Verification Form Dependent Salisbury University
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VERIFICATION FORM
DEPENDENT
2013-2014
To receive Federal Financial Aid you are required to verify the information you reported on your application for student financial aid. Please read the
instructions and answer all the questions carefully. Return this form to: Salisbury University, 1101 Camden Avenue, Financial Aid Office, Salisbury,
MD 21801.
A. Student Information
(Please Print)
Student Name __________________________
Birth Date
Address
_________________________
Phone #
_________________________
__________________________
SU ID #
B. Family Household Information
List the people in your parents’ household, include:
include yourself
•
include your parent(s). If your parent is remarried, include information about your parent and your parent’s current spouse.
•
include your parents' other children, even if they don’t live with your parent(s), if (a) your parents provide more than half of their support from
•
July 1, 2013 through June 30, 2014 or (b) the children would be required to provide parental information when applying for Federal Student Aid
include other people if they now live with your parents, and your parents provide more than half of their support and will continue to provide more
•
than half of their support from July 1, 2013 through June 30, 2014.
Full Name of Household Members
Age
Relationship
Enrolled in College
Name of College
2013-2014?
(see above)
(attending at least half-time, in a school eligible to
participate in Title IV programs and enrolled in a degree
seeking or certificate program in 2013-2014, excluding
parents)
Self
Yes
Salisbury University
over
OFFICE OF FINANCIAL AID
1101 Camden Avenue, Salisbury, MD 21801-6860
410-543-6165 1-888-543-0148 TTY 410-543-6083 FAX 410-543-6138
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