SNAP Benefit Form 2016-2017

2016-2017 SNAP VERIFICATION PAGE
800 US HWY 29 N, Athens, GA 30601
fax(706)425-3086
A: Student Information
Last
First
MI
SSN
SID
B: Supplemental Nutrition Assistance Program (SNAP)
It was indicated on your FAFSA that a member of the student’s household, received benefits from the
Supplemental Nutrition Assistance Program or SNAP (formerly known as the Food Stamp Program) sometime
during 2015 or 2016. SNAP may be known by another name in some states. For assistance in determining
the name used in a state, please call 1-800-4FED-AID (1-800-433-3243).
Is this information correct?
Yes
No
Note: If we have reason to believe that the information regarding the receipt of SNAP benefits is inaccurate,
we may require documentation from the agency that issued the SNAP benefits in 2015 or 2016.
As set forth in its student catalog, Athens Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion,
disability, age, political affiliation or belief, genetic information, veteran status, or citizenship status (except in those special circumstances permitted or
mandated by law).