Las Positas College
FAMILY SIZE VERIFICATION
WORKSHEET 2019-2020
Name of Financial Aid Applicant (Please Print)
Last
First
Middle
Date of Birth:
Student W# or Social Security Number:
List the people you (if you are Independent) or your parent(s) (if you are Dependent) will support between July
1, 2019 and June 30, 2020. If Independent, include yourself, your spouse and your dependent children if they
received more than half of their support, or they would be required to give parental information when applying
for federal student aid (under age 24). If Dependent, include yourself, your parent(s), and your parent(s) other
dependent children if they received more than half of their support, or if they would be required to give parental
information when applying for federal student aid. Include other people as part of your family only if they lived
with you or your parent(s) and got more than half their support from you or your parent(s) at the time you
completed your student aid application AND they will continue to get more than half their support from you or
your parent(s) from July 1, 2019 through June 30, 2020.
Write the names of all family members, their age, their relationship to you the student, and list the name of the
college for any family member who will be attending at least half-time for at least one semester between July
1, 2019 and June 30, 2020, and will be enrolled in a degree or certificate program.
Please note that we reserve the right to verify this information.
FULL NAME AGE RELATIONSHIP TO STUDENT NAME OF COLLEGE (IF HALF-TIME ATTENDANCE
OR MORE DURING 2018-2019.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Signatu
re of Applicant ________________________________________________ Date_________________________