2019 – 2020 Household Size Worksheet

Student Name*

Student ID #*

Dependency Status. (Note: If you had to provide your parent information and signatures on your FAFSA, you are a dependent student and will need to provide information for yourself and your parent(s) on this worksheet.)*

Dependent StudentIndependent Student

Dependent Students

List the people in your parent’s household, including:

yourself and your parent(s) (including stepparent), even if you don’t live with your parents
- If you do not live with your parents, list the parent you lived with most recently.
your parents’ other children, even if they don’t live with your parent(s), if

Your parents will provide more than half of their support from July 1, 2019 to June 30, 2020 OR
The child(ren) would be required to provide parental information when applying for Federal Student Financial Aid.

your parent’s child that will be born before or during the school year, July 1, 2019 through June 30, 2020 and your parents will provide more than half of that child’s support.
other people that 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, 2019 to June 30, 2020.

Independent Students

List the people in your household including:

yourself and your spouse, if married.
your child(ren), if you will provide more than half of their support from July 1, 2019 through June 30, 2020.
your child that will be born before or during the school year, July 1, 2019 through June 30, 2020 and you will provide more than half of their support.
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, 2019 through June 30, 2020.

Details about yourself*

	Full Name	Age (As of 1/1/19)
Your Information

Enter your midmich.edu email address, then click "Verify Email"*

Alert! Please provide your midmich.edu email address so we can verify your identity.

Re-enter your midmich email and then click "Verify Email"

Parent Email

This is the parent email that will receive this form for parent signature verification.

List the names of all household members as defined above. Also include the name of the college for any household member, excluding your parent(s), who will be attending college at least half-time between July 1, 2019 and June 30, 2020, and will be enrolled in a degree, diploma, or certificate program.

Other household members as defined above

	Full Name	Age (As of 1/1/19)	Relationship to Student (ie Mother, Father, Brother)	College (If attending at least 1/2 time)
1
2
3
4
5

Certifications and Signatures:

By signing below, you certify that all of the information reported is complete and correct. WARNING: If you purposely give false or misleading information you may be fined, be sentenced to jail, or both.

Student Signature*

Parent Signature