2020‐21 Family Member Form
Student ID #
Last Name
First Name
Telephone #
To complete Verification of your financial aid application, we need additional information for the family/ household
member indicated in the email you received:
Name of family/household member
Relationship to student
Age
Does this family/household member currently reside with you/your parent(s)?
If yes, will he/she continue to reside with you/your parent(s) through June 2021?
Do you/your parent(s) currently provide more than half of this person’s support?
(Support includes housing, food, money, car, medical, etc.)
Will you/your parent(s) continue to provide more than half of this
person’s support through June 2021?
Did you/your parent(s) claim the family/household member as an exemption for tax
purposes?
To ensure timely processing of your aid, we ask that you submit this completed form to the address below within 2
weeks. Your financial aid will not be processed until the Verification process has been completed. Be sure to check your
To Do List on Campus Connection for any other documents that are needed to complete Verification.
I certify the information on this form is true and complete to the best of my knowledge. I understand that purposely
giving false or misleading information may result in fines, penalties, and/or reduction or immediate repayment of aid.
I understand that the information provided on this form may affect my/my student’s financial aid eligibility/award.
Student Signature Date
Note: Unsigned documents will be returned. This form must be signed with a wet signature. Typed names or electronic signatures are not acceptable.
Parent Signature Date
Note: Unsigned documents will be returned. This form must be signed with a wet signature. Typed names or electronic signatures are not acceptable.
Office Use Only
Include
Exclude
Forms can be submitted in ONE of the following ways:
Mailing to: Minot State University, Financial Aid Office, 500 University Ave W, Minot, ND 58707
Drop Off on Campus: Minot State Financial Aid Office, 2nd floor, Administration Building
Submitting online via our secure filedrop by visiting: MinotStateU.edu/finaid/verification.shtml
Phone: 800-777-0750 or 701-858-3375 Fax: 701-858-4310 For additional questions, email: financialaid@minotstateu.edu