Independent Student - Tracking Group V1
ϮϬϭϰʹϮϬϭϱ sĞƌŝĨŝĐĂƚŝŽŶ tŽƌŬƐŚĞĞƚ
Your 201ϰ–201ϱ Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. &ĞĚĞƌĂů ƉŽůŝĐLJ 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, ^ƚƌĂLJĞƌΖƐ ^ƚƵĚĞŶƚ &ŝŶĂŶĐŝĂů ^ĞƌǀŝĐĞƐ ;^&^Ϳ ƚĞĂŵ 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 your ĐĂŵƉƵƐ ƵƐŝŶĞƐƐ KĨĨŝĐĞ͘ zŽƵƌ
ĐĂŵƉƵƐ may ask for additional information. If you have questions about verification, contact your ĐĂŵƉƵƐ ƵƐŝŶĞƐƐ KĨĨŝĐĞ as soon ĂƐ ƉŽƐƐŝďůĞ ƐŽ that your financial aid will not be delayed.

A. Independent Student’s Information

Student’s Last Name

Student’s First Name

Student’s M.I.

Student’s Street Address (include apt. no.)
City

Student’s SŽĐŝĂů ^ĞĐƵƌŝƚLJ EƵŵďĞƌ
Student’s Date of Birth

State

Zip Code

Student’s Home Phone Number (include area code)

Student’s Email Address
Student’s Alternate or Cell Phone Number

B. Independent Student’s Family Information
List below the people in ƚŚĞ household. Include: x x x x

dŚĞ ƐƚƵĚĞŶƚ. dŚĞ ƐƚƵĚĞŶƚΖƐ spouse, if ƚŚĞ ƐƚƵĚĞŶƚ ŝƐ married. dŚĞ ƐƚƵĚĞŶƚΖƐ Žƌ ƐƉŽƵƐĞΖƐ children, if ƚŚĞ ƐƚƵĚĞŶƚ Žƌ ƐƉŽƵƐĞ ǁill provide more than half of their support from July 1, 201ϰ, ƚŚƌŽƵŐŚ
:ƵŶĞ ϯϬ͕ ϮϬϭϱ͕ ĞǀĞŶ ŝĨ ƚŚĞ ĐŚŝůĚƌĞŶ ĚŽ ŶŽƚ ůŝǀĞ ǁŝƚŚ LJŽƵ͘
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 ĨƌŽŵ :ƵůLJ ϭ͕ ϮϬϭϰ͕ through June 30, 201ϱ.

Include the name of the college for any household member who will