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
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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