Student's name: ___ Student's ID: ___

Student's ID: ___

B. Members in Household (You must list all members in your household)

• For dependent students: List yourself, your parent(s) (including stepparent) even if you do not live with your parent(s). Your parent(s)’ children or others if your parent(s) will provide more than half of their support from July 1, 2026 through June 30, 2027 or if the other children would be required to provide parental information if they were to complete a FAFSA for 2026-2027.

Include the name of the college for any household member(s), who will be enrolled, at least half time in a degree, diploma, or certificate program at a postsecondary educational institution any time between July 1, 2026, and June 30, 2027. DO NOT INCLUDE PARENTS ENROLLED IN COLLEGE. If more space is needed, attach a separate page with the student's name and student ID at the top.

Full Name Age Relationship College Name Enrolled at least halftime?

self Kentucky State U.