Verification Worksheet Federal Student Aid Programs - 2015-2016 Page 2

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2015‐2016 Verification Worksheet
Federal Student Aid Programs
Student Information
Last Name
First Name
M.I.
SJC ID or Social Security Number
Address (include Apt. #)
Date of Birth
City
State
Zip Code
Phone Number (Include Area Code)
Family Information
In the space(s) below, list the people in your parent(s)’ household including:
Yourself (even if you don’t live with your parent[s])
Your parent(s) (including step-parents)
Your parents’ other children if (a) your parents will provide more than half their support
between July 1, 2015 and June 30, 2016 or (b)
the children would be required to provide parental
information when applying for Federal Student Aid
Other people if they now live with your parents, your parents provide more than half their support and
will continue to provide their support between July 1, 2015 and June 30, 2016
Write in the name of the college for any household member, excluding your parent(s), who will be
attending at least half time between July 1, 2015 and June 30, 2016, and will be enrolled in a degree,
diploma, or certificate program. If you need more space, attach a separate page.
Full Name
Age
Relationship
College
Self
St. Joseph’s College
Yes
No
Did you or someone in your household as indicated above, receive SNAP benefits
in 2013 or 2014? If yes, please identify which family member here________________
and submit supporting documentation to verify receipt, such as a copy of the SNAP benefits card.
Please continue to next page
1
SJC ID/Student’s Name: _________________________________________________________________

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