Dependent Student Fafsa Verification Worksheet
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42016-17 DEPENDENT STUDENT FAFSA VERIFICATION WORKSHEET
Your 2016-17 Free Application for Federal Student Aid (FAFSA) has been selected for review in a process called “Verification.” Federal law
says that as part of the process of awarding federal student aid, Seattle University may ask you to confirm the information you and your
parents reported on your FAFSA. To verify that you provided correct information, Seattle University’s Student Financial Services Office will
compare your FAFSA with the information on this worksheet and with any other required documents. If there are differences, your FAFSA
information may need to be corrected. If you have questions about verification, contact Student Financial Services at 206-220-8020 or email
financialservices@seattleu.edu
as soon as possible so that your financial aid will not be delayed.
Instructions:
1.
Complete the following items in ink. Please print.
2.
Complete and sign (you and a parent) the worksheet.
Using the contact information at the top of this page, mail, scan and email, or fax the completed, signed worksheet to the Student
3.
Financial Services Office .
SECTION A: STUDENT INFORMATION
□
□
□
Check One:
Continuing SU Student
New Undergraduate Student
New Graduate Student
________________________________________________________________________
_________________________________
Last Name
First Name
M.I.
SU Student ID
________________________________________________________________________
_________________________________
Street Address (include apartment number)
Student’s Date of Birth
________________________________________________________________________
_________________________________
City
State
Zip Code
Student’s Email Address
________________________________________________________________________
_________________________________
Area Code and Home Phone Number
Area Code and Cell Phone Number
SECTION B: FAMILY INFORMATION
List below the name, age, and relationship of the people for whom your parent(s) will provide more than half of the support between July 1,
2016 and June 30, 2017. Include:
•
Yourself and your parent(s) (including a stepparent) even if you don’t live with your parent(s).
•
Your parent(s)’ other children if your parent(s) will provide more than half of their support, or if the other children would be
required to provide parental information if they were completing a FAFSA for 2016-17. Include children who meet either of these
standards, even if they do not live with your parent(s).
•
Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will continue to
provide more than half of their support through June 30, 2017.
Include the name of the college for any household member, excluding your parent(s), who will be enrolled, at least half time in a degree,
diploma, or certificate program at a postsecondary educational institution any time between July 1, 2016, and June 30, 2017. If more space
is needed, attach a separate page with the student’s name and SU ID Number at the top.
Will be enrolled ≥ ½
Full Name
Age
Relationship
College
time?
EXAMPLE: Missy Jones
18
Sister
Central University
Yes
Self
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