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EOF Questionnaire 2024-2025

Education Opportunity Fund Questionnaire

In order to be considered for this program and funding you must:

Be a New Jersey Resident for at least one year
Complete and submit an application for admission to Georgian Court University
Submit a copy of your health records to georgian.studenthealthportal.com using your self-service login after you've paid your enrollment deposit
If you are a non-citizen permanent resident you must submit a copy of your Permanent Resident Card (Green Card).
Meet the financial and academic criteria in the program guidelines
Have filed a Free Application for Federal Student Aid (https://studentaid.gov/h/apply-for-aid/fafsa) or the New Jersey Alternative Financial Aid Application (https://www.hesaa.org/pages/njalternativeapplication.apx), for those who qualify
Meet the eligibility criteria, as outlined by the Office of the Secretary of Higher Education (OSHE)(https://www.nj.gov/highereducation/EOF/EOF_Eligibility.shtml)

EOF Income Eligibility for 2024-25 Academic Year


Household Size	Gross Income (Not to Exceed)	Max. Asset Cap (Not to Exceed)
1	$29,160.00	$5,832.00
2	$39,440.00	$7,888.00
3	$49,720.00	$9,944.00
4	$60,000.00	$12,000.00
5	$70,280.00	$14,056.00
6	$80,560.00	$16,112.00
7	$90,840.00	$18,168.00
8	$101,120.00	$20,224.00
***	Add $10,280.00 for each additional family member	Add $2,056.00 for each additional family member

Please ensure all information below is correct to the best of your knowledge.

I: Student Information

First Name

Last Name

Preferred Name

Age

Last 4 Digits of Social Security Number

Address

Country

Street

City

Region

Postal Code

Primary Phone Number

Secondary Phone Number (optional)

Email Address

Birthdate

Ethnic Background (optional for report purposes only)

Are you a U.S. citizen?

Yes

Are you a permanent resident with an Alien Registration Number Card (Green Card)?

Yes

Please upload a copy of your Alien Registration Number Card (Green Card).

Please provide your US Visa number:

How long have you lived in New Jersey? (Years/Months)

Will you have received your high school diploma by August 23, 2024?

Yes

What high school will you be graduating from?

High school graduate date:

What kind of degree do you have/will receive?

High School Diploma

G.E.D.

Are you transferring from another college/university?

Yes

Are you transferring from another EOF Program?

Yes

Please provide the name of the institution you're transferring from:

Please upload a copy of your EOF Transfer form

Are your parents college graduates?

Yes

Please list the college(s) your parents graduated from:

II. Student Status

Were you born before January 1, 1997?

Yes

Please indicate your veteran status:

Are you an orphan or ward of the court, or where you an orphan or ward of the court until the age of 18?

Yes

Are you married?

Yes

Will/have you filed taxes for the 2022 tax year?

Yes

Do you have any legal dependents (other than a spouse)?

Yes

How many legal dependents do you have (other than a spouse)?

Were you claimed as a dependent by anyone for the 2022 tax year (other than a spouse)?

Yes

III. Family and Income Information

Number of family members in your household (including yourself):

Please indicate the exact number of individuals in your household?

Family Member #1 Name

Family Member #1 Age

Family Member #1 Relation to You

Family Member #2 Name

Family Member #2 Age

Family Member #2 Relation to You

Family Member #3 Name

Family Member #3 Age

Family Member #3 Relation to You

Family Member #4 Name

Family Member #4 Age

Family Member #4 Relation to You

Family Member #5 Name

Family Member #5 Age

Family Member #5 Relation to You

Family Member #6 Name

Family Member #6 Age

Family Member #6 Relation to You

Family Member #7 Name

Family Member #7 Age

Family Member #7 Relation to You

Family Member #8 Name

Family Member #8 Age

Family Member #8 Relation to You

Number of college students in your household (including yourself):

Please fill out the information below based on tax returns for the 2022 tax year.

Student 2022 salary (yearly wages)

Student 2022 Dividends/Interest received

Student 2022 Social Security received

Student 2022 Annual Veterans Benefits

Student 2022 Child Support Received

Student 2022 ADC/AFDC (welfare) received

Student 2022 Other income received (TANF, SNAP, Alimony, EIC, etc.)

Student previous years income (Yearly total for 2022)

Parent(s)/Guardian(s) 2022 salary (yearly wages)

Parent(s)/Guardian(s) 2022 Dividends/Interest received

Parent(s)/Guardian(s) 2022 Social Security received

Parent(s)/Guardian(s) 2022 Annual Veterans Benefits

Parent(s)/Guardian(s) 2022 Child Support Received

Parent(s)/Guardian(s) 2022 ADC/AFDC (welfare) received

Parent(s)/Guardian(s) 2022 Other income received (TANF, SNAP, Alimony, EIC, etc.)

Parent(s)/Guardian(s) previous years income (Yearly total for 2021)

Spouse 2022 salary (yearly wages)

Spouse 2022 Dividends/Interest received

Spouse 2022 Social Security received

Spouse 2022 Annual Veterans Benefits

Spouse 2022 Child Support Received

Spouse 2022 ADC/AFDC (welfare) received

Spouse 2022 Other income received (TANF, SNAP, Alimony, EIC, etc.)

Spouse 2022 previous years income (Yearly total for 2021)

IV. Additional Eligibility Questions

Do you currently live with your parent(s) or legal guardian

Please indicate the marital status of your parent(s) or legal guardian

Do your parent(s) or guardian own a home?

Yes

Do you own a home?

Yes

List the current value of this home

List the outstanding home mortgage amount to date

Do your parent(s) or guardian own a business or other property?

Yes

List the outstanding business or property mortgage amount to date

2022 Household Income

Signature

I DECLARE THAT THE INFORMATION REPORTED IS TRUE, CORRECT AND COMPLETE to my knowledge. According to the requirements of EOF grant recipients, I affirm that my personal family background is one of disadvantage. I further understand that any willful omission or misrepresentation of facts on this form will be considered grounds for removal of my application from admission consideration and financial aid eligibility. Signing this form constitutes permission for the release of all necessary assessment data to complete my application for consideration.

Please sign by typing your full name below

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EOF Questionnaire 2024-2025

EOF Income Eligibility for 2024-25 Academic Year

Graduating scholars, advocates, visionaries, change makers, truth seekers, humanitarians, and challengers of the status quo since 1908.

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