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Financial Aid Office
2019-2020 Dependency Status Worksheet
Name Student ID# Phone Number
Orphan :
At any time since I was 13, I have been orphaned; both o f my biological
and/or adoptive parents are deceased.
Provide copies of parents’ death certificates or other official
documents, which confirm death.
Foster Care
:
At any time since I turned 13, I have been in Foster Care.
Provide legal documentation or a letter from the Department of
Social Services in your state of legal residence. Documentation must
confirm that you were in foster care at age 13 or older.
Dependent/Ward of Court:
At any time since I turned 13, I am or was a dependent or ward of the court.
Provide legal documentation or letter from the Department of Social
Services. Documentation must confirm you were a dependent or ward
of the court at age 13 or older.
Emancipated Minor:
I am an emancipated minor as determined by a court in my state of residence, or
I was emancipated or in a legal guardianship immediately before reaching the
age of adulthood in my state of
legal residence.
Provide a copy of the court’s decision and proof of state of legal
residency i.e.: driver’s license, lease, high school transcript
Legal Guardianship:
I was and/or I am currently in a legal guardianship as determined by the court in
my state of legal residence.
Provide a copy of a court’s decision documenting you are in a legal
guardianship from the state of your residency. Custody is not
sufficient documentation.
Risk of Homelessness:
At any time on or after July 1, 2018 I received a determination that I
was an unaccompanied youth who was homeless or at risk of being homeless.
Provide documentation either of the following:
-
High school or school district homeless liaison
-
Director of an emergency shelter or transitional housing
program funded by the US Department of Housing and
Urban Development
-
Director of any runaway or homeless youth basic center or
transitional living program
Dependent:
I am under the age of 24, and have a legal dependent(s) whom I provide more than half of their support. Please list below, or on a
separate sheet of paper is additional space is needed.
Dependent Name Age: Relationship:
Dependent Nam Age: Relationship
If the person being claimed is not your biological child, be prepared to provide valid proof of legal dependency (i.e. –
court documentation, birth certificate) if requested by financial aid administrators.
Certification
All information I am reporting on this document is true and complete to the best of my knowledge and belief. I understand that if I
knowingly give false or misleading information to qualify for Federal Aid, I may be fined, sentenced to jail, or both.
Student’s Signature
Please return this completed worksheet to:
Caldwell Campus
2855 Hickory Blvd.
Hudson, NC 28638
Fax: 828.726.2709
Email: finaid@cccti.edu
Watauga Campus
P.O. Box 3318
Boone, NC 28607
Fax: 828.297.1729
Email: finaid@cccti.edu
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