2013-14 Household Data Form
Independent Student
Office of Financial Aid
.
Phone: 734.487.0455
.
Fax: 734.487.4281
.
Email: financial_aid@emich.edu
.
Web: www.emich.edu/finaid
Name
As part of the Quality Assurance Verification process, please complete and submit this form regarding the members of
your parent(s) household.
List the family members in your parent(s)’ household. Include:
• Yourself and your spouse if you are married now, you live together and were married when you completed the
2013-14 FAFSA.
•
Your dependent children/stepchildren if y
ou will provide more than half of their support from July 1, 2013 through
J
une 30, 2014, and
• Other people if they now live with you, you (and/or your spouse) provide more than half of their support, and you
(and/or your spouse) will c
ontinue to provide more than half of their support from July 1, 2013 through June 30, 2014.
Write the names of all household members in the spac
e(s) below. Also write in the name of the college for any
household member who will be attending at least half time between July 1, 2013 and June 30, 2014, and will be enrolled
in a degree, diploma, or certificate program.
If you need more space, attach a separate page.
Signing this form certifies that all the information reported on it is complete and correct.
Student Signature Date
Eastern Michigan
University
