Financial Aid & Scholarships
1700 Spartan Drive, Elgin, IL 60123-7193
Phone: 847-214-7360 Fax: 847-608-5460
2020-2021 Students with Children or Dependents Form
Student Name: _____________________________________ _ ECC ID or SSN:_______________________
On your 2020-2021 FAFSA, you answered:
“Yes” to question #50, “Do you now have or will you have children who will receive more than half of their support from
you between July 1, 2020 and June 30, 2021?”
“Yes” to question #51, “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, 2021?”
Financial support includes employment or any other source of income or funding that you or your
dependent receive. Financial support may be provided by a person or agency. Support includes, but is not
limited to housing, clothes, medical, dental, transportation, etc.
*** Please note: if you are living with a parent who is paying for most of the household expenses, the
parent would usually be considered the primary source of support to the child.
Section 1: Please check one box below.
I do not have children or dependents that I will be financially supporting more than 50% between July 1,
2020 and June 30, 2021. Please go online to www.studentaid.gov and make the appropriate corrections to questions
51 and/or 52 on your FAFSA.
I have or will have children that I will be financially supporting more than 50% between July 1, 2020 and
June 30, 2021.
I have dependents (other than children or spouse) who live with me that I will be financially supporting more
than 50% between July 1, 2020 and June 30, 2021.
Section 2: Please list your children or dependents you will be financially supporting more than 50%.
Full Name Age Relationship to the student
Section 3: Detailed, Signed, Statement of Support
Attach a signed statement to this form describing how you financially support your children and/or dependents more than
50%. Include in your statement a list of all resources or benefits being received (wages, child support, Medicaid, SNAP,
TANF, WIC, subsidized housing, etc.). In addition, if you are working please provide a copy of your most recent pay
I certify that all of the information on this form is complete and correct.
* Electronic Signatures will not be accepted
__________________________________ Date: _______________________