CAYUGA
COMMUNITY COLLEGE
Financial Aid Office ·
Independent Student
Determination
Name_____________________________________________ Social Security #___________________
Cayuga ID Number
C________________________________
In order to qualify as an Independent student for
federal financial aid purposes you must meet certain specific criteria. Please
answer the following questions and provide the requested documentation in order
for us to determine your status.
______ 1. At
any time since you turned age 13, were both your parents deceased, were you in
foster care or
were you a dependent or ward of the court?
_____ Yes _____ No
Answer “Yes” if you had no
living parent (biological or adoptive) at any time since you turned age
13, even if you are now
adopted. Answer “Yes” if you were in foster care at any time since you
turned age 13, even if you
are no longer in foster care as of today. Answer “Yes” if you were a
dependent or ward of the
court at any time since you turned age 13, even if you are no longer a
dependent or ward of the
court as of today. Note that the financial aid administrator at your school
may require you to provide
proof that you were in foster care or a dependent or ward of the court.
Use these
instructions to answer the following questions:
Answer “Yes” if you can
provide a copy of a court’s decision that as of today you are an emancipated
minor or are in legal
guardianship. Also answer “Yes” if you
can provide a copy of a court’s
decision that you were an
emancipated minor or were in legal guardianship immediately before you
reached the age of being an
adult in your state. The court must be located in your state of legal
residence at the time the
court’s decision was issued.
______ 2. Are
you or were you an emancipated minor as determined by a court in your state of
legal
residence? _____Yes _____
No
______ 3. Are
you or were you in legal guardianship as determined by a court in your state of
legal
residence? _____
Yes _____ No
Use these
instructions to answer the following questions:
Answer “Yes” if you
received a determination at any time on or after July 1, 2011, that you were an
unaccompanied youth who was
homeless or at risk of being homeless. “Homeless”
means lacking
fixed, regular and adequate
housing, which includes living in shelters, motels or cars, or temporarily
living with other people because you had
nowhere else to go. “Unaccompanied”
means you are not
living in the physical
custody of your parent or guardian. “Youth”
means you are 21 years of age or
younger or you are still
enrolled in high school as of the day you sign this application.
______ 4. At
any time on or after July 1, 2011, did your high school or school district
homeless liaison
determine that you were an unaccompanied
youth who was homeless?
_____
Yes _____ No
______ 5. At
any time on or after July 1, 2011, did the director of an emergency shelter or
transitional
housing program funded by the U.S.
Department of Housing and Urban Development determine
that you were an unaccompanied youth who
was homeless?
_____
Yes _____ No
______ 6. At
any time on or after July 1, 2011, did the director of a runaway or homeless
youth basic center
or transitional living program determine
that you were an unaccompanied youth who was
homeless or were self-supporting and at
risk of being homeless?
_____ Yes _____ No
·
If you answered
“YES” to ANY of the previous questions, you do not have to provide parental
information. However, you may be required to provide documentation
of your circumstances.
·
If you answered
“NO” to ALL of the previous questions, then you must provide parental
information.
·
If you answered
“NO” to ALL of the previous questions but have extenuating circumstances please
talk to a Financial Aid counselor regarding the possibility of an Appeal for Financial Aid as an Independent
Student.
Signature____________________________________________________ Date_______________
Please return this form along with the requested
documentation to the Financial Aid Office at Cayuga Community College
Processing of
your application for Financial Aid cannot continue until we receive the
requested information.
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