Southwestern Michigan College
20202021 Household Size Verification Independent Student
Financial Aid Office, 58900 Cherry Grove Road, Dowagiac, MI 49047
Phone: 269.783.2143 Fax 269.783.2114 Email: finaid@swmich.edu
Your 20202021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before awarding
Federal Student Aid, we may ask you to confirm the information reported on your FAFSA. To verify that you provided correct information, we will compare your
FAFSA with the information on this worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected.
You must complete and sign this worksheet, attach any required documents, and submit the form and other required documents to the Financial Aid Office within 14
days. Financial aid will not be authorized to your account until the verification process is complete and your corrected file is back from the Federal Processor. You
may be asked for additional information. If you have questions about verification, call 269-783-2143 as soon as possible so that your financial aid will not be delayed.
Independent Student’s Information Student ID# N 
______________________________________________________________ ___________________________________
Last Name First Name M.I. Date of Birth
______________________________________________________________ ___________________________________
Street Address (include apt. no.) Home Phone Number (include area code)
______________________________________________________________ ___________________________________
City State Zip Code Cell Phone Number (include area code)
______________________________________________________________
Student’s Email Address
Independent Student’s Family Information
1. List the following people on the chart below:
Yourself
Your spouse (if married)
Your (or your spouses’) other children if you will provide more than half of their support from July 1, 2020, through June
30, 2021, or if the child would be required to provide your parental information if they were completing a FAFSA for
20202021. Include children who meet either of these standards, even if they do not live with you.
Other people ONLY if they now live with you and you provide more than half of their support and will continue to
provide more than half of their support through June 30, 2021. *Do not include foster children, children you pay child
support for, or others who live in your household but are not financially supported by you or your spouse.
2. Write the name of the college for any household member listed who will be enrolled in college at least half-time between
July 1, 2020, and June 30, 2021. Colleges listed must be eligible to participate in Federal Title IV financial aid programs. If
you need more space, attach a separate page.
Full Name
Age
Relationship to Student
College Attending
Student/Self
_________________________________________________ _________________________________
Student’s Signature Date
The person signing this worksheet certifies that all of the information reported on it is complete and correct. WARNING: If you purposely
give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. Please note that submission of this form
electronically should be encrypted to protect any personal or confidential information.
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signature
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