HOUSEHOLD SIZE AND NUMBER IN COLLEGE HSIZE ... - …

HOUSEHOLD SIZE AND NUMBER IN COLLEGE 2020-2021 ACADEMIC YEAR

A. Student's Information

HSIZE

______________________________________________________________

Student's Last Name

Student's First Name

Student's M.I.

______________________________________________________________ Student's Home Address (include apt. no.)

______________________________________________________________

City

State

Zip Code

___________________________________ Royal ID Number

___________________________________ Student's Date of Birth

___________________________________ Student's Email Address

______________________________________________________________ Student's Home Phone Number (include area code)

___________________________________ Student's Cell Phone Number

B. Student's Family Information

List below the people in your parent(s)' household. Include: Yourself and your parent(s) Your parent(s)' other children if your parent(s) will provide more than half of their support from July 1, 2020, through

June 30, 2021, or if the other children would be required to provide parental information if they were completing a FAFSA for 2020?2021. Include children who meet either of these standards, even if they do not live with your parent(s). NOTE: Siblings enrolled in graduate/professional level programs may only be included if parents will provide more than half of their support. Educational costs and student aid and any assistantships must be considered in the calculation. Other people if they now live with your parent(s) and your parent(s) provide more than half of their support and will continue to provide more than half of their support through June 30, 2021.

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, 2020, and June 30, 2021. If more space is needed, attach a separate page with the student's name and Royal ID or Social Security Number at the top.

Full Name Charles Jones (example)

Age Relationship

18

Self

College *Do Not List Parent(s) College*

Central University

Will be Enrolled in Graduate School

No

Will be Enrolled at Least Half Time

Yes

Expected Graduation

Date

MM/YYYY

C. Certification and Signatures

Each person signing this worksheet certifies that all of the Information reported on it is complete and correct. The student and one parent must sign and date.

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

_________________________________________________ Student's Signature

_________________________________ Date

_________________________________________________ Parent's Signature

_________________________________ Date

Please Note: A student selected for federal verification may be required to provide additional information.

Submit this worksheet to The University of Scranton, Financial Aid Office, 800 Linden Street, Scranton, PA 18510. Fax: 570-941-4370

You should make a copy of this worksheet for your records. DO NOT EMAIL

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