Lacey

FAFSA Data

Assumed fields, based on the data you entered, are marked with an ‘*’ (asterisk) sign.

1. Student’s Last Name: VICICH
2. Student’s First Name: LACEY
3. Student’s Middle Initial:
4. Student's Permanent Mailing Address: 1318 KIRKWOOD STREET
5. Student's Permanent City: NORTH PORT
6. Student's Permanent State: FL
7. Student's Permanent ZIP Code: 34288
8. Student's Social Security Number: 594-21-7375
9. Student's Date of Birth: 02/17/1992
10. Student's Permanent Home Phone Number: (941) 875-7734
11. Student's Driver's License Number:
12. Student's Driver's License State:
13. Student's E-mail Address: LACEYVICICH@YAHOO.COM
14. Student's Citizenship Status: YES, I AM A U.S. CITIZEN (OR U.S. NATIONAL)
15. Student's Alien Registration Number:
16. Student's Marital Status: I AM SINGLE
17. Student’s Marital Status Date:
18. Student's State of Legal Residence: FL
19. Was Student a Legal Resident Before
20. Student’s Legal Residence Date:
21. Is the Student Male or Female? FEMALE
22. Register Student With Selective Service?
23. Drug Conviction Affecting Eligibility? ELIGIBLE FOR AID
24. Father's Educational Level: HIGH SCHOOL
25. Mother's Educational Level: HIGH SCHOOL
26. High School or Equivalent Completed? HIGH SCHOOL DIPLOMA
27a. Student’s High School Name:
27b. Student’s High School City:
27c. Student’s High School State:
28. First Bachelor's Degree by July 1, 2012? NO
29. Student's Grade Level in College in 2012-2013: 2ND YR./SOPHOMORE
30. Type of Degree/Certificate: OTHER/UNDECIDED
31. Interested in Work-study?
32. Student Filed 2011 Income Tax Return? ALREADY COMPLETED
33. Student's Type of 2011 Tax Form Used: IRS 1040A OR 1040EZ
34. Student Eligible to File a 1040A or 1040EZ?
35. Student's 2011 Adjusted Gross Income: $7,597
36. Student's 2011 U.S. Income Tax Paid: $0
37. Student's 2011 Exemptions Claimed: 1
38. Student's 2011 Income Earned from Work: $7,597
39. Spouse's 2011 Income Earned from Work:
40. Student's Total of Cash, Savings, and Checking Accounts: $0
41. Student's Net Worth of Current Investments: $0
42. Student's Net Worth of Businesses/Investment Farms: $0
43a. Student's Education Credits: $0
43b. Student's Child Support Paid: $0
43c. Student's Taxable Earnings from Need-Based Employment Programs: $0
43d. Student's Grant and Scholarship Aid Reported in AGI: $0
43e. Student's Taxable Combat Pay Reported in AGI: $0
43f. Student's Cooperative Education Earnings: $0
44a. Student's Payments to Tax-Deferred Pensions & Savings: $0
44b. Student's Deductible Payments to IRA/Keogh/Other: $0
44c. Student's Child Support Received: $0
44d. Student's Tax Exempt Interest Income: $0
44e. Student's Untaxed Portions of IRA Distributions: $0
44f. Student's Untaxed Portions of Pensions: $0
44g. Student's Housing, Food, & Living Allowances: $0
44h. Student's Veterans Noneducation Benefits: $0
44i. Student's Other Untaxed Income or Benefits: $0
44j. Money Received or Paid on Student’s Behalf: $0
45. Student Born Before January 1, 1989? NO
46. Is Student Married? NO
47. Working on Master’s or Doctorate in 2012-2013? NO
48. Is Student on Active Duty in U.S. Armed Forces? NO
49. Is Student a Veteran? NO
50. Does Student Have Children He/She Supports? NO
51. Does Student Have Dependents Other than Children/Spouse? NO
52. Parents Deceased?/Student Ward of Court?/In Foster Care? NO
53. Is or Was Student an Emancipated Minor? NO
54. Is or Was Student in Legal Guardianship? NO
55. Is Student an Unaccompanied Homeless Youth as Determined by High School/Homeless Liaison? NO
56. Is Student an Unaccompanied Homeless Youth as Determined by HUD? NO
57. Is Student At Risk of Homelessness? NO
58. Parents' Marital Status: MARRIED OR REMARRIED
59. Parents’ Marital Status Date: 10/1979
60. Father’s/Stepfather’s Social Security Number: XXX-XX-7894
61. Father's/Stepfather's Last Name: VICICH
62. Father's/Stepfather's First Name Initial: J
63. Father’s/Stepfather’s Date of Birth: 01/06/1959
64. Mother’s/Stepmother’s Social Security Number: XXX-XX-8969
65. Mother's/Stepmother's Last Name: VICICH
66. Mother's/Stepmother's First Name Initial: B
67. Mother’s/Stepmother’s Date of Birth: 02/25/1960
68. Parents' E-mail Address: JOHNCUBFAN@COMCAST.NET
69. Parents' State of Legal Residence: FL
70. Were Parents Legal Residents Before January 1, 2007? YES
71. Parents’ Legal Residence Date:
72. Parents' Number of Family Members in 2012-2013: 3
73. Parents' Number in College in 2012-2013 (Parents Excluded): 1
74. Parents Received Supplemental Security Income?
75. Parents Received Food Stamps?
76. Parents Received Free/Reduced Price Lunch?
77. Parents Received TANF?
78. Parents Received WIC?
79. Parents Filed 2011 Income Tax Return? WILL FILE h
80. Parents' Type of 2011 Tax Form Used: IRS 1040A OR 1040EZ
81. Parents Eligible to File a 1040A or 1040EZ?
82. Is Parent a Dislocated Worker? NO
83. Parents' 2011 Adjusted Gross Income: $84,134
84. Parents' 2011 U.S. Income Tax Paid: $0
85. Parents' 2011 Exemptions Claimed: 2
86. Father's/Stepfather's 2011 Income Earned from Work: $49,610
87. Mother's/Stepmother's 2011 Income Earned from Work: $34,524
88. Parents' Total of Cash, Savings, and Checking Accounts:
89. Parents' Net Worth of Current Investments:
90. Parents' Net Worth of Businesses/Investment Farms:
91a. Parents’ Education Credits: $0
91b. Parents’ Child Support Paid: $0
91c. Parents' Taxable Earnings from Need-Based Employment Programs: $0
91d. Parents' Grant and Scholarship Aid Reported in AGI: $0
91e. Parents' Taxable Combat Pay Reported in AGI: $0
91f. Parents’ Cooperative Education Earnings: $0
92a. Parents' Payments to Tax-Deferred Pensions & Savings: $0
92b. Parents' Deductible Payments to IRA/Keogh/Other: $0
92c. Parents’ Child Support Received: $0
92d. Parents’ Tax Exempt Interest Income: $0
92e. Parents’ Untaxed Portions of IRA Distributions: $0
92f. Parents’ Untaxed Portions of Pensions: $0
92g. Parents’ Housing, Food, & Living Allowances: $0
92h. Parents' Veterans Noneducation Benefits: $0
92i. Parents’ Other Untaxed Income or Benefits: $0
93. Student's Number of Family Members in 2012-2013:
94. Student's Number in College in 2012-2013:
95. Student Received Supplemental Security Income?
96. Student Received Food Stamps?
97. Student Received Free/Reduced Price Lunch?
98. Student Received TANF?
99. Student Received WIC?
100. Is Student or Spouse a Dislocated Worker?
101a. First Federal School Code: 001504
101b. First Housing Plans: WITH PARENT
101c. Second Federal School Code:
101d. Second Housing Plans:
101e. Third Federal School Code:
101f. Third Housing Plans:
101g. Fourth Federal School Code:
101h. Fourth Housing Plans:
101i. Fifth Federal School Code:
101j. Fifth Housing Plans:
101k. Sixth Federal School Code:

