Financial Aid Office
riﬁcation of Household
Size and Earned Degrees
Complete this form, sign, date and drop off at Financial Aid ofﬁce, SSC L177, mail to Manchester Community College, Financial Aid Ofﬁce, Great Path, MS #11, P.O. Box
1046, Manchester, CT 06045-1046, or fax to 860-512-3381. For more information, contact the Financial Aid ofﬁce at 860-512-3380.
First Name MI Last Name Banner ID Number
Number of Family Members Including Yourself Number of Family Members in College Including Yourself
Do you have a Bachelor’s Degree?
(Please select one)
I hereby verify that the above information is correct.
Student Signature Date
Date Received _______/_______/__________ Reviewed By ______________________________