Fillable 2020-2021 NONCUSTODIAL PROFILE WAIVER REQUEST (Lawrence University)

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2020-2021 NONCUSTODIAL PROFILE WAIVER REQUEST (Lawrence University)

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Financial Aid
711 E Boldt Way SPC 32
Appleton, WI 54911
P
HONE: (920) 832-6583 | FAX: (920) 832-6582
financial.aid@lawrence.edu
2020-2021 NONCUSTODIAL
PROFILE WAIVER REQUEST
The “noncustodial parent” is the parent whose information is not reported on the FAFSA. At Lawrence, financial
information is required from both birth parents to determine a student’s eligibility for need-based financial aid.
In certain circumstances, Lawrence University will consider waiving the requirement for the CSS Noncustodial PROFILE
in the event the required information cannot reasonably be obtained. By completing this form, you are requesting that we
waive the requirement to obtain information from your noncustodial parent.
STUDENT INFORMATION
LAST NAME FIRST NAME M.I. BIRTHDATE
STREET CITY STATE ZIP
STATUS OF BIOLOGICAL/ADOPTIVE PARENTS
1) Marital status of biological/adoptive parents:
Never Married to Each Other & Do Not Share the Same Household
Divorced/Separated Year of Separation/Divorce:
2) Has your Noncustodial Parent remarried?
Unknown No Yes
What year?
3) Does your Noncustodial Parent have other children?
Unknown No Yes
How many?
NONCUSTODIAL PARENT’S INFORMATIO
N
If any of the following information is not known, write “Unknown” in the space provided.
Relationship to Student
Mother Father
LAST NAME FIRST NAME M.I.
STREET ADDRESS CITY STATE ZIP
PHONE # EMAIL
OCCUPATION EMPLOYER # OF YEARS
CHILD SUPPORT & LEGAL ORDERS
Did the Noncustodial Parent pay child support in 2018 or 2019?
Yes No
If Yes, indicate the total amount of child support paid:
For the student: For other children:
Support was paid:
Voluntarily Pursuant to Court Order Wage Garnishment
If No, indicate the last year that he/she paid any child support:
FREQUENCY OF CONTACT
1) Has the student had contact with the non-custodial parent in the past year?
Yes No
If No, when was the last time of the contact?
If Yes, how often does the student have contact with the noncustodial parent?
If Yes, what is the nature of the contact (phone, email, text, visit, etc.)?
2) Are there any legal orders that limit
the non-custodial parent’s contact with the student?
Yes No
If Yes, please provide a copy of documentation (divorce decree, court order, etc.)
STUDENT STATEMENT
In the space below, you m
u
st provide a personal statement regarding
your relationship with your noncustodial parent.
If more space is needed, please attach a separate document.
CUSTODIAL PARENT STATEMENT
In the space below, please explain why the Noncustodial PROFILE cannot be submitted. If more space is needed,
please attach a separate document.
SUPPORTING DOCUMENTATION
Indicate which supporting documentation you have included:
Third party documentation, such as: written statement from a relative, counselor, social worker, teacher, or
clergy who can certify your situation.
Court documentation.
Other: __________________________________________________________
CERTIF
ICATION
I certify that all informati
o
n on this form is true and complete to the best of my knowledge.
STUDENT SIGNATURE DATE
CUSTODIAL PARENT SIGNATURE DATE
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2020-2021 NONCUSTODIAL PROFILE WAIVER REQUEST (Lawrence University)

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Completed 23 July 2020

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