101l. Sixth Housing Plans:
101m. Seventh Federal School Code:
101n. Seventh Housing Plans:
101o. Eighth Federal School Code:
101p. Eighth Housing Plans:
101q. Ninth Federal School Code:
101r. Ninth Housing Plans:
101s. Tenth Federal School Code:
101t. Tenth Housing Plans:
102. Date Completed: 07/31/2012
103. Signed By: BOTH STUDENT AND PARENT
104. Preparer’s Social Security Number:
105. Preparer’s Employer Identification Number (EIN):
106. Preparer’s Signature:

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Graduation/Retention/Transfer Rates
College Rates

The table shows the graduation, retention, and transfer rates for the schools you selected. Go to the College Navigator Web site at
www.nces.ed.gov/collegenavigator for complete information.

School Name Graduation Rate Retention Rate Transfer Rate
MANATEE COMMUNITY
COLLEGE
31% N/A 14%
Total Amount of Loans Outstanding FFEL
(Bank Loans) and/or Direct
Loans:
Total Principal
Balance
Remaining Amount to be
Disbursed Total
Subsidized Loans: $3,500 $000 $3,500
Unsubsidized Loans: $7,500 $000 $7,500
Combined Loans: $11,000 $000 $11,000
Unallocated Consolidation Loans: N/A N/A
Federal Perkins Loan Amounts:
Total Outstanding Principal Balance: N/A
2012-2013 Loan Amount: N/A
TEACH Grants Converted to Direct
Loans:
Unsubsidized Loans: N/A N/A