List below the people in the student's 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, 2020 and June 30, 2021, and 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
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Full Name
Age
Relationship
College
Will be Enrolled at Least Half Time
Total number of people in the household.
Total number of people in the 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.
Student Signature
Student ID Number
Date
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