2019-2020 Dependent Household Size and Number in College
Verification
SECTION A: STUDENT INFORMATION
Student Name: MC ID#:
Your 2019-2020 Free Application for Federal Student Aid (FAFSA) has been selected for Verification. MC is required by federal law (34 CFR, Part
668) to compare the information from your FAFSA with the information provided on this form. You and at least one parent must complete this
form and return it and any other requested documents to the Montgomery College Office of Student Financial Aid (OSFA). Upon review, we may
ask for additional information and/or update information on your FAFSA.
PLEASE COMPLETE ALL SECTIONS OF THIS FORM BEFORE SUBMITTING IT WITH ALL OTHER REQUESTED DOCUMENTS TOGETHER.
SECTION B: Household Information
•
List yourself (the student) below, (even if you do not live with your parents).
•
List your parent(s) below.
• If your parents are married to each other, or are not married to each other but live together, list both below.
• If your parents are separated or divorced, list only the parent whose information you provided on the FAFSA.
• If this parent is now remarried, list your parent and your stepparent below.
•
List your parent(s)’ other children below, if your parent(s) will provide more than half of their support from July 1, 2019 through June 30,
2020, or if the other children would be required to provide parental information if they were completing a FAFSA for 2019-2020. Include children
who meet either of these standards, even if they do not live with your parent(s).
•
List other people only if they now live with your parent(s) AND get more than half of their support from your parent(s), AND will continue to
get this support from July 1, 2019 through June 30, 2020.
•
For those listed below who are or will be attending an eligible university or college AND enrolled at least half-time in a degree, diploma, or
certificate program between July 1, 2019 and June 30, 2020, provide the name of the college. If anyone listed below is attending MC, please
include that person’s MC ID#.
Other Dependent(s)’ Full Name(s)
(if enrolled more than ½ time)
If enrolled at MC, include MC ID#
Attach an additional page if you need to include additional household members.
SECTION C: CERTIFICAT
ION
We certify that all the information contained on this form is complete and correct. NOTE: If you purposely give false or misleading
information, you may be imprisoned and/or fined up to $25,000. We
understand that this form must be signed and submitted with
all other requested documents before the
student’s financial aid will be processed. Electronic signatures are not accepted.
Student Signature (must be signed in ink)
Date
Parent Signature (must be signed in ink)
Date
Montgomery College Office of Student Financial Aid
Germantown Rockville Takoma Park/Silver Spring
Phone: (240) 567-5100
FinancialAid@montgomerycollege.edu
M
Office use only Code: DHHNCE / FA HH COL DEP EVEN
Office of Student Financial Aid
Phone : (240)567-5100
Email: FinancialAid@montgomerycollege.edu
Example: Sammie Pulsar
17 Brother
