FVCHY56.57.58
2021 Unaccomp Homeless Youth 10/14/19
2020-2021 UNACCOMPANIED HOMELESS YOUTH FORM
Student Name: ______________________________ HFC Student ID: ____________
On your 2020-2021 Free Application for Federal Student Aid (FAFSA), you answered “Yes” to one of the following: FAFSA question 55 which
asks whether or not your high school or school district homeless liaison determined that you were an unaccompanied youth who was homeless;
FAFSA question 56 which asks whether or not a director of an emergency shelter or transitional housing program funded by the U.S. Department
of Housing and Urban Development determined that you were an unaccompanied youth who was homeless or FAFSA question 57 which asks
whether or not a director of a runaway or homeless youth basic center or transitional living program determined that you were an unaccompanied
youth who was homeless or were self-supporting and at risk of being homeless. Before the Office of Financial Aid can determine your eligibility
for financial aid, you must document your status.
Instructions
Please check the box below beside the description that applies to your situation and attach the requested documentation. Completed forms
and required documentation may be submitted by dropping them in a drop box on the HFC campus or by mail or fax to the address and fax
number listed above.
OPTION A: Attach Documentation Verifying Homelessness or Risk of Homelessness:
Current Mailing Address (if none, please list name, phone number, and mailing address of current contact):
__________________________________________________________________________
Attach documentation from one of the following:
• A school district Homeless Liaison.
• A director or designee of a HUD-funded shelter.
• A director or designee of a RHYA-funded shelter.
To confirm:
• You are an unaccompanied homeless youth
This means that you are living in a homeless situation, as defined by Section 725 of the McKinney-Vento Act, and are not in the physical custody
of a parent or guardian.
• You are an unaccompanied, self-supporting youth at risk of homelessness
This means that you are not in the physical custody of a parent or guardian, you provide for your own living expenses entirely on your own, and
are at risk of losing your housing.
OPTION B: IF you cannot obtain documentation from one of the above officials:
Attach a letter explaining your situation, if you have other circumstances that qualify you as an unaccompanied homeless youth or are at risk of
homelessness and are not able to get documentation from one of the above officials. The National Center for Homeless Education 1-800-308-2145 is
also available if you have questions.
Homeless - means lacking fixed, regular and adequate housing, which includes living in shelters, motels or cars, or temporarily living with other people
because you had nowhere else to go. Unaccompanied - means you are not living in the physical custody of your parent or guardian. Youth - means you
are 21 years of age or younger or you are still enrolled in high school as of the day you sign your FAFSA.
OPTION C: IF you are not homeless and will provide parental information on the FAFSA:
I am not homeless and do not qualify as an unaccompanied homeless youth or youth at risk of homelessness.
• You must correct the information on your FAFSA by providing your parent(s) financial information.
• You and one parent must electronically sign the FAFSA
By signing this document, I certify that all the information provided is complete and correct. I understand that
purposely giving false or misleading information may result in being reported to the Department of Education.
Student Signature: _____________________________________ Date: ______________
5101 Evergreen, Dearborn, MI 48128
(313)845-9616
Fax (313) 845-9825
Email: finaid@hfcc.edu
