Dependent Verification Worksheet (V1)

EDWARD WATERS UNIVERSITY
Dependent Verification Worksheet (V1)

Your Free Application for Federal Student Aid (FAFSA) was selected for verification. Federal regulations require schools to confirm and correct FAFSA information before awarding federal student aid. You and a parent must complete and sign this worksheet, attach any required documents and submit to the financial aid office before your financial aid can be processed.
Step 1: Student Information
Student’s Name:

First NameLast Name
EWU Student ID:
Student’s Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student’s Home Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Student’s Alternate or Cell Phone No:
Please enter a valid phone number.Format: (000) 000-0000.
Student’s Email Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If more space is needed, attach a separate page with the student’s name and social security number at the top.

Step 5: Certification and Signatures
By signing below, you and your parent certify that all the information reported on this form and any attached documents is accurate and true. You acknowledge it is your responsibility to monitor your financial aid for any updates and respond in a timely manner to additional requests for documentation or clarification.
Warning: If you purposefully give false or misleading information, you may be fined, sent 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:

EDWARD WATERS UNIVERSITY