Financial Aid Office
1355 West Highway 10, Anoka, MN 55303
Phone: 763.576.7730 Fax: 763.576.7721
Your application was selected for review in a process called verification. In this process, Anoka Technical College (ATC)
compares information from your FAFSA application with the information requested below. The federal law says we have the
right to ask you for this information before awarding federal aid. If there are differences between your application information
and your verification documents, ATC may send corrections electronically to have your information reprocessed. You should
complete verification as promptly as possible to avoid a delay in the processing of your financial aid.
______________________________________________________ _______________________________________
Last Name First Name MI ATC Student ID
If any of the people listed below (excluding the parents) will be attending college at least half-time (6 credits or more) in a degree,
diploma, or certificate program between July 1, 2020 and June 30, 2021, please list the name of the college they are attending.
Each person signing this worksheet certifies that all the information
reported on it is complete and correct. If asked by a school official, you
agree to give proof of the information given on this form. For
dependent students, both student and parent must sign.
_________________________________________________ ___________________________________________
Student Date Parent
(required for dependent students) Date
2020-2021 Household Size / Number in College
Verification Worksheet
HS - NC
A. Student Information
B. Family Information
Family Information - List Full Name
Age Relationship
List all family members (including self) attending
college between 7/1/20 and 6/30/21 at least half-
time and indicate which college:
______________________________________
__________
____________________________
__________
____________________________
myself
C. Sign this Worksheet
WARNING: If you purposely give false or
misleading information on this worksheet, you
may be fined, sentenced to jail, or both.
Dependent (parent required on FAFSA):
List the people that your parent(s) will financially support
between
July 1, 2020 to June 30, 2021 – include:
• Your parent(s) (including stepparent)
• Your parent’s/parents’ other children if your parent(s)
provide more than half of their support, or if the other
children would be required to provide parental
information if they were completing a FAFSA for 2020-
2021, even if the children do not live with parents.
• Other people if they now live with and received more
than half of their support from your parent(s) and will
continue to receive more than half of their support
from July 1, 2020 to June 30, 2021.
Independent Student (parent not required on FAFSA):
List the people that you / spouse will financially support
between
July 1, 2020 to June 30, 2021 – include:
• Your dependent children if you provide more
than half of their support
• Other people if they now live with you and
received more than half of their support from
you/your spouse and will continue to receive
more than half their support from July 1, 2020 t
o
J
une 30, 2021.
A
dditional Family Members can be listed here:
