Fillable 2021-2022 Dependency Status Override Application (Grand Canyon University)

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2021-2022 Dependency Status Override Application (Grand Canyon University)

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2021-2022 Dependency Status Override Application
Student Name: GCU Student Number: __________
(Print Name)
Current address:
Phone Number: Date:
There are two sections of this appeal. Please select the appropriate section, and submit the necessary
documentation.
• The student was born before January
1, 1998
• The student is a veteran of the U.S.
Armed Forces
•
•
•
•
At the beginning of the 2021-2022
school year, the student is a
graduate/professional student
The student is currently or was in legal
guardianship by someone other than parent
or stepparent as determined by the Court
The student has dependents other
than a spouse/children who live with
the student and receive more than
half of the support from the student
now through June 30, 2022
The student is currently or was an
emancipated minor as determined
by the court
• The student is married on the date he
submitted his FAFSA
• The student has or will have children
who will receive
more than half of their
support from the student between July
1, 2021 and June 30, 2022
• The student was determined to be an
unaccompanied youth who was
homeless or at risk by the student’s
high school or school district homeless
liaison on or after July 1, 2020
• At any time since the age of 13, both parents
were deceased and student was in foster
care or was dependent/ward of the court
• The student was determined to be an unaccompanied youth who was homeless or at risk by the
director of an emergency shelter or transitional housing program funded by the U.S. Department of
Housing and
Urban Development any time on or after July 1, 2020
• The student was determined to be an unaccompanied youth who was homeless or was self-
supporting and at risk of being homeless by the director of a runaway of homeless youth basic
center or transitional living program any time on or after July 1, 2020
• The student is on active duty in the U.S Armed Forces for purposes other than training
If a student does not meet any one of the above requirements to automatically qualify as an independent
student for financial aid purposes, but feels he should be considered as an independent student because of
Unusual Circumstances, the student may complete and submit this form to his GCU Student Services
Counselor. The application will be reviewed by the Office of Financial Aid.
Page 1 of 3
P0109082020
SECTION A: Dependency status change due to unusual circumstances
According to the 2021-2022 Federal regulations
for Federal Title IV funding, a student is independent
if he meets any one of the following criteria:
Unusual circumstances include an abusive family environment or abandonment by parents.
The following conditions DO N
OT qualify as reasons for a dependency override:
Parents refuse to contribute to the student’s education
Parents are unwilling to provide information on the FAFSA or for verification
Parents do not claim the student as a dependent for income tax purposes
Student demonstrates total self-sufficiency
By law, the Office of Financial Aid is allowed to use “professional judgment” on a case-by-case basis
to determine if a student would meet the criteria to be considered independent. The student must
provide documentation to support this request. The documentation must be consistent
and relate to the
student’s special circumstances that differentiate the student from the conditions of other students.
Generally, the documentation of unusual circumstances should come from two third parties who know the
student’s situation (such as a teacher or member of the clergy), but in cases where this is not available,
the school can accept a signed and dated statement from the student or a family member detailing the
unusual circumstances (This is
not required for marital status update requests).
The student can only be
a dependent of a biological/adoptive parent; a foster parent or legal
guardian is not
treated as a parent for Financial Aid purposes.
According to Federal Regulations, all information provided by the student must support the final decision
of the Office of Financial Aid and the decision cannot be appealed to the U.S. Department of Education.
Please describe the unusual circumstances that would merit the change to “independent” status (or
submit a signed and dated statement) and provide documentation that will substantiate this claim:
I certify that the information I have submitted for a possible Dependency Override is correct and true to
the best of my knowledge.
Student Signature: Date:
NOTE: HANDWRITTEN SIGNATURE REQUIRED – TYPED/ELECTRONIC SIGNATURE NOT ACCEPTED
Page 2 of 3
P0109082020
SECTION B: Dependency status change due to marital status update
If a student’s dependency status changes after completing the 2021-2022 FAFSA because of a marital
status change, the student can submit this appeal if the new status will more accurately reflect the
applicant’s ability to pay for current year educational charges. A student who is not selected for
verification by the Department of Education will be selected by the Institution and will be required to
submit additional documentation to complete this review.
Student - Please describe below how a change of marital status will more accurately reflect your ability to
pay for your educational charges for the award year:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
________________________________________________________________________________
When submitting this appeal, if the student is going to be considered independent, all of the
following documentation must be submitted:
When submitting this appeal, if the student is going to be considered dependent, all of the
following documentation must be submitted:
I certify that the information I have submitted for a possible dependency status change is correct and true
to the best of my knowledge.
Student Signature: Date:
NOTE: HANDWRITTEN SIGNATURE REQUIRED – TYPED/ELECTRONIC SIGNATURE NOT ACCEPTED
Page 3 of 3
P0109082020
• 2021-2022 Standard Verification Worksheet - Independent
• Student’s 2019 IRS Tax Return Transcript (Please note that if the student was able to successfully
transfer his IRS information over when completing the 2021-2022 FAFSA, the student will not need to
supply GCU with a copy of his 2019 IRS Tax Return Transcript; his GCU Student Services
Counselor will be able to verify this information)
• Spouse’s 2019 IRS Tax Return Transcript
• Copy of Marriage License
• 2021-2022 Standard Verification Worksheet - Dependent
• Student’s 2019 IRS Tax Return Transcript (Please note that if the student was able to successfully
transfer his IRS information over when completing the 2021-2022 FAFSA, the student will not need to
supply GCU with a copy of his 2019 IRS Tax Return Transcript; his GCU Student Services
Counselor will be able to verify this information)
• W-2s if student had filed taxes jointly with spouse so income can be separated
• Parent’s 2019 IRS Tax Return Transcript
• Copy of Divorce Decree if divorced; Death Certificate if widowed
• Completed and signed Separation of Income form (will be provided at a later date)
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2021-2022 Dependency Status Override Application (Grand Canyon University)

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Completed 28 January 2021

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