2023-2024 HHSNIC

2023-2024 Household Size / Number in College

Federal Student Aid Programs - Southern California Institute of Technology
A. Student Information
Name

First NameMiddle NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
B. Family Information

Enter the names of all household members in the space(s) below. Also write in the name of the college for any household members, excluding the parent(s), who will be enrolled at least half time, in a degree, diploma, or certificate program between July 1, 2023, and June 30, 2024.

Rows	Full Name	Age	Relationship	College	Will Be Enrolled At Least Half Time?
Household Member 1
Household Member 2
Household Member 3
Household Member 4
Household Member 5
Household Member 6
Household Member 7
Household Member 8

C. Certification and Signature
Each person signing this form certifies that all the information reported on it is complete and correct. If Dependent, the student and one parent must sign and date.

WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

2023-2024 Household Size / Number in College

A. Student Information

B. Family Information

C. Certification and Signature