MEANS-OF-SUPPORT STATEMENT
2019-20
**Please complete this form using only black or blue pen**
Name __________________________________________________ Student ID (700 #) ___________________
Email _____________________________________________ Phone____________________________________
Thisstatementofsupportisbeingrequestedforyourfinancialaidverificationbecauseyourhouseholdincomereportedonthe
FAFSAfallsbelowtheU.S.povertyguidelineamountsforthenumberofpeoplethatyoulistedinthehousehold.Thefederal
governmentwantsanexplanationastohowyourhouseholdsupporteditselfin2017beforetheCMUFinancialAidOfficeawards
youfinancialaid.
Onthelinesbelow,pleaseconciselyexplainhowthehouseholdsupporteditselfin2017beyondtheincomethatwasreportedon
theFAFSA.Didyouhaveuntaxedincomeorotherassistancein2017notreportedontheFAFSAoryourIRStaxinformationsuch
ascashreceivedfromthirdpartyindividuals,cashreceivedfromoddjobs,rentorhousingassistance,socialsecurityincome,
disabilityincome,childsupportreceived,alimony,worker’scompensation,militaryallowance,veteran’sbenefits,etc.Ordid
yougetsupportfromfamilymembers,friendsorotherthirdpartyindividuals?
Explanationofsupportin2017:(Youmaysubmitadditionalpagesifyouneedmorespace)
Ifanyofyoursupportfor2017describedabovehasaknowndollaramount,pleaseitemizeyoursupportandlistthedollar
amountbelowforALLof2017.Nomonthlyamountsplease.
Descriptionofsupport
Student
Parent(ifapplicable)
____________________________________________________$____________$____________
___________________________________________________$____________$____________
____________________________________________________$____________$____________
Student Signature ___________________________________________________________ Date________________________
Parent Signature ___________________________________________________________ Date________________________
(If the student is classified as a dependent student based on financial aid regulations, the parent signature is also required)