INSTRUCTIONS: Signed Statement


Download PDF 

DEPENDENT STUDENT HOUSEHOLD

A signed statement (signed by student and parent) indicating the names of members in your Parent’s household, including those who will be attending college at least half time. Members in the household should include the following: Yourself and your parent(s) whose information is reported on the student’s 2017–2018 FAFSA (including stepparent) even if you don’t live with your parents; and your parent(s’) other children, even if they don’t live with your parent(s), if (a) your parents will provide more than half of their support from July 1, 2017 through June 30, 2018, or (b) the children would be required to provide parental information when applying for Federal Student Aid; and 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, 2017 through June 30, 2018. Be sure to include the name of the college for any household member, excluding your parent(s), 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, 2017 through June 30, 2018. Parent(s)’ college enrollment status cannot be considered on a Dependent student’s application. For parent(s) in college, please write “N/A” for Not Applicable.

INDEPENDENT STUDENT HOUSEHOLD

A signed statement or email from your Pirate email account indicating the names of household members, including those who will be attending college at least half time. Members in the household should include the following: Yourself and your spouse, if married; and your children, if you will provide more than half of their support from July 1, 2017 through June 30, 2018, even if they do not live with you; and 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 from July 1, 2017 through June 30, 2018. Be sure to include the name of the college for any household member(s) enrolled at least half time in a degree, diploma, or certificate program at a postsecondary educational institution any time between July 1, 2017 through June 30, 2018. CHILD SUPPORT PAID Official records of electronic payments of child support paid in 2016, signed by student. Should that not be attainable, a signed statement indicating the name of the person who paid the child support, the name of the person to whom the child support was paid, the names and ages of the children for whom the child support was paid, and the total annual amount of child support that was paid for each child in 2016. Please do NOT include child support paid for children included as members of the household. *If a Dependent student, signed statement/documentation must be signed by student, a parent, and person who paid the child support. *If an Independent student, signed statement/documentation must be signed by student and person who paid child support.

CHILD SUPPORT RECEIVED

Official records of electronic payments of child support received in 2016, signed by student. Should that not be attainable, a signed statement indicating the total annual amount of child support actually received for all children in 2016. Do not include any amount that was court-ordered but not actually received. *If a Dependent student, signed statement/documentation must be signed by student and a parent.

SNAP BENEFITS

A signed statement indicating someone in the household did/or did not receive SNAP benefits in 2015 or 2016. *If a Dependent student, signed statement must be signed by student and a parent.