Verification Worksheet Dependent Student Template - 2015-2016
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42015–2016 VERIFICATION WORKSHEET
DEPENDENT STUDENT
Your 2015–2016 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 and your parents reported on your FAFSA. To verify that you provided
correct information the financial aid administrator at your school will compare your FAFSA with the information on this worksheet and with any other
required documents. If there are differences, your FAFSA information may need to be corrected. You and at least one parent must complete and sign
this worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at your school.
Your school may ask for additional information. If you have questions about verification, contact your financial aid administrator as soon as possible
so that your financial aid will not be delayed.
A. Dependent Student’s Information
NAME ____________________________________________________________________
Last
First
MI
Student ID Number
ADDRESS ____________________________________________________________________________________________________
Street Address
Apt. #
City
State
Zip Code
DATE OF BIRTH ___________________________________________ EMAIL ADDRESS _______________________________________
HOME PHONE NUMBER _____________________________________ ALTERNATE/CELL-PHONE NUMBER __________________________
(Including area code)
(Including area code)
B. Dependent Student’s Family Information
Number of Household Members: List below the people in the parents’ household. Include:
The student.
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The parents (including a stepparent) even if the student doesn’t live with the parents.
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The parents’ other children if the parents will provide more than half of the children’s support from July 1, 2015, through June 30, 2016, or if
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the other children would be required to provide parental information if they were completing a FAFSA for 2015-2016. Include children who meet
either of these standards even if the children do not live with the parents.
Other people if they now live with the parents and the parents provide more than half of the other people’s support and will continue to provide
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more than half of their support through June 30, 2016.
Number in College: Include below information about any household member, excluding the parents, who will be enrolled at least half time in
a degree, diploma, or certificate program at an eligible postsecondary educational institution any time between July 1, 2015, and June 30, 2016,
include the name of the college. If more space is needed, provide a separate page with the student’s name and “V” number at the top.
Full Name
Age
Relationship
College
Will be Enrolled at
Least Half Time
Example: Missy Jones
18
Sister
Central University
Yes
Office of Financial Aid
Grace E. Harris Hall Student Service Center
1015 Floyd Ave., 1st Floor
P.O. Box 843026
Richmond, VA 23284-2520
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(804) 828-6669
Fax (804) 827-0060
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VCU is an EEO/AA institution. ENR1314-121
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