HVCC Financial Aid Office Phone 518-629-7150 Guenther Room 110
80 Vandenburgh Ave Fax 518-629-7479 Monday-Friday
Troy, NY 12180 financialaid@hvcc.edu 8AM-5PM
Mastrangelo Financial Aid Center
2019-2020 Parent Information
Your original Free Application for Federal Student Aid (FAFSA) did not have the appropriate
information regarding your legal parent(s). Provide all information for your parent(s), even if you do not
live with them currently. Please submit this completed form to the Financial Aid Office.
1)
What is the current marital status of the parent(s) in your household?
o Never Married / Single
o Widowed
o Unmarried and both biological/adoptive parents live together (include both parents in
question 3)
o Remarried (Note: if one biological/adoptive parent AND one step-parent live in the household then you must
i
nclude your stepparent in question 3)
o Married (include both parents in question 3)
o Separated (Ex: the parent in household is separated from spouse, living separately from former spouse and
NOT remarried to someone else)
o Divorced (Ex: the parent in household is divorced and NOT remarried to someone else)
2) Please list the date of the marital status provided in question 1.
MM/YYYY ______/_________
3) Provide the following information for the parent(s) based on question 1.
Mother/Stepparent (circle appropriate title)
First Name________________________________________
Last Name________________________________________
Date of Birth______________________________________
Social Security Number______________________________
Father/Stepparent
(circle appropriate title)
First Name________________________________________
Last Name________________________________________
Date of Birth______________________________________
Social Security Number______________________________
4) Please provide your parent(s) state of legal residence & date (MM/YYYY) they became a
resident.
State:____________________ Date:______/________ or Lifetime
Month Year
I certify that the above information is correct. I further understand that the information above
will be use to correct the student’s 2019-2020 FAFSA.
Parent Signature
Date
Student Name
H00