Fillable 2015-16EnrollmentCertificationForm 2006-2007 Verification Worksheet

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2015-16EnrollmentCertificationForm 2006-2007 Verification Worksheet

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California Lutheran University – Office of Financial Aid
2015-16 Enrollment Certification Form
RETURN TO:
CLU Office of Financial Aid
60 West Olsen Road #1375
Thousand Oaks, CA 91360
EMAIL: finaid@callutheran.edu
FAX: (805) 493-3114
This form is intended for FAFSA applicants indicating multiple household members in college. If
you reported on your application that you will have more than one sibling/household member
attending college at least half-time between July 1, 2015 and June 30, 2016 you will need to list
all persons in the section below.
The information provided below will be used only to determine financial aid eligibility and will
be kept confidential by the campus pursuant to the Family Education Rights and Privacy Act
(FERPA).
CLU Student Information
Last Name
First Name
M.I.
CLU ID # or Social Security Number
Date of Birth
Current phone number (include area code)
Address (include Apt #)
City
State
Zip
Family Information
Identify any of the household members, excluding your parents, listed on your 2015-16 Free Application for Federal Student Aid
(FAFSA) 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, 2015 and June 30, 2016. Our office may request additional documentation to verify enrollment.
First and last name of family member
Relationship to student
Age
Name of COLLEGE family member will attend
1.
Self
California Lutheran University
2.
3.
4.
5.
6.
If you need additional space, please attach a separate piece of paper.
Signature
Each person signing this worksheet certifies that all of the information reported on this form is true and accurate to the
best of their knowledge. WARNING: If you purposely give false or misleading information on this worksheet, you
may be fined, sentenced to jail, or both. Please note your financial aid award letter may change based on the
information provided.
Student’s Signature - Required
Date
Parent’s Signature –
Required for dependent students
Date
PLEASE RETURN TO CALIFORNIA LUTHERAN UNIVERSITY AT THE ADDRESS LISTED ABOVE.
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2015-16EnrollmentCertificationForm 2006-2007 Verification Worksheet

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Completed 11 February 2020

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