Fillable 2020-2021 Independent Student Statement of Support (Washington State Community College)

Fill Online, Printable, Fillable, Blank 2020-2021 Independent Student Statement of Support (Washington State Community College) Form

Use Fill to complete blank online WASHINGTON STATE COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

2020-2021 Independent Student Statement of Support (Washington State Community College)

On average this form takes 13 minutes to complete

The 2020-2021 Independent Student Statement of Support (Washington State Community College) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 50 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Washington State Community College

BROWSE WASHINGTON STATE COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Office of Financial Aid
710 Colegate Drive, Marietta, OH 45750
Phone: 740.568.1908 Fax: 740.376.0257
E-mail: finaid@wscc.edu
2020-2021 Independent Student Statement of Support
Student Name: _____________________________________ WSCC ID: _______________ DOB: _____/_____/________
Based upon information you provided on your Free Application for Federal Student Aid, we need more information on
how you meet your living expenses (and if applicable, provided more than 50% support for your child/dependent).
Are you receiving public assistance or money from somewhere else to help pay your living expenses?
Please explain in detail how you meet your financial obligations such as rent/mortgage, food, utilities, medical
costs, child care, transportation, miscellaneous expenses, etc.
1.) Please describe your living expenses in 2018 and how those expenses were met.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
2.) Who provides your medical insurance? If applicable, who provides your child/dependent’s medical insurance?
_______________________________________________________________________________________________
3.) Do you have any income? If so, how much do you receive per month? (Please include Job and Family Services
Benefits (TANF), Social Security, unemployment, child support, disability, etc.)
Source of Income
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Amount per month
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
Please Continue on the Back →
4.) What monthly expenses do you have and how much are you paying towards these expenses? Please itemize your
living expenses, how much you pay towards your living expenses each month, and the amount and source of other
assistance you receive to help with each type of living expense.
Type of Expense Amount per month Amount student pays Amount & Source of other assistance
Rent/Mortgage _________________ ________________ ______________________________
Food _________________ _________________ ______________________________
Utilities (gas,
electric, water,etc.) _________________ _________________ ______________________________
Transportation
and Insurance _________________ _________________ _______________________________
Medical expenses
and Insurance _________________ __________________ _______________________________
Clothing _________________ __________________ _______________________________
Cell Phone _________________ __________________ _______________________________
Childcare _________________ __________________ _______________________________
Other _________________ __________________ _______________________________
Other _________________ __________________ _______________________________
5.) SIGNATURE STATEMENT - By signing this verification form, I certify that all of the information reported is complete,
true and correct.
Student’s Signature: ________________________________________________Date: __________________
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

2020-2021 Independent Student Statement of Support (Washington State Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 26 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document