Fillable 2019-2020 Senate Bill 1528 Student Checklist (Terrant County College)

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2019-2020 Senate Bill 1528 Student Checklist (Terrant County College)

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TCC SFAS Senate Bill Committee 2019-2020 Rev. 10/10/2018
2019-2020 Senate Bill 1528 Student Checklist
Visit the Registrar’s Office:
Apply for admission under the Senate Bill 1528
o Obtain residency questionnaire and Senate Bill 1528 Affidavit
Turn in Official High School Transcript to the Registrar’s office
Colleague ID, Web Advisor and TCC E-mail account will be provided
Complete and Return to the Financial Aid office:
2019-2020 TASFA application
2017 tax return (parent/student)
Copy of Notarized SB-1528 Affidavit
Statement of Student Eligibility
Proof of Selective Service Registration (Males 18-26 years) 1-888-655-1825 |www.sss.gov
Students authorized to work in the U.S. (e.g. DACA), will be considered for State Work-Study
DACA is Deferred Action of Childhood Arrivals, which authorizes you to be eligible for the Texas College Work-study
program. Your college will require proof of your authorization to work in the U.S. (e.g. copy of your SSN card)
Advising Center:
Plan your class schedule |Declare a major | Discuss Texas Success Initiative (TSI) Test scores
Business Services:
Payments |Payment options |Bank Mobile
Follow Up:
Be fully admitted to TCCD and have a valid degree audit on file
Know how to access WebAdvisor
and your TCC E-mail account
Notification of missing documents will be sent to your TCC E-mail Account
The financial aid award letter will be posted on Self-Service Financial Aid through WebAdvisor
Payment arrangements can be made through WebAdvisor, if registering prior to financial aid being available
Activate your Bank Mobile Disbursement Method o (Envelope will be automatically mailed to you after you
register for classes)
Apply for Scholarships http://foundation.tccd.edu/
Check your Satisfactory Academic Progress and ONLY register for classes listed on your degree audit
APPLY EARLY – FUNDS ARE LIMITED
AWARDING BEGINS FEBRUARY 2019
S
tudents benefiting under the Senate Bill 1528 or Deferred Action for Childhood Arrival (DACA) can be considered
for LIMITED funds from the State (TPEG and TEOG). Students may apply for scholarships through outside sources
and the TCC Foundation at http://foundation.tccd.ed
u
Tarrant County College is an Equal Opportunity institution that provides educational and employment opportunities on the basis of merit and without discrimination
because of race, color, religion, sex, age, national origin, veteran status or disability
Rev. May 2019
Student Financial Aid Services
Tarrant County College recently notified you that your Financial Aid Award Letter was available online at https://waj.tccd.edu/.
Included in this financial aid package was the following Texas Educational Opportunity Grant (TEOG). In order to determine your
eligibility for this grant included on your Award Letter, please complete and return the Statement of Student Eligibility to your campus
Student Financial Aid Services Office as soon as possible. Additional guidelines for the grants are listed below.
Texas Educational Opportunity Grant Program (TEOG) Eligibility Requirements are:
• Have a Statement of Student Eligibility form on file with the Student Financial Aid Services Office
• Have a Statement of Selective Service Status form on file with the Student Financial Aid Services Office if registration is not
verified by the FAFSA.
• Have earned less than 30 hours (1
st
year award)
• Enroll in at least six credit hours each semester
• TEOG awards will be prorated based on your enrollment level as of the census date of the 16 week term; 6-8 hours will
receive 50%; 9-11 hours will receive 75%; 12+ will receive 100% of the award
• Complete 67 percent of hours enrolled with a 2.0 GPA the first year you receive the grant
• Complete 75 percent of hours enrolled with a 2.5 GPA for renewal award in all subsequent years
• Not have completed an Associate Degree or higher
• Not have attempted more than 75 total semester hours (including accepted transferred hours)
•
A TEOG recipient may be eligible for a Texas grant award if transfer to a public university.
