Fillable Educational Opportunity Fund (Essex County College)

Fill Online, Printable, Fillable, Blank Educational Opportunity Fund (Essex County College) Form

Use Fill to complete blank online ESSEX COUNTY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Educational Opportunity Fund (Essex County College)

On average this form takes 14 minutes to complete

The Educational Opportunity Fund (Essex County College) form is 2 pages long and contains:

  • 1 signature
  • 49 check-boxes
  • 31 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Essex County College

BROWSE ESSEX COUNTY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
I: ________________________ S: ________________________ Coded: _________________
Educational Opportunity Fund
Essex County College 303 University Ave. Newark, NJ 07102 – 3
rd
level – Green Area
Joanna Romano, Director 973-877-3231 romano@essex.edu Michael Cresci, EOF Admissions 973-877-3232 mcresci@essex.edu
Welcome! It is the policy of Essex County College not to discriminate on the basis of race, creed, color, religion, national origin, age, sex, physical handicap, or marital
status in its educational programs, activities or employment. Furthermore, the College agrees to adhere to all Federal and State statues, orders, regulations and guidelines
concerning equal opportunities.
Please fill out the information on this application in its entirety to be reviewed for eligibility for the EOF program at Essex County
College. Completion of this application does not guarantee acceptance into the program.
Social Security #: (last four numbers)
ECC ID #:
Legal Name:
Last Name First Name Middle Initial
Other names that may appear on your academic/personal records:
Mailing Address:
Street Apt # City State Zip Code County
Main phone #:
Alternate phone #:
Gender: Female
Other: _______
Male
Birthdate:
Were you born before Jan 1
st
,
1996?
Yes No
Birth place:
Month / Day / Year City, State Country
Do you have a High School Diploma or GED? HS Diploma GED Neither
High School Name:
Location:
Are you transferring college credits from
Yes No
an institution within the United States?
Are you transferring college credits from
Yes No
an institution outside the United States?
Are you a US Citizen?: Yes No
If not,
are you a permanent resident?: Yes No
If applicable, what is your Green Card # :
Are you a Legal Resident of NJ? Yes No
Month/Year you began living in NJ:
Are you a veteran of the US armed
forces?
Yes No
Are you registered with Selec
Service? (Male only)
tive
Yes No
Do you have children who you
support?
Yes No
Do you have other legal
dependents who you
support?
Yes No
Do you have siblings who have/do
receive EOF Funding?
Yes No
Have you ever received EOF
Funding before?
Yes No
Are you a first generation college
student?
Yes No
If so, month and year of last
payment:
What institution did you
receive EOF Funding from?
Dependent Students – Use parent information/income Independent Students – Use your/your spouse information/income
Legal Status:
Single Married Separated Divorced Widowed
Family
Size:
How many attend
college?:
Source of Income
$
(2018 tax year)
Check the income guidelines below for the
2019-2020 year according to your family
size. Certain students may be eligible for an
appeal if your income exceeds our limit.
Adjusted Gross Income
EOF Income Eligibility Scale 2019-2020
Social Security Benefits
Household Size
Gross Income
AFDC, Welfare
1
$24,980
Child Support
2
$33,820
Veteran’s Benefits
3
$42,660
Unemployment
4
Disability
5
$60,340
Other
6
$69,180
TOTAL
7
$78,020
8
$86,860
Add $8,640 for each additional member of the household.
Did you take the College Placement Test?
Yes No
Which semester are you applying for?
Summer Fall Spring
How many credits are
you registered for?
Verification: All of the information on this form is true and complete to the best of my knowledge. If asked by an authorized official, I agree to
give proof of the information that I have given on this form. I realize that this proof may include a copy of my U.S. Federal, State or Local
Income Tax return. If proof is not submitted, aid may be denied. I have also received a copy of the EOF Policy Statement.
Student Signature: _____________________________________________________________ Date: ___________________________
2020-2021
$24,980
$33,820
$42,660
$51,500
$60,340
$86,860
$69,180
$78,020
2020-2021
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Educational Opportunity Fund (Essex County College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 29 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document