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Financial Aid & Scholarships

STUDENT HOUSEHOLD SIZE AND NUMBER IN COLLEGE VERIFICATION

First Name*
Last Name*
SacState ID*
Award Year*

The Financial Aid & Scholarships Office is required to verify your household size and number in college. Complete this verification form to prevent further delays to your financial aid file.

Directions:

List yourself and your spouse (if married), and
Your children (or your spouse’s children), if you will provide more than half of their support from July 1, 2017 through June 30, 2018, even if the children do not live with you, and
List other people if they now live with you or you and your spouse (if married) 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.

List the names of all household members as described above. Also, write in the name of the college for anyone listed who will be attending college at least half time between July 1, 2017 through June 30, 2018 and enrolled in a degree, diploma, or certificate program.

Add New Item

Full Name*
Age*
If you select "Other" indicate how you support them in the comments section Relationship*
If attending College, list
name otherwise insert NA.
(if attending Sac State
then must add
Sac State ID)*
ex: 123456789
College Undergrad
or Graduate*

Undergrad
Graduate
NA

Will Enroll at
Least Half Time *

Yes
No
NA

Provide more than
50%of support*

Yes
No

Note: We may require additional documentation if we have reason to believe the information is inaccurate.

Certification Statement
I hereby certify that all information on this form is true, complete, and accurate.

Student Electronic Signature
Date: