Fill - Free fillable Form 5307497999: YubaCommunityCollegeDistrict FinancialAidOffices 20192020 DependencyDeterminationForm (Woodland Community College) PDF form

YubaCommunityCollegeDistrict

FinancialAidOffices



YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999

WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725

LakeCounty Campus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923



2019‐2020 DependencyDeterminationForm



_____________________________________________ _______________________________

LastName    FirstStudentID



_________________________________________________ _________________________________



MailingAddress    DateofBirth



_________________________________________________ _________________________________

City     State Zip  PhoneNumber(IncludeAreaCode)



Yourstatusasan“independen t”studentisbasedsolelyonyourresponsetoquestionsonyour2019‐2020FAFSA.

YubaCommunityCollegeDistrictrequiresthatyousubmitdocumentationverifyingyourdependencystatus.



Check the status that best represents your situation. Submit the required documentation and this form to the

FinancialAidOfficeassoonaspossible.Ifyou have anyquestions,pleasecontact the FinancialAid Office atthe

campusyouattend.

DependencyStatus RequiredDocumentation

 Orphan

Youhadnolivingparent(biologicaloradoptive)atanytime

sinceyouturnedage13,evenifyouarenowadopted.



 Deathcertificatesforbothparents

 FosterCare

Infostercareatanytimesinceyouturnedage13,evenifyou

arenolongerinfostercareasoftoday.

 Legaldocumentationfromyourstateof

residency

 Dependent/WardoftheCourt

Adependentorwardofthecourtatanytimesinceyouturned

age13,evenifyouarenolongeradependentorwardofthe

courtasoftoday.



 CourtOrders/Records

 EmancipatedMinor

Anemancipatedminorasdeterminedbyacourtinyourstate

oflegalresidency.

Note:Thisdoesnotapplytoyouifyouarestillaminorandthecourt

decisionisnolongerineffectorthecourtdecisionwasnotineffectat

thetimeyoubecomeanadult.



 CourtOrders/Records

 LegalGuardianship

Inlegalguardianshipasdeterminedbyacourtinyourstate

oflegalresidency.

Note:Thisdoesnotapplytoyouifyouarestillaminorandthecourt

decisionisnolongerineffectorthecourtdecisionwasnotineffectat

thetimeyoubecomeanadult.



 CourtOrders/Records

Page1

CERTIFICATION:Icertifythattheinformationprovidedonthisformistrueandcorrecttothebestofmyknowledge.



_____________________________________________ _______________________________

StudentSignatureDate



FinancialAidOfficeUseOnly



FADecision: Approved Denied



DocumentationSubmitted:_____________________________________________________________________________



____________________________________________________________________________________________________



____________________________________________________________________________________________________



_____________________________________________________ __________________________________

FinancialAidSignatureDate



Page2DependencyDetermination

Rev.10/10/18



DependencyStatus RequiredDocumentation

 UnaccompaniedYouth

AtanytimeonorafterJuly1,2018,yourhighschoolorschool

districthomelessliaisondeterminedthatyouwerean

unaccompaniedyouthwhowashomeless.



Note:Refertodefinitionsbelow.



 Adeterminationorletterfromyourhigh

schoolorschooldistricthomelessliaison

 UnaccompaniedYouth

AtanytimeonorafterJuly1,2018,the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.



Note:Refertodefinitionsbelow.

 Acopyofyourdeterminationorletterfrom

thedirectorofanemergencyshelteror

transitionalhousingprogramfundedbythe

U.S.DepartmentofHousingandUrban

Developmentthatdeterminedthatyouwere

anunaccompaniedyouthwhowashomeless.

 UnaccompaniedYouth

AtanytimeonorafterJuly1,2018,the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?



Note:Refertodefinitionsbelow.

 Acopyofyourdeterminationorletterfrom

thedirectorofarunawayorhomelessyouth

basiccenterortransitionallivingprogram.

 Submitcompleted2019‐2020

UnaccompaniedHomelessYouth

DeterminationForm

DefinitionsfordependencyquestionsontheFAFSA:



“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signedthe

FAFSAapplication.

“SelfSupporting”meansyoupayforyourownlivingexpenses,includingfixed,regular,andadequatehousing.



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Form 5307497999: YubaCommunityCollegeDistrict FinancialAidOffices 20192020 DependencyDeterminationForm (Woodland Community College)

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