Statement of Student Eligibility
Have you ever been convicted of a felony or an offense under Chapter 481, Health and Safety Code (Texas Controlled
Substances Act), or under the law of another jurisdiction involving a controlled substance as defined by Chapter 481, Health and
Safety Code?
NO *YES
(* Must complete Secondary Review Section on back)
SIGNATURE - Application must contain wet (physical) signature(s) only.
I hereby certify that the information I have provided is true and correct. I understand that if I fail to provide accurate information, I
may be required to reimburse the institution and penalties may be imposed. I understand that it is my responsibility to inform
Tarrant County College if the status of my eligibility changes.
Student Signature Printed TCC ID # Date
Please note: We are unable to complete the review process until all requirements have been met and documentation received. Please allow 7 - 10 business days to
review. All documents are reviewed in the order in which they are received
Each campus location, hours, mailing address and fax number may be found online at www.tccd.edu/financialaid
Student Financial Aid Services -Phone (817)515-4AID, Email: fahelp@tccd.edu
Secondary Review Section
If your answer is yes, you must complete this section before submitting this form to the Student Financial Aid Office in order for us to
determine your eligibility to receive a TEXAS Grant or TEOG.
A student may be eligible for the Texas Grant or TEOG funds if they have indicated they have been convicted of a felony or an
offense under Chapter 481, Health and Safety Code (Texas Controlled Substances Act), or under the law of another jurisdiction
involving a controlled substance as defined by Chapter 481, Health and safety Code if they have received:
1. A certificate of discharge by the Texas Department of Criminal justice or a correctional facility OR completed a period of
probation ordered by a court AND at least two years have elapsed from the date of receipt or completion ; or
2. A pardon, had the record of the offense expunged from the person’s records, or otherwise been released from the resulting
ineligibility to receive a grant under this subchapter.
If you meet one or more of the above mentioned resolutions and you are able to provide supporting documentation follow the
instruction provided below.
Please check all that apply, provide required supporting documentation, sign and return completed form to the financial aid office.
At least two years has elapsed since I have completed a prison sentence or parole in Texas.
o Must provide Certificate of Discharge
o County where parole occurred: ___________________________
At least two years has elapsed since I have completed a prison sentence or parole outside of Texas
o Must provide Certificate of Discharge (TCC Chief or Assistant Chief of Police may be able to assist you)
o County & State where placed on parole occurred: __________________________
At least two years has elapsed since I have completed probation in Texas, or elsewhere
o Must provide documentation of probation
o County where placed on probation: ___________________________________
I have been pardoned, had my record expunged or have been “otherwise released from the resulting eligibility to receive state
grant.”
o Must provide documentation of item above
I, ___________________________________________, certify all the information provided is complete and accurate.
Print Student Name
_____________________________________________ ________________ ________________
Student Signature Student ID# Date
Tarrant County College is an Equal Opportunity institution that provides educational and employment opportunities on the basis of merit and without discrimination
because of race, color, religion, sex, age, national origin, veteran status or disability
SFAS T:State Programs/Selective Service Requirement and Review - TASFA Students
Original: May, 2019
.
.
Selective Service Requirement and Review (TASFA)
Male students (assigned the sex of male at birth) must complete this document.
The U.S. Department of Education and the State of Texas require males (any person assigned the sex of male
at birth) aged 18 – 25 to register with the Selective Service System (SSS) to be eligible for Federal or State
funding. Students who have questions about Selective Service registration may contact Selective Service at 1-
847-688-6888 or by visiting their website at www.sss.gov.
Required Statement of Selective Service Status
A male student cannot receive a grant, scholarship, loan or other financial assistance funded by state revenue,
unless a statement of the individual's selective service status is completed with the institution or other entity
granting or guaranteeing the financial assistance. This requirement also includes federal funds or gifts and
grants accepted by this state and any loans guaranteed by the state of Texas (See TEC, 51.9095)
Are you currently registered for Selective Service, as required by federal law?
☐ REGISTERED (Proof of Registration required) ☐ NOT REGISTERED ☐ EXEMPT (Documentation required)
*Check applicable exemption below.
