DEPSTA
Dependency Status Appeal
2018-2019
Office of Financial Aid 100 East 8
th
Street PO Box 9000 ▪ Holland, MI 49422-9000
P: 616-395-7765 ▪ F: 616-395-7160 ▪ finaid@hope.edu ▪ hope.edu/financialaid
Student Name:
Hope College ID Number:
Extraordinary Circumstances Appeal
Extraordinary circumstances may allow a student to file a FAFSA without parental information.
If your situation is described in one of the following circumstances, you may request the
Financial Aid Appeals Committee to review your status. Only well documented appeals
with serious situations will be considered.
Check the box below that applies, attach documentation as required, and submit to the Office of
Financial Aid.
Your parent has been institutionalized or is in a correctional facility. Submit documentation
from a court, social service agency, or other objective source with this form.
You have been separated from your parents and are living with a relative or someone who is
supporting you but you do not have a legal guardian and have not been in foster care. Provide
three sources of objective third party documentation from different social service agencies,
school personnel, counselors, ministers, or medical professionals who can attest to your
circumstances.
Other: Attach a letter to explain your extraordinary situation and provide three sources of
objective third party documentation such as social service agencies, school personnel,
counselors, ministers, or medical professionals who can attest to your circumstances.
Student
Signature:
___________________________
Date
Signed:
____________