H_EOP Eligibility Information Questionnaire 2

Eligibility Information Questionnaire 2

Name:
Cornell College/School:
In order to promptly determine your economic eligibility status, it is imperative that you provide our office with the information requested below as soon as possible. A delay in the return of the requested material could hinder the chances of your application being processed with regard to the EOP/HEOP. Please reply to what applies to you and your family from the following questions. If something does not apply, please enter "N/A", all fields must be completed to submit.
Size of Household:
	Please enter number of people living in your household including yourself.
1. Enter the name, age, and relationship of all the people who are members of your household. Indicate those who have attended college, and those who are currently enrolled in a college.
Person #1 Name:
Person #1 Age:
Person #1 Relationship to You:
Person #1 College:
Person #2 Name:
Person #2 Age:
Person #2 Relationship to You:
Person #2 College:
Person #3 Name:
Person #3 Age:
Person #3 Relationship to You:
Person #3 College:
Person #4 Name:
Person #4 Age:
Person #4 Relationship to You:
Person #4 College:
Person # 5 Name:
Person #5 Again:
Person #5 Relationship to You:
Person #5 College:
Person #6 Name:
Person #6 Age:
Person #6 Relationship to You:
Person #6 College: