Fillable V5 Dependent 1819 030918 - V5 - Dependent 030918

Fill Online, Printable, Fillable, Blank V5 Dependent 1819 030918 - V5 - Dependent 030918 Form

Use Fill to complete blank online ALVIN COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

V5 Dependent 1819 030918 - V5 - Dependent 030918

On average this form takes 15 minutes to complete

The V5 Dependent 1819 030918 - V5 - Dependent 030918 form is 4 pages long and contains:

  • 0 signatures
  • 8 check-boxes
  • 58 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Alvin Community College

BROWSE ALVIN COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Alvin Community College
2018-2019 Verification of FAFSA Information
Group 5 - Dependent
Page 1 of 4
Updated 3/9/18
Your 2018-2019 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before
awarding Federal Student Aid, we may ask you to confirm the information you reported on your FAFSA. To verify that you provided correct information, we
will compare your FAFSA with the information on this institutional verification document and with any other required documents. If there are differences,
your FAFSA information
may need to be corrected. You and a parent or spouse (if applicable), whose information was reported on the FAFSA, must complete
and sign this verification document, attach any required documents, and submit the form and other required documents to us. We may ask for additional
information. If you have questions about verification, contact us as soon as possible so that your financial aid will not be delayed.
Additional documentation may be required to support the information provided on this form.
Student’s Information
____________________________________________ ________________________ ____________________________
Student’s Last Name First Name M.I. Student’s ACC ID Number Student’s Phone Number
___________________________________________________________________________________________________________
Student’s Street Address (include apt. no.) City/State/Zip Code
Parent Household Information
List below the people in the parents’ household. Include:
The student
The parents (including stepparents) even if the student doesn’t live with the parents.
The parents’ other children if the parents will provide more than half of their support from July 1, 2018, through June 30, 2019, or
if the other children would be required to provide parental information if they were completing a FAFSA for 2018–2019. Include
children who meet either of these standards even if the children do not live with the parents. Do not include children for which
you or your parents pay child support.
Other people, if they now live with the parents, and the parents provide more than half of their support and will continue to
provide more than half of their support through June 30, 2019.
For household members NOT attending college during the 2018-2019 year, please write “NA” in the college/university column. OR,
for household member who will be enrolled at least half time, excluding parents, 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. If
more space is needed, provide a separate page with the student’s name and ID number at the top.
Full Name Age Relationship
Will be enrolled
in college?
(Yes or No)
If yes, which college/university?
Missy Jones (example) 20 Sister Yes Alvin Community College
Self Yes Alvin Community College
Note: We may require additional documentation regarding the household members.
Student’s Name _______________________________ Student’s ACC ID Number ________________ V5 - D
Page 2 of 4
Updated 3/9/18
Student Income Information
Did you file a 2016 tax return?
YES -- Please check a box below.
The student filed a 2016 tax return and used the IRS Data Retrieval Tool to complete the FAFSA.
The student filed a 2016 tax return and did not use, or was unable to use, the IRS Data Retrieval Tool to complete the
FAFSA. Please submit a 2016 IRS Tax Transcript. All W2s, 1099s, worksheets, and schedules must be included. Please
see “How to Provide Tax Information for Financial Aid” (available on our website) for assistance.
NO -- Please check a box below.
The student was not employed and had no income earned from work in 2016.
The student worked or had other income in 2016, but did not and was not required to file a 2016 tax return. List below
the names of all employers, the amount earned from each employer in 2016, and submit a 2016 W2/1099 for each
employer. List every employer even if the employer did not issue an IRS W2 form. If more space is needed, provide a
separate page with the student’s name and ID number at the top.
Employer’s Name 2016 Amount Earned
Suzy’s Auto Body Shop (example) $2,000.00
Parent(s) Income Information
Did your parents/step-parents file a 2016 tax return?
YES -- Please check a box below.
The parent(s) filed a 2016 tax return and used the IRS Data Retrieval Tool to complete the FAFSA.
The parent(s) filed a 2016 tax return and did not use or was unable to use the IRS Data Retrieval Tool to complete the
FAFSA. Please submit a 2016 IRS Tax Transcript. All W2s, 1099s, worksheets, and schedules must be included. Please
see “How to Provide Tax Information for Financial Aid” available on our website for assistance.
NO -- Please check a box below. Please submit a 2016 Verification of Non-filing from the IRS. Please see “How to Provide Tax
Information for Financial Aid” (available on our website) for assistance.
The parent(s) were not employed and had no income earned from work in 2016.
The parent(s) worked or had other income in 2016, but did not and were not required to file a 2016 tax return. List
below the names of all employers, the amount earned from each employer in 2016, and submit a 2016 W2/1099 for
each employer. List every employer even if the employer did not issue an IRS W2 form. If more space is needed, provide a
separate page with the student’s name and ID number at the top.
Employer’s Name 2016 Amount Earned
Suzy’s Auto Body Shop (example) $2,000.00
Only
complete
this box if
your parents
did NOT
file taxes.
Only
complete
this box if
you did NOT
file taxes.
Student’s Name _______________________________ Student’s ACC ID Number ________________ V5 - D
Page 3 of 4
Updated 3/9/18
High School Completion Status
Provide one of the following documents that indicate the student’s high school completion status when the student will begin college
in 2018-2019:
A copy of the student’s final official high school transcript that shows the date when the diploma was awarded (PREFERRED –
to satisfy Financial Aid and ACC Admissions requirements).
A State certificate or transcript received by a student after the student passed a State-authorized examination that the State
recognizes as the equivalent of a high school diploma (GED test, HiSET, TASC, or other State-authorized examination).
For students who completed secondary education in a foreign country, a copy of the “secondary school leaving certificate” or
other similar document. It is recommended that students submit an official high school evaluation to expedite the verification
process.
An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full
credit toward a bachelor’s degree.
For a student who was homeschooled in a State where State law requires the student to obtain a secondary school completion
credential for homeschooling (other than a high school diploma or its recognized equivalent), a copy of that credential.
A copy of the student’s high school diploma (will not satisfy ACC some program requirements).
For a student who was homeschooled in a State where State law does not require the student to obtain a secondary school
completion credential for homeschooling (other than a high school diploma or its recognized equivalent), a transcript, or the
equivalent, signed by the student's parent or guardian, that lists the secondary school courses the student completed and includes a
statement that the student successfully completed a secondary school education in a homeschool setting.
A student who is unable to obtain the documentation listed above must contact the financial aid office.
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.
________________________________________ ________________________
Student’s Signature Date
________________________________________ ________________________
Parent’s Signature Date
WARNING: If you purposely give false or
misleading information you may be fined,
be sentenced to jail, or both.
Financial Aid Office
Fax: 281-756-3840
fa@alvincollege.edu
Student’s Name _______________________________ Student’s ACC ID Number ________________ V5 - D
Page 4 of 4
Updated 3/9/18
Thefollowingformmustbecompleted
INPERSONwithanauthorizedACCFinancialAidstaffmember.
PleaseemailtheACCFinancialAidOffice(fa@alvincollege.edu)toensurethatanauthorizedstaffmemberwillbe
availabletocompletetheformwithyou.Youmustwaitforanemailresponsebeforesubmittingyourformsand
documents.
Identity and Statement of Educational Purpose (To Be Signed at the Institution)
The student must appear in person at Alvin Community College to verify his or her identity by presenting an unexpired valid
government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. The
institution will maintain a copy of the student’s photo ID that is annotated by the institution with the date it was received and
reviewed, and the name of the official at the institution authorized to receive and review the student’s ID.
In addition, the student must sign, in the presence of the institutional official, the Statement of Educational Purpose provided below.
Statement of Educational Purpose
I certify that I _____________________________________ am the individual signing this Statement of
(Print Student’s Name)
Educational Purpose and that the Federal student financial assistance I may receive will only be used for educational
purposes and to pay the cost of attending Alvin Community College for 2018–2019.
_________________________________________ _______________
(Student’s Signature) (Date)
______________________
(Student’s ID Number)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

V5 Dependent 1819 030918 - V5 - Dependent 030918

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 15 November 2019

Message

View Audit Log
Print With Audit Log
Duplicate Document