Fresno City College
Financial Aid Office
1101 E University Ave
Fresno, CA 93741
Phone: (559) 442-8245
FAX: (559) 499-6024
2020-2021
#16 Student Household Size
You
were selected for a review process called verification. Information on this form will be used to verify the accuracy of the
information reported on the FAFSA. Please complete the entire worksheet in blue or black ink. Incomplete worksheets will
not be accepted.
Studen
t Name: Student ID #:
Step
1: List all members in your household. This should include:
•
Y
ourself
•
Your
spouse (if legally married and not separated when you filed the FAFSA)
•
Your c
hildren, if you will provide more than half of their support between July 1, 2020, and June 30, 2021 or if your
children would be required to provide parent information if they were to file a 20-21 FAFSA. (Include your children
wh
o meet either of these standards, even if the child does not live with you.)
•
Other indi
viduals may be included in your household if
•
They
live with you now and you provide more than half of their support and
•
They
will continue to live with you and you will continue to provide more than half of their support between Jul
y
1, 2020, through June 30, 2021.
Step 2:
List college name for any member in your household who is, or will be, enrolled at least half-time in a degree,
diploma, or certificate program at an eligible postsecondary institution any time between July 1, 2020 and June 30, 2021.
Include the name of the college they will be attending. If your household member does not attend college leave this column
blank.
CER
TIFICATION STATEMENT
I
certify that the information reported is true and correct. False statements or misrepresentation will be cause for denial,
reduction, withdrawal, and/or repayment of financial aid. I understand that if I purposely give false or misleading information,
I could be fined, jailed, or both. Digital and/or typed signatures are not acceptable.
Student Signature Date
FF20CSHS
01/082021
Full Name
Age
Relationship
to Student
Name of College, if enrolled at
least half time
Sel
f
Fresno City College
Complete both Step 1 (number in household) and Step 2 (number in college).
