2019-2020 Household Data
Form (Dependent Student)
DEPHHD
Student ID
Legal Name
Each person signing this form certifies that all the information reported is complete and correct.
Th
e student an
d at least one parent must sign and date.
Student Signature Date
Parent Signature Date
Full Name Date of birth Relationship to you Name of College
1. Self
Eastern Michigan
University
2.
3.
4.
5.
6.
As part of the verification process, complete and submit this form.
1. Write the names of all the people in your parent(s)’ household, including:
a.
b.
c.
Yourself (the student).
Your parent(s). If your parents are divorced, indicate the parent you lived with the most during the last 12 months.
If y
ou did not live with one parent more than the other, list the parent who supplied more than half of your
support. Include your step-parent if your parent is remarried. If your legal parents (biological or adopted) are
unmarried but live together, list both parents. Grandparents, foster parents, legal guardians, aunt and uncles are
not considered parents unless they have adopted you.
Your parent(s)’ other children, if your parents will provide more than half of their support between July 1, 2019
and June 30, 2020, or if the children would be required to provide parental information when applying for
federal aid.
d. Other dependents, if they now live with your parent(s), your parent(s) provide more than half of their support
and will continue to provide more than half of their support between July 1, 2019 and June 30, 2020
.
2. Include the date of birth of each person and their relationship to you (the student).
3. Add the name of the college for any household member who will be enrolled in a degree, diploma, or certificate
program at least half-time between July 1, 2019 and June 30, 2020.
If more space is needed, provide a separate page with your name and EMU ID number at the top.
Service EMU Locations: 240 McKenny Hall & 268 Student Center
.
Fax: 734.487.4281
Email: financial_aid@emich.edu
.
Web: www.emich.edu/finaid
