Name & social security number

Enter your name and social security number exactly as they appear on your social security card.

Grade Level

Select 1st year graduate/professional

Degree or certificate

Select Graduate or professional degree

At the beginning of the 2010-11 school year, will you be working on a master's or doctoral program?

Indicate Yes

Student's financial information

All students must fill out this section, even if you don't have any income, savings, or investments and do not file a tax return. If an item does not apply to you enter 0.

Parent Information

To be considered for aid from the Health Professions Student Loan Program (HPSL), fill out the purple section of the FAFSA and have one of your parents sign the form.

By regulation, parent information must be considered in evaluating eligibility for HPSL. Providing parent information on your FAFSA will allow us to determine whether a Health Professions Student Loan can be added to your financial aid package. (If you do not qualify for HPSL, we will disregard the parent data and your award will include only the funds you qualify for on the basis of student information, alone.)

HPSL awards cannot be disbursed until we have received and reviewed a complete, signed copy of the parent's 2009 U.S. income tax return.

Student household/# in college

If you are single and have no dependents, the number in your household is 01.

Federal school code & housing plans

University of the Pacific's school code is 001329.

Please read, sign and date

If you are including parent information on your FAFSA, a parent signature or e-signature (PIN) is also required.