________________________________________________________________________________________________________________
Student Signature Printed Name TCC ID # Date
Please note: We are unable to complete the review process until all requirements have been met and documentation received.
Please allow 7 - 10 business days to review. All documents are reviewed in the order in which they are received.
*Selective Service Registration Exemptions
(Check applicable exemption)
Documentation Required
☐
I was under 18 at the time I completed the
financial aid application.
• Documentation of birth date from a valid U.S.
driver’s license or state ID, birth certificate, or
passport.
☐
duty (does not apply to members of the Reserve &
• Valid Military ID
☐
Other: ___________________________________
• _______________________________________
Each campus location, hours, mailing address and fax number may be found online at www.tccd.edu/financialaid
Student Financial Aid Services -Phone (817)515-4AID, Email: fahelp@tccd.edu
The Texas Application for State Financial Aid (TASFA) is used to collect information to help determine eligibility for state (or institutional) financial aid
programs that are administered by institutions of higher education in the state of Texas. Students that are classified as a Texas Resident who cannot apply
for federal financial aid using the Free Application for Federal Student Aid (FAFSA) are encouraged to complete the TASFA. To review the FAFSA filing
requirements, visit www.fafsa.ed.gov or visit the financial aid office at the institution you plan to attend for the 2019-20 award year. Please note that
Texas residency can only be determined by the institution that you plan to attend. This application cannot be used to determine your state residency
status or final eligibility for state aid.
To complete this application, each item within the applicable sections must be answered. For clarification on specific items, please reference the TASFA
Notes. If you have further questions, contact the financial aid office at your institution.
The Texas state priority deadline for many institutions of higher education is January 15, 2019 for the 2019-20 award year. It is recommended that
applicants complete and submit this application and any other required documentation to the financial aid office prior to the state priority deadline date.
-
STEP ONE: STUDENT INFORMATION (See Notes for questions 5-6)
1. Last Name
2. First Name
3. M.I.
4. Date of Birth
5. Social Security Number
or DACA # or Not Applicable [ ]
6. College Student ID #
7. Permanent Mailing Address
8. City
9. State
10. Zip Code
11. Phone Number
12. Email Address
Alternate Email:
13. What will your high school completion status be when
you begin college in the 2019-2020 school year?
High school diploma
[ ]
Homeschooled
[ ]
(Skip to Question 16)
General Educational Development (GED) certificate
[ ]
None of the above
[ ]
(Skip to Question 16) (Skip to question 18)
14. High School Name
(If applicable)
15. High School City
(If applicable)
16. State
(If applicable)
17. Date of
Graduation
(HS or GED)
(If applicable)
18. Will you have your first bachelor’s degree before you begin the 2019-20 school year?
[ ]
Yes
[ ]
No
19. What will your college grade level be when you begin the 2019-20
school year?
20. What degree or certificate will you be working on when you begin
the 2019-20 school year?
Never attended college ……………………………………………………………………………………….
(No college credits)
1st year undergraduate ……………………………………………………………………………
….
(Up to 30 college credits towards degree)
2nd year undergraduate/sophomore ………………………………………………………
….
(30-60 college credits towards degree)
3rd year undergraduate/junior ……………………………………………………..…….…..
(60-90 college credits towards degree)
4th year undergraduate/senior ……………………………………………………………….
(90-120 college credits towards degree)
5th year/other undergraduate ………………………………………………………………..
(120 or more college credits towards degree)
1st year graduate/professional …………………………………………………….…………
Continuing graduate/professional or beyond ……………………………….………
……
1st bachelor’s degree ………………………………….……………………………………………
…
2nd bachelor’s degree …………………………………………………………………….………
….
Associate degree ……………………………………………………………………….……………….
(occupational, technical program, general education or transfer program)
Certificate or diploma …………………………………………………………………….……….
Teaching credential ………………………………………………………………………….…….
(non-degree program)
Graduate or professional degree ……………………………………………………………….
Other/undecided ……………………………………………………………………………………..
