Financial Aid Office, IWU-National & Global 1900 West 50
th
Street Marion, IN 46953-9393 indwes.edu
800.621.8667 option 4 765.677.2516 765.677.2030 Fax IWUfinaid@indwes.edu
If you feel you should be considered independent after answering “no” to all questions regarding your dependency status
in Step 3 on the FAFSA, you may request a review of your circumstances. Complete this form and submit it to the Financial
Aid Office along with all requested supporting documentation. Circumstances are reviewed per award year. The time frame
for which we will consider exceptions for the 2017-2018 award year is July 1, 2017 – June 30, 2018. We must have a
complete, valid FAFSA on file before we can review special circumstances and re-evaluate your student financial aid
package.
Important: Unaccompanied Homeless (or Self-Supporti
ng and at Risk of Being Homeless) Youth Determination
If you are 21 years of age or younger, please review the last three dependency status questions on the FAFSA
regarding an unaccompanied homeless (or self-supporting and at risk of being homeless) youth determination. If
appropriate, make a correction to one of them.
If you are: 1) 22-24 years of age, or 2) 21 years of age or younger and do not have and cannot get documentation
showing the determination, and 3) feel you meet the qualifications of an unaccompanied homeless (or self-
supporting and at risk of being homeless) youth determination, please complete the Unaccompanied Homeless
Youth Determination form.
Student Identification
_______________________________________ ____ ______________________________________________
First Name M.I. Last Name
__________________ OR __________________ _____________________________
Student ID Last 4 Digits of SSN Phone Number
Valid Circumstances: Indiana Wesleyan University considers the following as valid reasons for granting a dependency
override. Please check the box next to the reason and basis for this appeal.
You have fled an abusive (physical or emotional) family environment that threatened your health or safety and
have little or no contact with your parents
You were abandoned by your parents, do not know where they are or how to contact them, and were not adopted
after the abandonment
Your parents are incarcerated or mentally incapacita
ted
Please note that the following are NOT valid reasons for granting an override.
Your parents refuse to contribute to your education or are unwilling to provide information for FAFSA or verification
Your parents do not claim you as a dependent for income tax purposes
You demonstrate total self-sufficiency and/or are unwilling to seek financial assistance from your parents
Required Documentation: You must submit three (3) letters detailing your circumstances. These letters must provide
enough detailed information for our office to make an informed determination of your circumstance and must also include
contact information from the individuals writing the letters.
o A letter from you, the student, detailing your situation.
o A letter from a professional adult (pastor, guidance counselor, social worker, etc.).
o A letter from another adult (family member or friend) that knows and understands the situation.
We understand that your situation is personal. We hold your information in the highest confidentiality. Only authorized
financial aid personnel or others deemed necessary by law have access to your information.
Validation Statement: I certify the information provided is complete and true to the best of my knowledge. Furthermore, I
agree to contact the Financial Aid Office at the time there are changes to the situation on which the request for exception
has been founded. I understand that changes made to my student financial aid eligibility based upon the information
provided may affect only the student financial aid received at Indiana Wesleyan University for the 2017-2018 award year.
____________________________________________________
___________________ ______________________
Student Signature Date
IMPORTANT: Indiana Wesleyan University’s Financial Aid Office will honor special circumstances documentation submissions made no later than two
weeks prior to when the student ceases attendance for the applicable award year. We cannot guarantee a review of submissions made after this date,
and no consideration will be given to submissions made after the student ceases to attend.
Mail, email, or fax completed form and supporting documentation to:
APPEAL FOR DEPENDENCY
NATIONAL & GLOBAL
FINANCIAL AID OFFICE
(