2013-2014 Household Size and Number in College

Federal Student Aid Programs

Cayuga Community College

Financial Aid Office * 197 Franklin Street, Auburn, NY 13021 * FAX 315-252-2185

Auburn Office – 315-255-1743 ext. 2470 * Fulton Office 315-592-4143 ext. 3004

You have been selected by the Federal Government for Verification of your family size and number in college. Please complete the following form. Once you have entered the necessary information online, you will need to print the form, provide all required signatures and return it to the CCC Financial Aid Office. Additional information may be requested.

Independent Students: List the people in your household; include (a) yourself, your spouse if married; (b) your children, if you provide more than half of their support from July 1, 2013 through June 30, 2014; and (c) any other people if they now live with you, and you provided more than half of their support and will continue to provide more than half of their support from July 1, 2013 through June 30, 2014. Also write in the name of the college for any family member who will be attending college at least half time between July 1, 2013 and June 30, 2014.

Dependent Students: List the people in your parent’s household; include (a) yourself, (b) your parent(s) you live with (include stepparent); (c) 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, 2013 through June 30, 2014, or (2) if they would be required to provide parental information when applying for Federal student aid; and (c) any other people if they now live with your parents, and your parents provided more than half of their support and will continue to provide more than half of their support from July 1, 2013 through June 30, 2014. Also write in the name of the college for any family member, excluding your parent(s), who will be attending college at least half-time between July 1, 2013 and June 30, 2014, and will be enrolled in a degree program. If you need more space, attach a separate page.

Full Name	Age	Relationship	College
Example: Martha Jones	24	Wife	City University
		Self

I certify that the above information is true and complete. I understand that failure to accurately report information may jeopardize my eligibility for Financial Aid. I also understand that the U.S. Secretary of Education has the authority to verify information reported on the FAFSA with the Internal Revenue Service and other federal agencies. I understand that giving false or misleading information may lead to fines up to $20,000, prison, or both.

Student Name____________________________________________________________________________________________

Cayuga ID#______________________________________________________________________

Student Signature_________________________________________________________ Date_____________________

Dependent Students

Parent Signature__________________________________________________________ Date_____________________

Return this form to the Financial Aid Office at Cayuga Community College