V6 - Household Resources Verification Group
ADVERTISEMENT
1
2
3
4BISHOP STATE COMMUNITY COLLEGE
351 North Broad Street
Mobile Alabama 36603-5898
Phone: 251.405.7015
Fax: 251.690.6918
V6 – HOUSEHOLD RESOURCES VERIFICATION GROUP FOR 2016-17
STEP 1 – STUDENT INFORMATION
Last Name
First Name
Social Security Number
Student ID Number
Permanent Address
Street & Number
City/State/Zip
Date of Birth
Local Phone Number (Include Area Code)
Permanent Phone Number (Include Area Code)
Email Address
STEP 2 – FAMILY INFORMATION
If you are a DEPENDENT STUDENT include:
If you are an INDEPENDENT STUDENT include:
Yourself
Yourself
Your parent(s) (including step-parents)
Your spouse (if you are married)
Your parent(s) other dependent children if a) your
Your children if you will provide more than half of their
parent(s) will provide more than half of their support
support from July 1, 2016 through June 30, 2017
from July 1, 2016 through June 30, 2017, or b) the
Other people only if they live in your household and
children would be required to provide parental
you provide more than half of their support and will
information when applying for Federal Student Aid
continue to do so from July 1, 2016 through June 30,
Other people only if they now live in your parent
2017.
household and your parents will provide more than half
of their support from July 1, 2016 through June 30,
2017.
Name of College
Full Name
Age
Relationship
(Must attend at least half-time during 2016-2017)
Self
Bishop State College
STEP 3 – FOOD STAMP BENEFITS – CALENDAR YEAR 2015
Did anybody in your family receive food stamps during the calendar year 2015?
______YES
______NO
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal