2020 - 2021
Dependency Status Worksheet
Student Name Student ID Phone Number
Status Required Documents
Orphan:
At any time since I was 13, I
have been orphaned; both of my
biological and/or adoptive parents are deceased.
Provide copies of parents’ death certificates or other official documents,
which confirm death.
Foster Care:
At any time since I turned 13, I have been in foster care.
Provide legal documentation or a letter from the Department of Social
Services in your state of legal residence. Documentation must confirm
that you were in foster care at age 13 or older.
Dependent/Ward of the Court:
At any time since I turned 13, I
am or was a dependent or ward of the
court.
Provide legal documentation or a letter from the Department of Social
Services. Documentation must confirm that you were a dependent or
ward of the court at age 13 or older.
Emancipated Minor:
I am an
emancipated minor as determined by a court in my state of
residence, or I was emancipated or in legal guardianship immediately
before reaching the age of adulthood in my state of legal residence.
Provide a copy of the court’s decision and proof of state of legal
residency (i.e.: driver’s license, lease, high school transcript).
Legal Guardianship:
I was and/or I am currently in legal guardianship as determined by the
court in my state of legal residence.
Provide a copy of a court’s decision documenting you are in a legal
guardianship from the state of your residency. Custody is not sufficient
documentation.
Risk of Homelessness:
At any time on or after July 1, 2019
, I received a determination that I
was an unaccompanied youth who was
homeless or at risk of being
homeless.
Provide documentation from either of the following:
- High school or school district homeless liaison
- Director of an emergency shelter or transitional
housing program funded by the US Department of
Housing and Urban Development
- Director of any runaway or homeless youth basic
center or transitional living program
Dependent:
I am under the age of 24, and have a legal dependent(s), whom I provide more than half of their support. Please list below, or on a separate
sheet of paper if additional space is needed.
Dependent Names: _______________________________________________ Age: __________ Relationship: ____________
Dependent Names: _______________________________________________ Age: __________ Relationship: ____________
If the person being claimed is not your biological child, be prepared to provide valid proof of legal dependency (i.e. court
documentation, birth certificate) if requested by financial aid administrators.
Certification and Signatures:
I understand if I purposely give false or misleading information I may be fined, sentenced to jail, or both.
Student Signature Date
Return completed worksheet(s) to:
Caldwell Community College and Technical Institute
Office of Financial Aid
E-mail finaid@cccti.edu
Caldwell Campus 2855 Hickory Blvd., Hudson, NC 28638 Watauga Campus PO Box 3318, Boone, NC 28607
Fax: 828.726.2709 Fax: 828.297.1729
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signature
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