2019-20 TASFA
T
exas Application for State Financial Aid July 1, 2019 – June 30, 2020
2019-20 Texas Application for State Financial Aid (TASFA) Page 1
-
STUDENT INFORMATION CONTINUED… (See Notes for questions 24-29)
21. Where do you plan to live during the 2019-20 school year?
On-campus -campus With parent or relative
[ ] [ ]
Off
[ ]
22. At the start of the 2019–20 school year, how many credits/hours will
you be enrolled in?
Full-time (12 hours or more) Three-quarter time (9-11 hours)
[ ] [ ]
Half-time (6-8 hours) Less than half-time (5 hours or less)
[ ] [ ]
Not sure
[ ]
23. If you are transferring schools, have you earned an
Associate Degree?
Yes
[ ]
(Enter the date you earned an Associate Degree _________________)
No
[ ]
24. Were you born male or female?
Male
[ ]
Female
[ ]
In order to qualify for state aid, individuals who were born male must be
registerd for Selective Service or be exempt. A Selective Service statement
and supporting documentation will be collected by your institution to
confirm your status.
25. Have you been convicted of a felony or a crime involving a controlled
substance?
Yes No
[ ] [ ]
26. Have you previously received state Financial Aid?
Yes No
[ ] [ ]
27. (A) Are you interested in being considered for the Texas College
Work-Study program?
Yes Don’t know
[ ] [ ]
No
[ ]
(B) If yes, do you have authorization to work in the U.S.?
[ ]
Yes No Don’t know Not applicable
[ ] [ ] [ ]
28. As of today, what is your marital status?
I am single I am separated
[ ] [ ]
am married/remarried I am divorced or widowed
[ ] I [ ]
29. Month and year you were married, remarried, separated, divorced or
widowed.
Month:
_________
Year:
_____________
Not applicable
[ ]
-
STEP TWO: STUDENT DEPENDENCY STATUS DETERMINATION (See Notes for questions 30 and 35-40)
30. Were you born before January 1, 1996? ......................................................................................................................................
31. As of today, are you married? (Also answer Yes if you are separated but not divorced) ……………………………………………………………………
32. At the beginning of the 2019-20 school year, will you be working on a master’s or doctorate program? ...................................
(e.g. MA, MBA, JD, PhD, EdD, MD, graduate certificate, etc.)
33. Do you now have or will you have children who will receive more than half of their support from you between July 1, 2019 and
June 30, 2020?.........................................................................................................................................................................
34. Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their
support from you, now and through June 30, 2020?.....................................................................................................................
35. At any time since you turned age 13, were you in foster care, were you a dependent or ward of the court, or were both your
parent(s) deceased? (You do not have to currently be a ward of the court)……………………………………………………………………………………...
36. As determined by the state’s court, are you or were you an emancipated minor? ......................................................................
37. As determined by the state’s court, does someone other than your parent or stepparent have legal guardianship of you?......
38. At any time on or after July 1, 2018, did your high school or school district’s homeless liaison determine that you were an
unaccompanied youth who was homeless or were self-supporting and at risk of being homeless?..............................................
39. At any time on or after July 1, 2018, 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 or
were self-supporting and at risk of being homeless?................................................................................................
40. At any time on or after July 1, 2018, 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
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
Yes No
☐ ☐
2019-20 Texas Application for State Financial Aid (TASFA) Page 2
-
STEP THREE: PARENT INFORMATION (See Notes for questions 41-56)
STOP: If you answered “Yes” to any of the questions in STEP TWO, parental information is not required. Proceed to STEP FOUR.
If you answered “No” to all the questions in STEP TWO, you must include parental information, even if you do not live with your legal parents (biological,
adoptive, or as determined by the state [for example, if the parent is listed on the birth certificate]). Grandparents, foster parents, legal guardians,
widowed stepparents, aunts, uncles, and siblings are not considered parents on this form, unless they have legally adopted you.
If your legal parents are married to each other, or are not married to each other and live together, answer the questions about both of them. If you are in
a single parent home (e.g. parent(s) was never married or is remarried, divorced, separated, etc.), review the TASFA Notes for further clarification.
