2019-2020 Dependent Number in College Verification Form
The U.S. Department of Education selected your student’s 2019-2020 FAFSA for verification. Please complete, print, sign, and submit to
the Financial Aid Office. Instructions for submission are at the bottom of the form.
A. Student Information
B. Number in College
List the people in your parent(s)’ household that will be attending college at an eligible postsecondary institution any time between July 1, 2019
and June 30, 2020, and will be enrolled in a degree, diploma, or certificate program. Household members to include are:
• Yourself;
• Your parent(s)’ other children if your parent(s) will provide more than half of their support from July 1, 2019 through June 30, 2020, or if the
other children would be required to provide parental information when completing a 2019-2020 federal financial aid application (FAFSA).
Include children who meet either of these descriptions, even if they do not live with your parent(s);
• Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will continue to provide
more than half of their support through June 30, 2020.
In the spaces below, you should only provide information for household members that will be attending college at an eligible postsecondary
institution during the time period describe above. NOTE: We may require additional documentation if we have reason to believe that the information
provided below is inaccurate.
6 credits (half-
Self
C. Certification and Signatures
Each person signing below certifies that all the information reported on this worksheet is complete, correct, and any additional information is
attached. The student and one parent MUST sign and date this section.
WARNING: If you purposely give false or misleading information on this worksheet you may be fined, sentenced to jail, or both.
______________________________________________________________________ _______________
Student Signature Required Date
______________________________________________________________________ _______________
Parent Signature Required (If due to the current national situation your parent cannot Date
sign the form, complete section below)
My parent is not able to sign because____________________________________________________________________________________
_________________________________________________________________________________________________ __________________
Student Initials Required
WAYS TO SUBMIT THIS FORM
(1) Upload this form directly into the Student Information System (SIS) by logging into MY VWCC. Once logged in, go to the Student Center
and select the ‘VWCC 19/20 Dependent # in Coll’ from the ‘To Do List’ list to attach and upload the form. (2) Upload the form at
www.virginiawestern.com
by clicking ‘Contact Us,’ and then clicking the 24/7 Student Support icon. Once you log in you can submit
documents. (3) Fax forms to 540-857-6208
♦
Phone: (855)874-6690 (Revised 04_2020)
VWCC Student ID - REQUIRED
