FOOTHILL COLLEGE DE ANZA COLLEGE
FINANCIAL AID OFFICE FINANCIAL AID OFFICE
12345 El Monte Rd. 21250 Stevens Creek Blvd.
Los Altos Hills, CA 94022-4599 Cupertino, CA 95014-5793
2017-2018
Verification of Household Size
This form is used to verify the number of members listed in either your household if you are an independent student OR in
your parents’ household if you are a dependent student as reported on your Free Application for Federal Student Aid (FAFSA).
Student’s Name:________________________________________________________ (Student ID#) SID :________________
Last First Middle Initial
Preferred Name (if different than above) _______________________________________________
Last First
FOR DEPENDENT STUDENTS (parent’s signature or PIN was required on your FAFSA)
Please list the following people in the chart below:
Yourself
The parent(s) you live with (including stepparent) OR, if you’re not living at
home, the parent(s) whose information was provided on the 2017-2018 FAFSA.
The listed parents’ other children ONLY IF: (a) the listed parent(s) will provide
more than half of the children’s financial support from July 1, 2017 through
June 30, 2018; OR (b) the children attend college at least half-time and would
be required to provide parental information when applying for financial aid.
Other people currently living with your listed
parent(s) ONLY IF your parent(s) currently
provide and will continue to provide more than
half of their financial support from July 1, 2017
through June 30, 2018.
FOR INDEPENDENT STUDENTS
Please list the following people in the chart below:
Yourself
Your spouse, if you are married.
Your children ONLY IF you will provide more than half of the children’s
financial support from July 1, 2017 through June 30, 2018.
Other people currently living with you ONLY IF
you currently provide and will continue to
provide more than half of their financial support
from July 1, 2017 through June 30, 2018
Full Name Age Relationship to Applicant
Name of College (if attending half-time or
more during the 2017-2018 academic year)
(name of your primary college)
*NOTE: If you need more space, please attach an additional page with the student’s name and ID number at the top.
________________________________________________________________________ __________________________________
Student’s Signature Date
________________________________________________________________________ __________________________________
Parent’s Signature (for dependent students) Date
________________________________________________________________________
Parent’s Name Printed (for dependent students)
4/03/17
