Parent Information Sheet
2020-2021
Parent Information
1. Marital Status: Single, Married, Divorced, Widowed, Separated
Date of Status: _ _ - _ _ _ _
(Month - Year)
2. Legal Residence: _____ Legal Residence since: _ _ - _ _ _ _
(State) (Month - Year)
a. Were you a Legal Resident Before January 1, 2015? Yes, No
3. Father or Stepfather: _____________________________, ______________, _ _ /_ _ /_ _ _ _
(First Name, Middle Initial, Last Name) (Full Social Security #) (Date of Birth)
4. Mother or Stepmother: ___________________________, ______________, _ _ /_ _ /_ _ _ _
(First Name, Middle Initial, Last Name) (Full Social Security #) (Date of Birth)
5. E-mail Address: __________________________
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
The student and one parent whose information was
reported on the FAFSA must sign and date.
Print Student’s Name: __________________________ Student’s ID# __________________
Student’s Signature: __________________________ Date: ________________
Print Parent’s Name: __________________________
Parent’s Signature: __________________________ Date: ________________
(ZĞǀŝƐĞĚϬϮͲϮϳͲϮϬϮϬ)
WARNING: If you purposely give false or
misleading information, you may be fined,
sent to prison, or both.
click to sign
signature
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click to sign
signature
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