Dependent Verification Worksheet: Standard
2021-2022
Please submit this document to your respective Financial Aid Office.
STEP 1 – STUDENT INFORMATION
Last Name
First Name
Social Security Number
Student ID Number
Permanent Address
Street & Number
City/State/Zip
Date of Birth
Local Phone Number (Include Area Code) Permanent Phone Number (Include Area Code) Email Address
STEP 2 – FAMILY INFORMATION
If you are a dependent student, include:
❖Yourself
❖Your parent(s) (including a stepparent) even if you do not live with your parent(s).
For the purpose of completing your FAFSA and verification, parent(s) reported in your household include:
oIf your legal parents (your biological and/or adoptive parents, or parents as determined by the state [e.g., a parent listed on your
birth certificate]) are married to each other, include both of them.
oIf your legal parents are not married to each other and live together, include both of them. This includes divorced or separated
parents who live together.
oIf your parents are divorced or se parated and don’t live together, inc lude the parent with whom you lived more during the pas t 12
months. If you lived the same amount of time with each divorced or separated parent, include the parent who provided more
financial support during the past 12 months or during the most recent 12 months that you actually received support from a parent.
oIf your legal parent is widowed or was never married, include that parent.
❖Your parents’ other children if your parent(s) will provide more than half of their support from July 1, 2021, through June 30,
2022, or if the other children would be required to provide parental information if they were completing a FAFSA for 2021–
2022. Include children who meet either of these standards even if a child does not live with your parent(s).
❖Other people if they now live with your parent(s) and the parent(s) provide more than half of the other persons support, and
will continue to provide more than half of that persons support through June 30, 2022.
For any household member (not including parents) 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, 2021, and June 30, 2022,
include the name of the college.
If more space is needed, please attach a separate page with your, the student’s, name and ID number at the top.
Full Name
Age
Relationship
Name of College/Degree Program
(if at least half-time 2021-2022)
Self
Columbia University in the City of New York
Standard
