WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 1 of 1
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: firstname.lastname@example.org
F 910.272.3314 Website: https://www.robeson.edu/fa/
Student’s Name: _____________________________________________ Student ID: ____________________
Address: __________________________________________ City/State/Zip____________________________
Phone #: ______________________________________ Email: ______________________________________
There are special circumstances when the Financial Aid Office at Robeson Community College may exercise
discretion to override a student’s dependency status. If you have a previously approved dependency override
on file with Robeson Community College and your circumstances surrounding your previously approved
dependency status has not changed, you must complete this form to request a continuation of your independent
Step 1: Visit http://www.fafsa.gov and complete the 2020-2021 FAFSA application.
Complete only the student information sections of the FAFSA.
Step 2: Submit the following items:
• Complete the 2020-2021 Renewal of Dependency Override Status form AND
• 2020-2021 Independent Verification Form and all required tax documentation
outlined on the Independent Verification worksheet.
Step 3: Please select the reason(s) listed below that applied to your unique situation, which
resulted in an approval of a dependency override.
Custodial parent deceased
Homeless or at risk of homelessness
Step 4: Please provide a brief update of the current status of the extenuating circumstances under
which you were originally granted independent status.
I certify that the information is true and correct to the best of my knowledge and belief. I understand that RCC has the right
to require additional proof of the information provided on this form. I agree to submitting further documentation if
Student Signature Date
click to sign
click to edit