parents Received SNAP? (question 76)
Parents Received Free/Reduced Price Lunch? (question 77)
Parents Received TANF? (question 78)
Parents Received WIC? (question 79)
Parents Eligible to File a 1040A or 1040EZ? (question 83)
Parent Financial Information (continued)
Parents' 2013 U.S. Income Tax Paid (question 86) $0
Parents' 2013 Exemptions Claimed (question 87) 5
Parents' Education Credits (question 93a) $0
Parents' Child Support Paid (question 93b) $0
Parents' Taxable Earnings from Need-Based Employment Programs (question 93c) $0
Parents' Grant and Scholarship Aid Reported in AGI (question 93d) $0
Parents' Taxable Combat Pay Reported in AGI (question 93e) $0
Parents' Cooperative Education Earnings (question 93f) $0
Parents' Payments to Tax-Deferred Pensions & Retirement Savings (question 94a) $0
Parents' Deductible Payments to IRA/Keogh/Other (question 94b) $0
Parents' Child Support Received (question 94c) $0
Parents' Tax Exempt Interest Income (question 94d) $0
Parents' Untaxed Portions of IRA Distributions (question 94e) $0
Parents' Untaxed Portions of Pensions (question 94f) $0
Parents' Housing, Food, & Living Allowances (question 94g) $0
Parents' Veterans Noneducation Benefits (question 94h) $0
Parents' Other Untaxed Income or Benefits (question 94i) $62,640
Parents' Total of Cash, Savings, and Checking Accounts (question 90)
Parents' Net Worth of Current Investments (question 91)
Parents' Net Worth of Businesses/Investment Farms (question 92)
Student Financial Information
Student Filed 2013 Income Tax Return? (question 32) Filed
Student's 2013 Tax Return Filing Status (question 34) Filed Single Return
Student's Type of 2013 Tax Form Used (question 33) IRS 1040EZ
Student's 2013 Adjusted Gross Income (question 36) $2054
Student's 2013 Income Earned from Work (question 39) $2054
Student Financial Information (continued)
Student's 2013 U.S. Income Tax Paid (question 37) $44
Student's 2013 Exemptions Claimed (question 38) 1
Student's Education Credits (question 44a) $0
Student's Child Support Paid (question 44b) $0
Student's Taxable Earnings from Need-Based Employment Programs (question 44c) $0
Student's Grant and Scholarship Aid Reported in AGI (question 44d) $0
Student's Taxable Combat Pay Reported in AGI (question 44e) $0
Student's Cooperative Education Earnings (question 44f) $0
Student's Payments to Tax-Deferred Pensions & Retirement Savings (question 45a) $0
Student's Deductible Payments to IRA/Keogh/Other (question 45b) $0
Student's Child Support Received (question 45c) $0
Student's Tax Exempt Interest Income (question 45d) $0
Student's Untaxed Portions of IRA Distributions (question 45e) $0
Student's Untaxed Portions of Pensions (question 45f) $0
Student's Housing, Food, & Living Allowances (question 45g) $0
Student's Veterans Noneducation Benefits (question 45h) $0
Student's Other Untaxed Income or Benefits (question 45i) $0
Money Received or Paid on Student's Behalf (question 45j) $0
Student's Total of Cash, Savings, and Checking Accounts (question 41) $0
Student's Net Worth of Current Investments (question 42) $0
Student's Net Worth of Businesses/Investment Farms (question 43) $0