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

Student's ID: ___

E. Certifications and Signatures (Each person signing below certifies that all of the information reported is complete and correct. The student and one parent whose information was reported on the FAFSA must sign and date.

Student's Signature

Parent's Signature ----

WARNING: If you purposely give false or misleading information you may be fined, be sentenced to jail, or both. Do not mail this worksheet to the U.S. Department of Education. Submit this worksheet to the financial aid administrator at your school. Kentucky State University, Financial Aid office 400 East Main St. ASB Suite 349, Frankfort, KY 40601, Phone: (502) 597-5960 | Fax: (502) 597-5950 You should save a copy of this worksheet for your records.