V1-Standard
Financial Aid Verification Worksheet for Independent Students 2014-15
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As per federal regulation, ATC must confirm the information you reported on your 2014-2015 Free Application for Federal
Student Aid (FAFSA). To verify that you provided correct information we 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 must complete and sign this worksheet, attach any required documents, and submit the form and other required documents
to ATC’s financial aid office. Please note that we may ask for additional information. If you have questions about verification,
contact our office as soon as possible so that your financial aid processing will not be delayed.
A. Student’s Information (please print)
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Student’s Last Name
First
M.I.
Student’s Social Security Number
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Student’s Phone Number (include area code)
Student’s ATC ID Number
_________________________
Student’s Date of Birth
B. Student’s Family Information
Independent
List below the people in your household. Include:
Yourself
Your spouse, if you are married.
Your children, if any, if you will provide more than half of their support from July 1, 2014, through June 30, 2015, or if the
child would be required to provide your information if they were completing a FAFSA for 2014–2015. Include children who meet
either of these standards, even if they do not live with you.
Other people if they now live with you and you provide more than half of their support and will continue to provide more than
half of their support through June 30, 2015.
Include the name of the college for any household member who will be enrolled at least half time in a degree, diploma, or
certificate program at a postsecondary educational institution any time between July 1, 2013, and June 30, 2014. If more
space is needed, attach a separate page with the student’s name and Social Security Number at
the top.
Full Name
Age
Relationship
College
Will be Enrolled at
Least Half Time
Marty Jones (example)
28
Wife
Central University
Yes
Self