What You Should Do:
1. Complete and sign this worksheet - you and at least one parent
must sign.
2. Submit the completed worksheet and any other documents to the
Office of Financial Aid.
3. After a financial aid representative reviews your information, you
could be asked to submit additional documentation.
SOUTHEASTERN LOUISIANA UNIVERSITY
2016-17 Verification of Family Members/College
Dependent
The Office of Financial Aid must compare information from your FAFSA
with information you provide on this worksheet and other documents. If
there are differences between your application information and the
documents you submit, your application may need to be reprocessed. The
Office of Financial Aid cannot make any federal financial aid payments
available to you or process a student loan request until all verification
requirements have been met.
Student Information
Student's Name
City
State
ZIP Code
University ID (or Social Security Number)
Date of birth
Phone Number (include area code)
Address
Dependent Student's Family Information
List below the people in your parent(s) household, Include:
• Yourself and your parent(s) (including stepparent) even if you don't live with your parent(s).
• Your parent(s) other children, if your parent(s) will provide more than half of their support from July 1, 2016, through June 30, 2017, or if the other
children would be required to provide parental information if they were completing a FAFSA for 2016-17. Include children who meet either of these
standards, even if they do not live with your parent(s).
• 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 through June 30, 2017.
For any household member, excluding the parent(s), who will be enrolled at least half-time in a degree, diploma, or certificate program at an eligible
postsecondary educational institution any time between July 1, 2016 and June 30, 2017, include the name of the college.
Phone: (985) 549-2244
Fax: (985) 549-5077
Office of Financial Aid
SLU 10768
Hammond, LA 70402
Full Name Age
Relationship
to Student
College
Enrolled at
Least Half-Time
SELF
Southeastern LA Univ.
Certification and Signatures
Each person signing this worksheet certifies that all of the information reported on it is complete and correct. The student and one parent must sign
and date. Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student's Signature Date
Parent's Signature Date
