VERIFICATION OF FULL-TIME STUDENT STATUS AND FINANCIAL AID
School Contact Person Name and/or Title: __________________________________________________
School Name and Address: _______________________________________________________________
Student’s Name: _______________________________________________________________________
Student’s Address: _____________________________________________________________________
Student’s Signature: _________________________________ Date Signed: ________________________
The person named above is a member of a household that has applied for or is recertifying eligibility for housing assistance under a program of the U.S. Department of Housing and Urban Development (HUD). HUD requires us to verify all information used in determining the household’s eligibility for assistance.
The household member has informed us that he or she is a student at your school. Please provide us with the information requested or forward this form to a colleague who can provide the information. The household member has consented to the release of this information as shown by their signature above.
Information Requested
1. Full Time Status
Is the household member’s current subject load considered “full time” under your school’s
standards?
☐ Yes
☐ No
2. Financial Aid
Please state the annual amount of financial aid that the household member currently receives.
HUD defines financial aid broadly to include financial aid packages, educations entitlements,
grants, loans, and work study program income.
Amount: $_________________
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT:
Name of School Contact Person: __________________________________________________________
Signature of School Contact Person: _______________________________________________________
Date Signed: __________________________________________________________________________
ALTERNATIVE FORMATS OF THIS DOCUMENT ARE AVAILABLE UPON REQUEST.
575 Union Blvd Suite 100, Lakewood, Colorado 80228 ● Phone 303-987-7580 ● TTY 711 ● www.mwhs.org
