Fillable Children of Fallen Heroes Scholarship Form 11400 Robinwood (Hagerstown Community College)

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Children of Fallen Heroes Scholarship Form 11400 Robinwood (Hagerstown Community College)

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20MHERO
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student Name: _______________________________________________ HCC ID: ____________________
You have self-identified yourself as a student whose parent or guardian died in the line of duty while performing as a
public safety officer. You may qualify for additional federal aid if you meet the eligibility requirements.
Student Eligibility Requirements:
• Be eligible for the Pell grant and have a Pell eligible Expected Family Contribution (EFC)
• Be under 24 years old or
• Enrolled in college at least part-time at the time of the parent’s or guardian’s death.
Please follow this link for more information:
https://ifap.ed.gov/eannouncements/111918ChildrenofFallenHeroesScholarshipAct.html
For purposes of the Children of Fallen Heroes Scholarship, a public safety officer is:
• As defined in section 1204 of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C.
3796b); or
• A fire police officer, defined as an individual who is serving in accordance with State or local law as an officially
recognized or designated member of a legally organized public safety agency and provides scene security or
directs traffic in response to any fire drill, fire call, or other fire, rescue, or police emergency, or at a planned
special event.
To be awarded the Children of Fallen Heroes Scholarship you will need to submit documentation verifying your
eligibility (please see the next page).
1. At time of death my parent or guardian served in as a public safety officer in the following capacity:
____________________________________________
2. My parent or guardian passed away on the following date: __ __ / __ __ / __ __ __ __
3. Please check only one of the following options:
I was 23 years of age or younger when my parent or guardian died.
At the time of my parent or guardian’s death, I was age 24 or older and I had already enrolled at the following
institution of higher education:
Institution Name: ___________________________________________________________________________
At the time of my parent or guardian’s death, I was age 24 or older, and I had NOT enrolled at any institution of
higher education. I am ineligible for the Children of Fallen Heroes Scholarship.
Student Signature: ___________________________________ Date: ________________________
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
2020-2021
Children of Fallen
Heroes Scholarship
Form
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
Phone: 240-500-2473
finaid@hagerstowncc.edu
FAX: 301-791-9165
20MHERO
Documentation Information:
A single, national data source of individuals who died in the line of duty while serving as a public
safety officer does not exist. While the Education Department does not specify all of the acceptable
documentation that may be used to determine eligibility for this scholarship, here are some
documents that schools may consider:
• A determination letter acknowledging eligibility for certain federal benefits under the Public Safety
Officers Benefit (PSOB) program administered by the Department of Justice;
• A written letter of attestation or determination made by a state or local government official with
supervisory or other relevant oversight authority of an individual who died in the line of duty while
serving as a public safety officer as defined above;
• Documentation of the student qualifying for a state tuition or other state benefit accorded to the
children or other family members of a public safety officer consistent with the definition in 42 U.S.C.
3796b, or as a fire police officer as noted above; or
• Other documentation the school determines to be from a credible source that describes or reports
the circumstances of the death and the occupation of the parent or guardian.
Institutions must maintain all evidentiary documentation related to the determination of the student’s
eligibility for the Children of Fallen Heroes Scholarship.
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Children of Fallen Heroes Scholarship Form 11400 Robinwood (Hagerstown Community College)

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Completed 20 August 2020

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