Sandburg Financial Aid 2400 Tom L. Wilson Blvd Galesburg, IL 61401 Phone: 309.341.5283 Fax: 309.344.2529 www.sandburg.edu 2015-2016 Independent Household Size Confirmation Name_________________________________________________________________________________________ Student ID# ________________________________ Last 4 SSN# xxx-xx___________________________________ We cannot continue to process your 2015-2016 financial aid application until you complete and return the following information. On the form below, list the people in your household you will support between July 1, 2015 and June 30, 2016. Include yourself and your spouse if you are married. Do not include your spouse if you are divorced, separated, or widowed. Include your children if they get more than half of their support from you. Support includes money, gifts, loans, housing, food, clothes, car, medical and dental care, payments of college costs, etc. Include other people only if they meet ALL of the following criteria: (a) They now live with you AND (b) They now get more than half of their support from you AND (c) They will continue to get this support between July 1, 2015 and June 30, 2016. Full Name Please Provide the Following Information Age Relationship to the Include the name of the college for all Student household members that will attend halftime or more in 2015-2016 ____Check here if there are more than six household members and continue the list on the back of this form. I certify the information provided above is true and complete. Signature ____________________________________________________ Date ________________________ P:\MSOffice\Winword\FAOFORMS\2015-2016\IndeptHHSizeVer15FMS.doc