Special Circumstances - Dependent Students

(*) denotes required information.

Condition 1 - Changes in Income

Complete this section if your parent(s) income in 2014 will be less than their income in 2013.

  Father Mother

Estimated 2014 taxable earnings (including any income from work, investments, business/farm, severance pay)

Estimated 2014 non-taxable income (Social Security, Workman's Comp, Child Support)

Estimated 2014 Unemployment Compensation

     
If currently unemployed - Final date of employment:  

Briefly explain the reasons for the change(s) in income:

Condition 2 - Divorced or Separated Parent Information

If your parents were recently divorced or separated, but filed a joint 2013 tax return, please provide the following items:

  1. Parents' completed 2013 federal tax form (1040, 1040A, or 1040EZ).
  2. Parents' 2013 W-2 forms.
  3. Separation agreement or divorce decree including settlement agreement.
  4. Non-Custodial parent information:

All items are needed to make any adjustment.

Check here if this condition applies to you.

After submitting this online form, you will need to send the documents listed above to:

Bradley University
Financial Assistance Office
1501 W. Bradley Avenue
Peoria, IL 61625

You may also fax documents to (309) 677-2798. Please include your name and Social Security number on any documents you mail or fax.

Condition 3 - Extreme Medical or Dental Expenses

You indicated that your family has incurred medical/dental expenses in excess of 10% of your adjusted gross income. Please forward the following:

  • Parents' completed 2013 federal tax form (1040, 1040A or 1040EZ), including schedule "A."

Check here if this condition applies to you.

After submitting this online form, you will need to send the documents listed above to:

Bradley University
Financial Assistance Office
1501 W. Bradley Avenue
Peoria, IL 61625

You may also fax documents to (309) 677-2798. Please include your name and Social Security number on any documents you mail or fax.

Condition 4

Use this space to briefly explain any other circumstance you think should be considered:

Verification

We cannot process your worksheet without your verification below.

We certify all the information provided to be correct and accurate. We also understand that if the projected circumstances fail to materialize, any financial assistance received because of the conditions is subject to recision on this or subsequent academic years.