HOUSEHOLD VERIFICATION
2020-2021
USF Student’s Name:_____________________________________USF ID or SSN:_________________________
We have reviewed your application for financial assistance and must clarify some information provided. Below list
all people who will live in your or your parent(s)’ household and receive over 50 percent support during the
period July 1, 2020 through June 30, 2021.
Please state below the name, relationship to you (i.e., mother, father, brother) and age of the person. If the person
will be attending a college or university on at least half-time basis as a degree-seeking student, list the name of the
institution that person will be attending. Please feel free to contact Financial Aid Services if you have any questions
regarding this information.
Dependent students: Include your parents and those people supported by and living with your parent(s).
Independent students: Include those people supported by and living with you (and your spouse).
NAME OF FAMILY MEMBER
RELATIONSHIP TO YOU
AGE
LIST THE INSTITUTION’S NAME
BELOW FOR EACH FAMILY
MEMBER ENROLLED AT LEAST
HALF TIME AT A
COLLEGE/UNIVERSITY.
1.
2.
3.
4.
5.
6.
7.
8.
Use the backside of this form if you need to list additional family members
We certify that the above information is true and correct to the best of our knowledge.
___________________________________________________
Student’s Signature Date
___________________________________________________
Parent’s Signature Date
Please return the completed form to:
Financial Aid Services
500 Wilcox Street Joliet, IL 60435 | finaid@stfrancis.edu
(815) 740-3403 | Toll-free: (866) 890-8331 | Fax: (815) 740-3822
Household Verif
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