2023-2024 V1 Verification Worksheet - Dependent Student Portion

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Your 2023-2024 Free Application for Federal Student Aid (FAFSA) was selected by the Department of Education for verification to ensure you provided correct information on your FAFSA. The Financial Aid Office will compare your FAFSA with the information on this worksheet along with any other required documents and make any necessary corrections. If you have any questions about verification, contact the Financial Aid Office as soon as possible so that your financial aid will not be delayed.

Student Information

First Name

Last Name

Cellphone

Home Phone

Preferred Email

Date of Birth

Mailing Address

City

State

Zip Code

Family Information

Number of Household Members: List below the people in your parents' household Include:

Yourself even if you do not live with your parents.
Biological, adoptive, or step-parent. Include both parents if they are living together, even if they are not married.
Your parents' other children if your parents will provide more than half of the children's support from July 1, 2023, through June 30, 2024, even if the children do not live with your parents.
Other people if they live with your parents, your parents provide more than half of their support, and your parents will continue to provide more than half of their support through June 30, 2024.

Self

Will you be enrolled at least half time?

YesNo

Do your parents have other children?

YesNo

Is there more than one parent in your parents' household including adoptive or step-parents.

YesNo

Do your parents have other people whom they provide more than 50% of their support, even if they do not live with them?

YesNo

Parent

Parent Name

Parent Age

Parent Relationship to you

Your parent will need to complete their own section of this form. What email address should we send it to? Note: This cannot be same email address as you entered above.

For Internal Use

Parent Two

Parent Two Full Name

Parent Two Age

Parent Two Relationship to You

For Internal Use

Child

Child Full Name

Child Age

Child Relationship to You

Is this child enrolled in college?

YesNo

Will this child be enrolled at least half time?

YesNo

Child College Name

For Internal Use

Other Person(s) Your Parent(s) Support

Other Full Name

Other Age

Other Relationship to You

Other Enrolled in college?

YesNo

Other College Name

Will this other person be enrolled at least half time?

YesNo

For Internal Use


Self
Parent(s)
Children
Other Household Members
Total Household Size

Income Tax Information

IMPORTANT REMINDER: ALL OF YOUR INCOME TAX INFORMATION IS BASED ON YOUR 2021 INCOME.

	Yes	No
Did you file taxes?
Did you use the IRS Data Retrieval Tool to transfer your income and tax information into the FAFSA?
Did you have earned income from work?

Upload a SIGNED copy of your 2021 IRS Federal tax form 1040 plus schedules 1, 2, and 3 (if applicable), or an IRS Tax Return Transcript. You may request a transcript here.
Please upload to Net Partner.

Upload complete

Student - Employment Information

Employer's Name

Amount Earned

Upload Your W-2s

WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.

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Contact Information