California Community Colleges 2019-20 California College Promise Grant Application
This is an application to have your ENROLLMENT FEES WAIVED. If you need money to help with books, supplies,
food, rent, transportation and other costs, please immediately complete a FREE APPLICATION FOR FEDERAL
STUDENT AID (FAFSA) or the California Dream Application (for eligible AB 540 students). The FAFSA is available
at www.fafsa.gov and the Dream Application is available at https://dream.csac.ca.gov. Contact the Financial Aid
Office for more information.
IMPLEMENTATION OF Assembly Bill 1899: Victims of Trafficking, Domestic Violence and other Serious Crimes
AB 1899, chaptered in September of 2012, provides for a non-resident enrollment fee exemption for “Victims of trafficking, domestic
violence and other serious crimes”. In addition, the legislation allows these students to apply for and, if eligible, receive financial aid
from programs administered by public postsecondary institutions or the state of California. Finally, the legislation provides that
enrollment fees shall be waived for those students who apply for and are eligible to receive the California College Promise Grant.
This CALIFORNIA COLLEGE PROMISE GRANT application is for California residents, students eligible under AB 540 and under AB
1899 as determined by the Admissions or Registrar’s Office, and for California resident homeless youth as determined by the Financial
Aid Office. If you have not had your California residency or eligibility status determined by the Admissions or the Registrar or homeless
status determined by the Financial Aid Office, see one of those offices to obtain the determination. California College Promise Grant
eligibility cannot be determined until your status has been verified.
Has the Admissions or Registrar's Office determined that you are a California resident?
If no, has the Admissions/Registrar's Office determined you are eligible for a non-resident tuition exemption as an AB 540 student?
If no, has the Admissions or Registrar's Office determined that you are eligible for a non-resident tuition exemption granted as a
result of you residing in the United States with a “T” or “U” visa (immigration status under Section 1101(a)(15)(T)(i) or (ii), or
Section1101 (a)(15)(U)(i) or (ii), of Title 8 of the United States Code)?
Has the Financial Aid Office or the college homeless liaison verified that you have been without a fixed, regular or adequate residence
within the last 24 months (homeless)? If you have been homeless but not verified, check “Yes” and contact the Financial Aid Office.
Name: Student ID #
Last First Middle Initial
Email (if available): Telephone Number: (______)
Home Address: ________________________________________________ Date of Birth: _______/_______/_________
Street City Zip Code
IMPLEMENTATION OF THE CALIFORNIA DOMESTIC PARTNER RIGHTS AND RESPONSIBILITIES ACT
The California Domestic Partner Rights and Responsibilities Act extends rights, benefits, responsibilities and obligations to individuals
in domestic partnerships registered with the California Secretary of State under Section 297 of the Family Code. If you are in a
Registered Domestic Partnership (RDP), or legal same sex marriage, you will be treated as an Independent married student to
determine Enrollment Fee Waiver eligibility and will need to provide income and household information for your domestic partner. If
you are a dependent student and your parent is in a Registered Domestic Partnership, or legal same sex marriage, you will be treated
the same as a student with married parents and income and household information will be required for the parent’s domestic partner.
Note: These provisions apply to state student financial aid ONLY, and not to federal student financial aid.
Are you or your parent in a Registered Domestic Partnership with the California Secretary of State under Section 297 of the Family
Code? (Answer “Yes” if you or your parent are separated from a Registered Domestic Partner but have NOT FILED a Notice of
Termination of Domestic Partnership with the California Secretary of State’s Office.)
If you answered “Yes” to the question above, treat the Registered Domestic Partner as a spouse. You are required to include
your domestic partner’s income and household information or your parent’s domestic partner’s income and household
information in Questions 4, 11, 12, 13, 14, 15, 16, 17.
Student Marital Status
Registered Domestic Partnership