PARENT’S MARITAL STATUS
41. As of today, what is the marital status of your legal parents?
[ ]
Married or Remarried
[ ]
Never Married
[ ]
Divorced or Separated
[ ]
Widowed
[ ]
Unmarried and both parents living together
42. Month and year your parents were married, remarried, separated,
divorced or widowed:
Month
:_________
Year:_
____________
Not applicable
[ ]
PARENT 1 (Mother/Father/Stepparent)
43. Last Name
44. First Name
45. Date of Birth
46. Social Security Number
or DACA # or Not Applicable [ ]
47. Phone
Number
48. Email Address
49. Highest level of education completed.
[ ]
Middle School/Jr. High
[ ]
High School
[ ] C
ollege or Beyond
[ ]
Other/Unknown
PARENT 2 (Mother/Father/Stepparent)
50. Last Name
51. First Name
52. Date of Birth
53. Social Security Number
or DACA # or Not Applicable
[ ]
54. Phone
Number
55. Email Address
56. Highest level of education completed.
[ ]
Middle School/Jr. High
[ ]
High School
[ ] C
ollege or Beyond
[ ]
Other/Unknown
-
STEP FOUR: INCOME INFORMATION (See Notes for questions 57-66)
STOP: If you answered “Yes” to any of the questions in STEP TWO, parental information is not required. You are only required to enter income
information for yourself (and your spouse).
If you answered “No” to all of the questions in STEP TWO, you must include parental information, as defined in STEP THREE.
PART A. EARNINGS - Documentation will need to be submitted to the financial aid office. (e.g. W-2’s, tax transcripts, tax returns, etc.)
Student Earnings
Parent Earnings
57. Did you (or spouse) work in 2017?
[ ]
Yes
[ ]
No
58. If yes, how much did you (and spouse) earn from working in 2017?
Student: ____________
_____
Spouse:____________________
59. Did you (or spouse) file a 2017 tax return?
Student
[ ]
[ ]
Yes
[ ]
[ ]
No
Spouse Yes No
60. Was an Individual Taxpayer Identification Number (ITIN) used
to file a 2017 tax return? If so, enter below or mark N/A.
Student:_________________
[ ]
[ ]
N/A
Spouse:_________________ N/A
61. As of today, are you (or spouse) a dislocated worker (currently un-
employed)?
Student
[
Yes
]
[ ]
[
No
]
[ ]
[ ]
[ ]
Don’t know
Spouse Yes No Don’t know
62. Did your parent(s) work in 2017?
[ ]
Yes
[
No
]
63. If yes, how much did your parent(s) earn from working in 2017?
Parent 1: _______________ Parent 2:__________________
64. Did your parent(s) file a 2017 tax return?
Parent 1
Yes
[ ]
[ ]
[ ]
[ ]
No
Parent 2 Yes No
65. Was an Individual Taxpayer Identification Number (ITIN) used to file
a 2017 tax return? If so, enter below or mark N/A.
Parent 1:_________________
[ ]
[ ]
N/A
Parent 2:_________________ N/A
66. As of today, is either parent a dislocated worker (currently un-
employed)?
Parent 1
[ ]
[ ]
Yes
[
No
]
[ ]
[
Don’t know
]
[ ]
Parent 2 Yes No Don’t know
2019-20 Texas Application for State Financial Aid (TASFA) Page 3
For questions, 67-71, if the answer is zero or the question does not
apply to you, enter “0” DO NOT LEAVE ANY BLANKS. Report whole
dollar yearly amounts with no cents.
STUDENT
SPOUSE
(If applicable)
PARENT 1
PARENT 2
(If applicable)
PART B. 2017 UNTAXED INCOME (See Notes for questions 67-70)
67. Child support received for any of your children.
68. Housing, food, and other living allowances paid on your behalf.
69. Other untaxed income not reported.
(Such as worker’s compensation, disability, veterans non-education benefits, etc.)
