Independent Student
Clarification of Household Size
List below ALL of the people in the student’s household. Include:
The student.
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 their support
from July 1, 2020, through June 30, 2021, even if a child does not live with the student.
Other people if they now live with the student and the student or spouse provides more than half of their
financial support and will continue to provide more than half of their financial support through June 30,
2021.
If more space is needed, provide a separate page with the student’s name and ID number at the top.
Full Name
Age
Relationship
Name of College
(if applicable)
Will be
enrolled at
Least Half
Time?
(Yes or No)
Self
Note: We may require additional documentation if we have reason to believe that the information
regarding the household members enrolled in eligible postsecondary educational institutions is inaccurate.
______________________________________ ________________________
Student Name Student I.D. Number
______________________________________ ________________________
Student’s Signature Date
click to sign
signature
click to edit
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