Standard Verification (Page 2 of 3) in pdf

Standard Verification Page 2

Student ID #: ___ ___ ___ - ___ ___ ___ ___ ___ ___

Standard Verification

(Dependent)

2015-2016

Student’s Last Name

First

Date of Birth

(MM/DD/YYYY)

/ 1 9

Phone Number

Alternate Phone Number

Current GRU Email Address >>>

A. Number of Household Members

Parents’ household includes (Please list all that apply below):

 The student.

 The parents (including a stepparent) even if the student doesn’t live with the parents.

 The parents’ other children if the parents will provide more than half of their support from July 1, 2015,

through June 30, 2016, or if the other children would be required to provide parental information if they

were completing a FAFSA for 2015–2016. Include children who meet either of these standards even if the

children do not live with the parents.

 Other people if they now live with the parents and the parents provide more than half of their support and

will continue to provide more than half of their support through June 30, 2016.

If more space is needed, provide a separate page with the student’s name and ID number at the top.

Full Name

Age

Relationship

Self

B. Number of household Members in College

Include the name of the college for any household member above, excluding the parents, who will be enrolled at least

half time in a degree, diploma, or certificate program at an eligible postsecondary educational institution any time

between July 1, 2015, and June 30, 2016.

Enrolled at Least Half Time

Full Name

College

(Yes or No)

FEDERAL BENEFITS: In 2013 or 2014, did you, your parents, or anyone in your parents’ household receive benefits

from any of the federal benefit programs listed? Mark all the programs that apply.

SNAP

SSI

WIC

TANF

Free or Reduced Lunch

V1 (2 of 3) Dependent

Standard Verification Page 2