Financial Aid  

2015-2016 Verification Worksheet  (Dependent)

Federal Student Aid Programs  OMB NO 1845-0041

Your application was selected for “verification.”  In this process, we will be reviewing the information you submitted on the FAFSA.  The law indicates we have the right to ask you for information before awarding Federal aid.  If there are differences between your application information and your financial aid documents, the school may need to send in corrections electronically on your Student Aid Report (ISIR) to have your information reprocessed. Complete this verification form and submit it to your financial aid administrator as soon as possible, so that your financial aid will not be delayed. Be sure to include the requested documents with it.


We must review the requested information, under the financial aid program regulation (CFR Title 34, Part 668).

Student Information
Last Name: First Name: Middle Initial:
Social Security #: Date of Birth:
City: State: Zip:
Phone Number (include area code):
Student's Email Address: Student's Cell or Alternative Phone Number:
Family Information
List the people in your parent's household: include (a) yourself, your parent(s) you live with (include stepparent) even if you don't live with your parents; (b) your parents' other children, even if they don't live with your parent(s), if (1) your parents provide more than half of their support from July 1, 2015 through June 30, 2016, or (2) if they would be required to give parental information when applying for Federal student aid; and (c) other people if they now live with your parents, and your parents provide more than half of their support and will continue to provide more than half of their support from July 1, 2015 through June 30, 2016.
List the names of all household members. Also list the name of the college for any household member, excluding parents, who will be attending college at least half-time between July 1, 2015 and June 30, 2016, and will be enrolled in a degree, diploma, or certificate program.
Full Name: Age: Relationship: College:
Income Information
If you, your spouse, father (step), or mother (step) did not and are not required to file a 2014 Federal Income Tax Return, list employer(s) and any income received in 2014 (use the W-2 forms or other earning statements if available). Submit copies of W-2s to the Financial Aid Office at Aquinas.
Name of Employer: 2014 Amount: Employee:
If you/student, your spouse, or your parent(s) had no income from work at all in 2014, please enter your name(s) below indicating that you have not filed a 2014 tax form and you are not required to file a form and that you earned no income from work in 2014.
Full Name:
By completing this worksheet, I (we) certify that all the information reported on this worksheet is complete and correct. Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Please provide the best email address for us to contact you in case we have questions: