C.V. Starr  Scholarships 2023 -  Financial Statement  
     
  Date Form Completed
 
  Student Last Name  
  Student First Name  
  Parent's relationship to student
 
  Email that is checked regularly
 
  Parent 1:  First and last name/current age
  Parent 2:First and last name/current age
  Please list names and ages of siblings in your household  
  Sibling 1-Name/Age
  Sibling 2-Name/Age
  Sibling 3-Name/Age
  Number of full time students in college in 2023-24
 
  Estimated student income during summer 2023  
  Student's current savings/investments (not 529s or Coverdell's)  
  Year/Make/Model of Student Vehicle
 
  Parents Adjusted Gross Income on 2022 Form 1040  
  Parent 1: Amount in Box 1 on 2022 Form W-2   
  Parent 1: Amount in Box 3 on 2022 Form W-2   
  Parent 2: Amount in Box 1 on 2022 Form W-2   
  Parent 2: Amount in Box 3 on 2022 Form W-2   
  Is either parent currently unemployed?
 
  Is either parent sel-employed?
 
  If yes, enter net business income for 2022 here
 
  Current savings and checking account value  
  Non-retirement investment accounts  
  529 & Coverdell college savings accounts  
  If you rent your home, check this box
 
  Current market value of home  
  Total  amount owed on home  
  Current market value of any other real estate  
  Total amount owed on other real estate  
 
  Paying For College Next Year  
  Please enter annual amounts you expect to spend next year    
  Amount you expect to spend on college from parents income  
  Amount you expect to spend on college from parent savings  
  Amount parents expect to borrow for college  
  Amount you expect to spend on college from student savings    
  Amount you expect student to borrow for college  
  Amount you expect to receive from others for college  
 
  Anything you would like to add?  Any special circumstances?  
   
   
   
   
   
   
 
  Proceed to Award Letters Page - Click Tab Above  
  CV Starr 2023 Award Letter Evaluation      
  List up to eight colleges.  Be sure your first choice is listed first!  
  Click "Update" to see first year cost and four year cost.  
 
Name of College Total Cost of Attendance Grants & Scholarships Student Loan: Subsidized Student Loan: Unsubsidized College Work Study Estimated First Year Cost Estimated Four  Year Cost
 
 
  Click Submit below to complete the process.
               
             
 
  You will receive an acknowledgement and a copy of this form by email.  Thanks.