Supplemental Data Form

This form is used to supplement the information provided on the Free Application for Federal Student Aid (FAFSA).

If you would prefer a PDF version to fill out by hand, you can complete the 2024-25 Supplemental Data Form.

Next year's form is available via PDF here: 2025-26 Supplemental Data Form

Complete the form online below

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Online Form Instructions

The Supplemental Data Form (SDF) may be used to supplement the information provided in the Free Application for Federal Student Aid (FAFSA). The SDF is designed to gather information that is not captured in the FAFSA. It serves as an opportunity for students and their families to share any unique or special circumstances that have impacted them financially and, in their current ability tofinance the cost of higher education.

The may be completed online, when it becomes available. The FAFSA is estimated to be available by December 1, 2024.
The SDF may be completed online, or you may print the form and submit it via fax, email, or by mailing it to the address at the bottom of the pdf.

A financial aid offer will be prepared after all necessary information has been received.

Apply on Time

The 2025-2026 FAFSA will be available online by December 1, 2024, and will require students and parents to provide 2023 tax information. FAFSA filers will also be required to provide consent to use the Direct Data Exchange which will transmit tax data directly from the IRS. This information will not appear on your FAFSA but will be transmitted to the school(s) you select to receive your completed FAFSA.

Students are encouraged to submit the FAFSA when it becomes available. Iowa residents are reminded that the FAFSA must be submitted by June 30, 2025 to be considered for the Iowa Tuition Grant.

Students and their families are invited to submit the SDF at any time; however, it is encouraged that it be completed prior to the preparation of your financial aid offer. If you should experience a significant change in your financial situation after your aid offer has been prepared, please feel free to contact the ��͹��Ƶ Financial Aid office directly.

Watch your Email or Mail

You will receive an email on how to access your FAFSA submission summary online from the agency that processes your FAFSA. Freshmen will receive financial aid offers on a rolling basis beginning at the end of January, after all necessary forms have been received by our office. Returning students will receive their financial aid offers beginning in late May.

Questions

If you have questions as you complete the Supplemental Data Form or the FAFSA, call the ��͹��Ƶ Financial Aid Office at 1-800-343-6738 or (712)722-6087.

SECTION A: GENERAL INFORMATION

Must be completed by ALL applicants

STUDENT IDENTIFICATION

Title: Mr. Ms. Mrs.

First Name:

Middle Name:

Last Name:

Permanent Address:

City:

State:

Zip/PC:

Telephone:

Year in College in 2025-26 1 2 3 4 5+

Are you a citizen of the U.S.? Yes No

If not, are you a permanent resident? Yes No

Do you have dual citizenship? Yes No

If yes, what countries?

Have you ever attended another college/university? Yes No

If yes, please list name and dates attended:

Church name and denomination:

High school attended:

List 2024 employment, including employer and description of position:

Have you applied or will you apply to any other college for 2025-26? Yes No

If yes, other college(s) applied to:

Do you plan to commute to ��͹��Ƶ? Yes No

FINANCIAL AID INFORMATION

Do you intend to be a full-time student? Yes No

If you've completed the FAFSA, please list the date of completion:

List below any outside scholarships or grants (including dollar amounts) that you expect to receive for the 2025-2026 year. It is not necessary to list any aid from ��͹��Ƶ; only outside sources.

SECTION B: PARENTS' INFORMATION

For all DEPENDENT students

Father/Stepfather:

Father/Stepfather Occupation:

Father/Stepfather Employer:

Check this box if your father/stepfather attended ��͹��Ƶfor one full year or more and successfully completed at least 24 credits.

Attend Dordt?

Mother/Stepmother:

Mother/Stepmother Occupation:

Mother/Stepmother Employer:

Check this box if your mother/stepmother attended ��͹��Ƶfor one full year or more and successfully completed at least 24 credits.

Attend Dordt?

Please list the 1) name and relationship (e.g. brother, sister), 2) age, 3) Name of school or college this person will attend in 2025-26 school year.

*If more than 6 dependents, list additional family members under Other Special Circumstances.

Estimated 2025 income earned from work by father:

Estimated 2025 income earned from work by mother:

Will either parent be attending college/university at least half-time in 2025-26? Yes No

If yes, please list name, city, and state of college/university:

Divorced/Separated Parents (to be completed by the parent who files the FAFSA). Is there an agreement specifying a contribution for the student's education? Yes No

If yes, how much per year?

SECTION C: REQUEST FOR CONSIDERATION OF SPECIAL CIRCUMSTANCES

Sometimes families have special circumstances which substantially impact their ability to contribute towards education expenses. Two of the most common special circumstances at ��͹��Ƶ are tuition expenses to be paid for other family members for private education, and excessive medical/dental expenses. Occasionally other factors may affect the family’s contribution, such as: a significant reduction in parent income for the upcoming year, other non-discretionary expenses not mentioned on the form, a higher cost of living than the national average, a significant debt not reported on the form, or a natural disaster. (Special circumstances refer to something unique to your family.)

If you would like to request consideration for special circumstances, please complete the appropriate items below. It is strongly recommended that you complete the K-12 question if the family pays tuition for younger children at a Christian school.

K-12: Please indicate the total tuition expense your family will pay for the 2024-25 school year for siblings in private K-12 education. This figure should represent the tuition expense that will be paid by the family, not covered by an Educational Savings Account (ESA) or any other state funded program (voucher, etc.)

College/University: If your family has other children that will also be enrolled in a college or university during the 2025/26 school year, please indicate the name of the school they will be attending and their remaining cost of attendance after all grants and scholarships are applied to their account. You may choose to report their 2024/25 education costs if 2025/26 costs are not yet available, and they will be enrolled at the same school in the upcoming academic year. It is not necessary to report this information for siblings enrolled at ��͹��Ƶ.

Medical/dental expenses not covered by insurance. There is an allowance built into the FAFSA for these types of expenses based on family size, etc.; however, if you have experienced significant health-related expenses, please feel free to indication your actual out of pocket medical expenses, including premiums, for the 2024 calendar year.

Other special circumstances – Please detail giving specific dollar amounts, timelines, etc. and explain in paragraph form any unusual situations.

By completing the box/boxes below and submitting this form I/we certify that all information is correct and complete:

Student's signature/certification

Parent's signature/certification

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