Independent Student Determination

CAYUGA COMMUNITY COLLEGE

Financial Aid Office · 197 Franklin Street, Auburn, NY 13021

Auburn 315-255-1743 ext. 2470 · Fulton 315-592-4143 ext. 3004 · FAX 315-252-2185

 

 

Independent Student Determination

 

 

 

Name_____________________________________________     Social Security #___________________

 

C-Number 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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