Fillable Verification of Economic Sufficiency (Frank Phillips College)

Fill Online, Printable, Fillable, Blank Verification of Economic Sufficiency (Frank Phillips College) Form

Use Fill to complete blank online FRANK PHILLIPS COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Verification of Economic Sufficiency (Frank Phillips College)

On average this form takes 13 minutes to complete

The Verification of Economic Sufficiency (Frank Phillips College) form is 2 pages long and contains:

  • 2 signatures
  • 0 check-boxes
  • 45 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Frank Phillips College

BROWSE FRANK PHILLIPS COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Verification of Economic Sufficiency
Frank Phillips College
Financial Aid Office
Student Name: _____________________________ Social Security Number: ____________________
Information requested is for school year 2020-2021 and is regarding:
__________ Student and/or __________ Parent
All persons that are checked above must complete the sections below and sign the back of this form.
Section A
According to your Students Aid Report (SAR): your family of _____ lived off of
$__________ income for the year of 2018.
Please explain how you were able to do this: (Medicaid, HUD, TANF, SNAP, family etc.)
Section B
In the grid below: please list totals received for the year of 2018.
Student/Spouse
Parents
Child support received for all children. (No foster/adoption payments.)
Welfare benefits, including TANF. Do not include Food Stamps.
Social Security Payments that were not taxed.
Cash or money paid on your behalf, not reported elsewhere on this form.
Housing, food and other living allowances paid to members of the military.
Veteran’s non-education benefits, such as Death Pension or DIC.
TOTAL
Section C
Please answer the following questions regarding YOUR income for the school year of
2020-2021:
Do you receive and will continue to receive (to the best of your knowledge) any of the
following:
HUD [ ] YES [ ] NO
Housing Assistance [ ] YES [ ] NO
Medicaid [ ] YES [ ] NO
WIC [ ] YES [ ] NO
TANF [ ] YES [ ] NO If yes, monthly amount=$_________
Food Stamps [ ] YES [ ] NO If yes, monthly amount=$_________
Child Support [ ] YES [ ] NO If yes, monthly amount=$_________
Are you currently employed? [ ] YES [ ] NO If yes, monthly amount=$_________
Will you continue your employment while attending school:
[ ] YES [ ] NO
Certification: I certify that all of the information provided on this form is true to
the best of my knowledge.
_____________________________ _____________________________
Student Signature Date Parent Signature Date
Frank Phillips College is an equal opportunity education institution and employer. Its students and
employees are selected and/or assigned without regard to age, race, color, creed, sex, national
origin, or disability, consistent with Titles VI and VII of the Civil Rights Act of 1964, and Title IX of the
Higher Education Act amended in 1972, and Section 504 of the Rehabilitation Act of 1973. The
complian
ce coordinator for Title IX is Dr. Shannon Carroll (scarroll@fpctx.edu; 806-457-4200, ext. 732)
and Section 504 is Becky Green (bgreen@fpctx.edu; 806-457-4200, ext. 777).
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Verification of Economic Sufficiency (Frank Phillips College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 27 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document