Massachusetts Maritime Academy Page 2

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E. HOUSEHOLD INFORMATION
List the people that your parent(s) will support between July 1, 2015 and June 30, 2016. Be sure to include:
Yourself (the student) and your parent(s) (including step-parent) whose information was provided on the FAFSA
Your parents’ other children if (a) your parents will provide more than half of their support from July 1, 2015 through June 30, 2016, or (b)
the child would be required to provide this parents’ information on the FAFSA if applying for federal student aid.
Other people if they now live with your parent(s) and receive more than half of their support from your parent(s) and they will continue to
live with and receive more than half of their support from your parent(s) between July 1, 2015 and June 30, 2016.
If you filed the FAFSA as an Independent student and were not required to provide parental information on the FAFSA include:
Yourself and your spouse (if applicable)
Your children, if (a) you will provide more than half of their support from July 1, 2015 through June 30, 2016, or (b) the child would be
required to provide your information on the FAFSA if applying for federal student aid.
Other people if they now live with you and receive more than half of their support from you and they will continue to live with you and
receive more than half of their support from you between July 1, 2015 and June 30, 2016.
FULL NAME
AGE
RELATIONSHIP TO
NAME OF COLLEGE ATTENDING 2015-2016
YOU (the student)
MASSACHUSETTS MARITIME ACADEMY
SELF
F. FINANCIAL SUPPORT PROVIDED TO NON-HOUSEHOLD MEMBERS
If your parent (or step-parent), whose information was provided on the FAFSA, paid child support for a child not reported in your household above
(or if you are an Independent student and you paid child support during 2014), please list the names and ages of all children for whom child support
was paid in 2014 as well as the amount paid and the name of the recipient of the child support:
CHILD’S NAME
CHILD’S AGE
AMOUNT PAID
SUPPORT PAID TO
___________________________
___________
$____________
_____________________________
___________________________
___________
$____________
_____________________________
___________________________
___________
$____________
_____________________________
G. SIGN THIS APPLICATION
By checking this box and typing our names, we certify that all of the information reported on this application is complete and correct. We
understand that purposefully giving false or misleading information, including typing our names in this section, could result in being fined, sentenced
to jail, or both.
_________________________________________________
_____________________________
Student Signature
Date
_________________________________________________
_____________________________
Parent/Spouse Signature
Date

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