2014-2015 Standard Verification Worksheet Template (V1) Independent Student
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32014-2015 Standard Verification Worksheet (V1)
Independent Student
Your 2014–2015 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The
law says that before awarding Federal Student Aid, we may ask you to confirm the information you reported on your FAFSA. To
verify that you provided correct information, we will compare your FAFSA with the information on this institutional verification
document and with any other required documents. If there are differences, your FAFSA information may need to be corrected.
You must complete and sign this institutional verification document, attach any required documents, and submit the form and
other required documents to us. We may ask for additional information. If you have questions about verification, contact us as
soon as possible so that your financial aid will not be delayed.
A. Independent Student’s Information
____________________________________________________________
________________________________________
Last Name
First Name
M.I.
Campus-Wide ID Number (CWID)
____________________________________________________________
________________________________________
Street Address (include apt. no.)
Date of Birth
____________________________________________________________
________________________________________
City
State
Zip Code
Email Address
____________________________________________________________
________________________________________
Home Phone Number (include area code)
Alternate or Cell Phone Number
B. Independent Student’s Family Information
Below, list the people in your household. Include:
Yourself
Your spouse, if you are married.
Your children, and/or your spouse’s children if you or your spouse will provide more than half of the children’s support from
July 1, 2014, through June 30, 2015, even if the children do not live with you.
Other people if they now live with you and you and/or your spouse provide more than half of their support and will continue to
provide more than half of their support through June 30, 2015.
For any household member who will be enrolled at least half time in a degree, diploma, or certificate program at an eligible
postsecondary educational institution any time between July 1, 2014, and June 30, 2015, include the name of the college. If more
space is needed, attach a separate page with your name and CWID number at the top.
Full Name
Age
Relationship
College
Will be Enrolled at
Least Half Time
(Yes or No)
Self
Note: We may require additional documentation if we have reason to believe that the information regarding the household
members enrolled in eligible postsecondary educational institutions is inaccurate.
Continue to Section C
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