College Planner Form

Personal Information Your Name:  First/Middle: Last: Address:    City State  AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY  ZIP Phone:  Fax: Email Address:

Do you save regularly for college?  Yes   No If so, how much? $ How often (e.g. monthly)?

How much do you currently have saved for college? $

Your Children's First Names* and Birthdays     Name Birthday (mm/yy)   Child #1: /   Child #2: /   Child #3: /   Child #4: /   Child #5: /   Child #6: /   Child #7: /   Child #8: / * Optional

Name* and Type of College or Institution, Length of Program   Name of College or Institution Type of College or Institution Length of Program (i.e., two years for junior college) Child #1  Private State Junior Vocational Other  Child #2  Private State Junior Vocational Other  Child #3  Private State Junior Vocational Other  Child #4  Private State Junior Vocational Other  Child #5  Private State Junior Vocational Other  Child #6  Private State Junior Vocational Other  Child #7  Private State Junior Vocational Other  Child #8  Private State Junior Vocational Other  * If known

Other Information or Comments