diff --git a/src/app.rs b/src/app.rs
index a9d2f5e..8eae640 100644
--- a/src/app.rs
+++ b/src/app.rs
@@ -140,6 +140,10 @@ fn StudentRoutes() -> impl MatchNestedRoutes + Clone {
                 path=path!("additional/university")
                 view=student::StudentUniversityPage
             />
+            <Route
+                path=path!("additional/family-info")
+                view=student::StudentFamilyPage
+            />
         </ParentRoute>
     }
         .into_inner()
diff --git a/src/pages/student/family_info_page.rs b/src/pages/student/family_info_page.rs
new file mode 100644
index 0000000..1660196
--- /dev/null
+++ b/src/pages/student/family_info_page.rs
@@ -0,0 +1,103 @@
+use std::collections::HashMap;
+use leptos::prelude::*;
+use crate::components::{OutlinedTextField, TextFieldType, ValidatedForm};
+
+#[component]
+pub fn StudentFamilyPage() -> impl IntoView {
+    let data_map = RwSignal::new(HashMap::new());
+    
+    view! {
+        <div class="flex flex-1" />
+        <div class="flex flex-col flex-2 mt-6">
+            <ValidatedForm title="Family Information" on_submit=move || {}>
+                // Inputs here.
+                <OutlinedTextField
+                    label="Total number of children in family:"
+                    data_map=data_map
+                    data_member="num_children"
+                    placeholder="Any number..."
+                    input_type=TextFieldType::Number
+                    required=true
+                />
+                <OutlinedTextField
+                    label="Total number of children currently attending college:"
+                    data_map=data_map
+                    data_member="num_children_college"
+                    placeholder="Any number..."
+                    input_type=TextFieldType::Number
+                    required=true
+                />
+                <OutlinedTextField
+                    label="Parent/Guardian 1 Name:"
+                    data_map=data_map
+                    data_member="parent_one_name"
+                    placeholder="John Smith"
+                    input_type=TextFieldType::Text
+                    required=true
+                />
+                // TODO Could this be a select dropdown?
+                <OutlinedTextField
+                    label="Parent/Guardian 1 Relationship:"
+                    data_map=data_map
+                    data_member="parent_one_relationship"
+                    placeholder="Mother/Father"
+                    input_type=TextFieldType::Text
+                    required=true
+                />
+                // TODO Get a better example
+                <OutlinedTextField
+                    label="Parent/Guardian 1 Occupation:"
+                    data_map=data_map
+                    data_member="parent_one_occupation"
+                    placeholder="Milkman"
+                    input_type=TextFieldType::Text
+                    required=true
+                />
+                <OutlinedTextField
+                    label="Parent/Guardian 1 Employer:"
+                    data_map=data_map
+                    data_member="parent_one_employer"
+                    placeholder="Example Employer"
+                    input_type=TextFieldType::Text
+                    required=true
+                />
+        
+                <OutlinedTextField
+                    label="Parent/Guardian 2 Name:"
+                    data_map=data_map
+                    data_member="parent_one_name"
+                    placeholder="John Smith"
+                    input_type=TextFieldType::Text
+                    required=false
+                />
+                // TODO Could this be a select dropdown?
+                <OutlinedTextField
+                    label="Parent/Guardian 2 Relationship:"
+                    data_map=data_map
+                    data_member="parent_one_relationship"
+                    placeholder="Mother/Father"
+                    input_type=TextFieldType::Text
+                    required=false
+                />
+                // TODO Get a better example
+                <OutlinedTextField
+                    label="Parent/Guardian 2 Occupation:"
+                    data_map=data_map
+                    data_member="parent_one_occupation"
+                    placeholder="Milkman"
+                    input_type=TextFieldType::Text
+                    required=false
+                />
+                <OutlinedTextField
+                    label="Parent/Guardian 2 Employer:"
+                    data_map=data_map
+                    data_member="parent_one_employer"
+                    placeholder="Example Employer"
+                    input_type=TextFieldType::Text
+                    required=false
+                />
+            </ValidatedForm>
+        </div>
+        <div class="flex flex-1" />
+    }
+}
\ No newline at end of file
diff --git a/src/pages/student/mod.rs b/src/pages/student/mod.rs
index 657b444..e24b8b2 100644
--- a/src/pages/student/mod.rs
+++ b/src/pages/student/mod.rs
@@ -7,6 +7,7 @@ mod academics_page;
 mod extracurriculars_page;
 mod work_experience_page;
 mod university_page;
+mod family_info_page;
 
 pub use shell::*;
 pub use home_page::*;
@@ -16,4 +17,5 @@ pub use athletics_page::*;
 pub use academics_page::*;
 pub use extracurriculars_page::*;
 pub use work_experience_page::*;
-pub use university_page::*;
\ No newline at end of file
+pub use university_page::*;
+pub use family_info_page::*;
\ No newline at end of file