2014-2015 Verification Worksheet Template
ADVERTISEMENT
1
2
32014-2015 Verification Worksheet 1
You may mail this information to Shawnee State University, Financial Aid Office, 940 Second Street, Portsmouth Ohio, 45662 or
fax to 740-351-3435.
Student Information
_________________________________________________________
__________________________________________________________
Last Name
First Name
MI
Student ID
_________________________________________________________
__________________________________________________________
Address (include Apt. Number)
Date of Birth
_________________________________________________________
__________________________________________________________
City
State
Zip
Phone Number (include area code)
Family Information
Independent Students: List the people in your household, include: (a) yourself and your spouse if you are married; (b) your
children, if you will provide more than half of their support from July 1, 2014 through June 30, 2015; (c) other people if they
now live with you and you provide more than half of their support and will continue to provide more than half of their support
from July 1, 2014 through June 30, 2015.
Dependent Students: List the people in your parents’ household, include: (a) yourself and your parent(s) (including stepparent)
even if you don’t live with your parents; (b) your parents’ other children, even if they don’t live with your parent(s), if your
parents will provide more than half of their support from July 1, 2014 through June 30, 2015 or the children would be required to
provide parental information when applying for Federal Student Aid; (c) 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,
2014 through June 30, 2015.
Write the names of all household members. If any household member will be attending college at least half-time between July
1, 2014 and June 30, 2015, and will be enrolled in a degree or certificate program, include the name of the college. If your
parent(s) will be attending college at least half-time during this time period, please contact the Financial Aid Office. If more
space is needed, attach a separate page with the student’s name and student ID at the top.
Full Name
Age
Relationship
College
Will be Enrolled at
Least Half Time
Marty Jones(example)
28
Wife
Central University
Yes
SELF
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal