16CHOUSE 1/21/2016
Student Information
When you completed the FAFSA you either neglected to list a housing code or you listed that you
would be living on campus.
Hagerstown Community College (HCC) does not have dormitories/on campus housing.
Please indicate your housing status so we can make the necessary changes in our computer records
system.
I will be living with my parents while attending HCC.
I will not be living with my parents while attending HCC. I maintain my own household.
Other Please explain: _____________________________________
_______________________________________________________
The information listed on this form is true and complete to the best of my
knowledge.
Signature: __________________________________________________
Date: _________________________________________________
Last Name First Name MI
HCC ID Number
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
finaid@hagerstowncc.edu
FAX: 301-791-9165
Housing Status Form
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.