L
AST NAME ___________________________________________
FIRST NAME _______________________________
LAST 4 DIGITS OF SOCIAL SECURITY NUMBER ________________ ANDREWS UNIVERSITY ID NUMBER ____________
STUDENT’S EMAIL ADDRESS _____________________________ TELEPHONE/MOBILE ________________________
A WORD FROM STUDENT FINANCIAL SERVICES: Your application was selected for review in a process called
“Verification.” In this process, we will be comparing information from your application with 2019 Federal Tax Return,
and/or with W2s or other financial documents. The U.S. Dept. of Education requires us to collect this information before
awarding federal aid. If there are differences between your application information and your financial documents,
corrections may need to be made to your FAFSA. Complete this form and submit it to the Office of Student Financial Services
as soon as possible to ensure prompt processing. Warning: If you purposely give false or misleading information on this
sheet, you may be fined, and/or be sentenced to jail by the federal government.
> For more information, visit www.andrews.edu/services/sfs/general_information/aid/verification.html
.
> We
re you required to provide parent information on the FAFSA?
NO. Then you are classified as Independent. Include the following people in the box below:
> yourself, your spouse if married, and
> your children, if you will provide more than half of their support from July 1, 2021 through June 30, 2022 and
> other people, 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 from July 1, 2021 through June 30, 2022.
YES. Then you are classified as Dependent. Include the following people in the box below:
> yourself and your custodial parent(s), and
> your custodial parent(s)’ other children, if (a) your parent(s) will provide more than half of their support from July 1, 2021
through June 30, 2022, or (b) the children would be required to provide parental information if completing a FAFSA for
2021-22, and
> other people if they now live with your parent(s), and your parent(s) provide more than half of their support and will
continue to provide more than half of their support from July 1, 2021 through June 30, 2022.
NOT SURE? To determine who is considered a custodial parent for purposes of this form, see below:
> If your parents are living together and/or married to each other, include them both in the household listing.
> If your parent is widowed or single, list this parent. If your widowed parent is remarried as of the day you completed the
FAFSA, also include the person whom your parent married, i.e. your stepparent.
> If your parents have divorced or separated, only include in the household listing the parent with whom you live the most.
If you did not live with one parent more than the other, only include the parent who provides more financial support to
you. If this parent has remarried as of the day you completed the FAFSA, also include the person whom your
parent married, i.e. your stepparent.
Full names of ALL
household members
Age
Relationship to
student
Will he/she be enrolled in a degree
program at a college/university at
least half-time in 2021-22?
If enrolled, what
type of program?
Name of
college/university
UG GRAD
Self
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
SECTION 1-HOUSEHOLD INFORMATION
2021-2022 V1-VERIFICATION SHEET (1/2)
