According to your Free Application for Federal Student Aid (FAFSA) you indicated that you are an Independent student.
Please complete this form according to the instructions, to document your status.
Instructions:
1. Review each question
2. Check the situation that best describes your circumstances
3. Gather the appropriate documentation
4. Submit this form and documentation to the Financial Aid Office
5. Additional information or documentation may be requested, if necessary, to complete your file
A. Student Information
Student Name: _________________________________________ SSN/ID: ___________________________
At any time since you turned age 13, were both your
parents deceased, were you in foster care or were you a
dependent or ward of the court?
Copy of death notice or certificate for each parent
OR
Copy of Court’s decision of foster care placement
Are you or were you an emancipated minor as
determined by a court in your state of legal residence?
Copy of Court’s decision of emancipation.
Are you or were you in legal guardianship as
determined by a court in your state of legal residence?
Copy of Court’s decision of legal guardianship
At any time on or after July 1, 2020, did your high
school or school district homeless liaison determine
that you were an unaccompanied youth who was
homeless?
Letter from high school or school district homeless
liaison who determined you were an
unaccompanied, homeless minor.
At any time on or after July 1, 2020, did the director of
an emergency shelter or transitional housing program
funded by the U.S. Department of Housing and Urban
Development determine that you were an
unaccompanied youth who was homeless?
Letter from the director of the emergency shelter or
transitional living program who determined you
were an unaccompanied, homeless minor.
At any time on or after July 1, 2020, did the director of
a runaway or homeless youth basic center or
transitional living program determine that you were an
unaccompanied youth who was homeless or were self-
supporting and at risk of being homeless?
Letter from the director of the youth center or
transitional living program who determined you
were an unaccompanied, homeless minor.
B. Certification Statement
I certify that the above information is true and correct to the best of my knowledge. I understand that purposely providing
false or misleading information on this form may result in a denial or repayment of financial aid in this and/or future years,
or fines and/or imprisonment.
2021-2022
Documentation of Independent Status
Office of Financial Aid
1300 S Country Club Road - El Reno, OK 73036
405-422-6250 – Fax: 405-422-1463
click to sign
signature
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