INDEPENDENT VERIFICATION FORM
Financial Aid Office/Enrollment Services
452 South Anderson Road, Rock Hill, South Carolina 29730
Phone (803) 327-8008 Fax (803) 981-7278
All sections must be completed.
Student Name ________________________________________ CID ____________________
A. Number of Household Members
List below the people in the student’s household. Include:
The student’s spouse, if the student is married.
The student’s or spouse’s children if the student or spouse will provide more than half of the children’s
support from July 1, 2018 - June 30, 2019, even if the children do not live with the student.
Other people if they now live with the student and the student or spouse provides more than half of
the other people’s support and will continue to provide more than half of their support through June
Full Name Age Relationship to Student
B. Number in College
Include below information about any household member who will be enrolled at least half time in a
degree, diploma, or certificate program at an eligible postsecondary educational institution any time
between July 1, 2018 and June 30, 2019. Include the name of the college. 6OEFSHSBEVBUFPOMZ
Name of Student Name of College
York Technical College