70. Cash earnings. (Wages not listed on taxes or W-2 forms)
71. TOTAL UNTAXED INCOME
PART C. 2017 ADDITIONAL FINANCIAL INFORMATION (See Notes for questions 72-74)
72. Child support paid.
73. Taxable earnings from work-study or other need-based work programs.
74. Earnings from work under a cooperative education program offered by a
college.
PART D. 2017 ASSETS (See Notes for questions 75-77)
75. As of today, what is your total current balance of cash, savings, and
checking accounts?
76. As of today, what is your net worth of investments, including real
estate?
(Do not include the home you live in or the balance of retirement plans)
77. As of today, what is your net worth of current businesses and/or
investment farms?
PART E. FEDERAL ASSISTANCE PROGRAMS
78. At any time during 2017 or 2018, did you (your spouse) or your parents, anyone in your household, or your parent’s household receive benefits from
any of the federal programs listed?
Mark all that apply (leave blank if not applicable).
[ ]
Medicaid or
Supplemental Security
Income (SSI)
[ ]
Supplemental
Nutrition Assistance
Program (SNAP)
[ ] F
ree or
Reduced Price
School Lunch
[ ] T
emporary Assistance
for Needy Families (TANF)
[ ]
Special Supplemental Nutrition
Program for Women, Infants, and
Children (WIC)
PART F. NON-TAX FILERS - Only complete if you (and your spouse) did not file taxes for 2017, or your parent(s) did not file taxes for 2017, if
parental information is required.
79. Explain what sources of income or public assistance you and/or your family used to pay for living expenses. Your financial aid office may request
additional information. (If you (your spouse) and/or your parents did not meet either of the IRS Income filing thresholds from earnings or self-
employment, and did not file taxes, please provide a breakdown of your living expenses (e.g. rent, food, utilities, bills, etc.).
Living Expenses
Cost for the year
To pay for living expenses listed, the following sources of income were used:
Rent
$
Food
$
$
$
$
$
$
2019-20 Texas Application for State Financial Aid (TASFA) Page 4
$ 0.00
$ 0.00
STEP FIVE: HOUSEHOLD INFORMATION (See Notes for questions 80-81)
If you answered “Yes” to any of the questions in STEP TWO, list the people in your household in the chart below. Include yourself (and spouse) and your
children if you will provide more than half of their support between July 1, 2019 and June 30, 2020 (even if they do not live with you). Do not include
people that you will not provide more than half of their support between July 1, 2019 and June 30, 2020 (e.g. a roommate). Include any other people if
they now live with you, and you provide and will continue to provide more than half of their support between July 1, 2019 and June 30, 2020.
If you answered “No” to all of the questions in STEP TWO, list the people in your household in the chart below. Include yourself (even if you don’t live
with your parents), your parents and your parents’ other children (even if they do not live with your parents) if your parents will provide more than half of
their support from July 1, 2019 and June 30, 2020. Include any other people if they now live with your parents, and your parents provide and will continue
to provide more than half of their support between July 1, 2019 and June 30, 2020.
Full Name of each household member
(Examples: parent(s), sibling(s), grandparent or spouse)
Age
Relationship to student
(e.g. sister, son)
College/University
(If attending July 1, 2019 – June 30, 2020)
Self
80. Total number in household:
81. Total number in college for 2019–20:
STEP SIX: SIGNATURE(S) - Application must contain electronic or wet (physical) signature(s) only.
82. I certify that I will use state student financial aid to pay only the cost of attending an institution of higher education, and that the information provided
on this form is true, complete, and correct to the best of my knowledge. I understand that any false statements may void my eligibility for state financial
aid. I also understand that the information provided on this form will be used only for evaluation of eligibility for state (or institutional) financial aid and
that I may need to provide additional information for my school to determine eligibility.
Student Signature Date
Parent Signature* Date
*Only required if all questions in STEP TWO were answered “No”
Mark which parent signed above.
Parent 1
[ ]
Parent 2
[ ]
2019-20 Texas Application for State Financial Aid (TASFA) Page 5
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2019-2020 Senate Bill 1528 Student Checklist (Terrant County College)

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