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VERIFICATION FORM FOR SIBLINGS AND SPOUSES IN COLLEGE 2012-13 For the purpose of verifying financial aid eligibility we request that registrars at colleges attended by siblings and/or spouses of our student s complete and return this verification of enrollment form to the Financial Aid Office at Stanford University School of Medicine. If forms are not received by April 8 2013 we will assume that the sibling and/or spouse is not enrolled and the student s financial aid will be adjusted accordingly. VERIFICATION FORM FOR SIBLINGS AND SPOUSES IN COLLEGE 2012-13 For the purpose of verifying financial aid eligibility we request that registrars at colleges attended by siblings and/or spouses of our student s complete and return this verification of enrollment form to the Financial Aid Office at Stanford University School of Medicine. If forms are not received by April 8 2013 we will assume that the sibling and/or spouse is not enrolled and the student s financial aid will be adjusted accordingly. Section A Stanford Student Please Print Name SU ID Completed by Enrolled Sibling/Spouse Please Print Name Date of Birth // I authorize to release my enrollment information to Stanford University School of Medicine. Signature of Sibling/Spouse Completed by School Attended by Sibling/Spouse Student is/was enrolled at least half-time during the 2012-13 academic year from - - to - -. Expected Date of Graduation Degree Sought Name of School Affix School Seal School Officer s Signature Name and Title Date Return completed document to the address below Financial Aid Office 1265 Welch Road MSOB x387 Stanford CA 94305-5404 t 650. If forms are not received by April 8 2013 we will assume that the sibling and/or spouse is not enrolled and the student s financial aid will be adjusted accordingly. Section A Stanford Student Please Print Name SU ID Completed by Enrolled Sibling/Spouse Please Print Name Date of Birth // I authorize to release my enrollment information to Stanford University School of Medicine. Section A Stanford Student Please Print Name SU ID Completed by Enrolled Sibling/Spouse Please Print Name Date of Birth // I authorize to release my enrollment information to Stanford University School of Medicine. Signature of Sibling/Spouse Completed by School Attended by Sibling/Spouse Student is/was enrolled at least half-time during the 2012-13 academic year from - - to - -. Signature of Sibling/Spouse Completed by School Attended by Sibling/Spouse Student is/was enrolled at least half-time during the 2012-13 academic year from - - to - -. Expected Date of Graduation Degree Sought Name of School Affix School Seal School Officer s Signature Name and Title Date Return completed document to the address below Financial Aid Office 1265 Welch Road MSOB x387 Stanford CA 94305-5404 t 650. If forms are not received by April 8 2013 we will assume that the sibling and/or spouse is not enrolled and the student s financial aid will be adjusted accordingly. Section A Stanford Student Please Print Name SU ID Completed by Enrolled Sibling/Spouse Please Print Name Date of Birth // I authorize to release my enrollment information to Stanford University School of Medicine. Signature of Sibling/Spouse Completed by School Attended by Sibling/Spouse Student is/was enrolled at least half-time during the 2012-13 academic year from - - to - -.

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