List below the people in the parents' household.

Include:

Number in College: Include in the space below information about any household member who is, or will be, enrolled at least half time in a degree, diploma, or certificate program at an eligible postsecondary educational institution any time between July 1, 2019 and June 30, 2020, include the name of the college.

If more space is needed, complete a second form and notify Financial Aid of second form at 919-209-2036.

Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
(Leave Blank if not attending any College)
Will be Enrolled at Least Half Time
Total number of people in the parents' household.
Total number of people in the parents' household attending college.

NOTE:

We may require additional documentation if we have reason to believe that the information regarding the household members enrolled in eligible postsecondary educational institutions is inaccurate

WARNING:

If you purposely give false or misleading information, you may be fined, sent to prison, or both.
Parent Email
Student Email
Student Signature
Student ID Number
Date
By checking this box, I ratify the use of my typed name and Student ID number as an electronic representation of my signature.
Parent Signature
Parent Signature Date
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