FORM DRUGAC - IDAHO STATE UNIVERSITY 19-20
DRUG ABUSE CLEARANCE
On your 2019-2020 FAFSA, there was a question concerning a drug related conviction.
Either you left it blank or indicated you had a drug related conviction. You can correct
this answer by returning this completed form to the address below, faxing this
completed form to the fax number below and/or going to www.fafsa.ed.gov
with your
US Department of Education FSA ID
and submitting a correction.
Office of Financial Aid, Idaho State University, Museum Building, Room 337
921 S 8
th
Ave, Stop 8077, Pocatello, ID 83209-8077
Email: finaidem@isu.edu
Phone: (208)282-2756 Fax: (208)282-4755
Web: https://www.isu.edu/financialaid/forms/
DRUGAC-20
*Student Name:
(Use blue or black ink) Last First M.I.
*ISU ID: *Last 4 Digits of Social Security #:
(Find under Academic Tools tab on BengalWeb) *Required
1. Have you ever received federal student aid?
No If No, change your answer to question 23 to “1,” and sign and send us your SAR.
Yes If Yes, go to question 2.
2. Have you been convicted for possessing or selling illegal drugs? Only include federal and state convictions. Do not count any
convictions removed from your record or that occurred before you turned age 18, unless you were tried as an adult.
No If No, change your answer to question 23 to “1,” and sign and send us your SAR
Yes If Yes, go to question 3
3. Did the offense for possessing or selling illegal drugs occur during a period of enrollment for which you were receiving
federal student aid (grants, loans and/or work-study)?
No If No, change your answer to question 23 to “1,” and sign and send us your SAR
Yes If Yes, go to question 4.
4. Have you completed an acceptable drug rehabilitation program since your conviction?
An acceptable drug rehabilitation program must include at least 2 unannounced drug tests, and:
be qualified to receive funds from a federal, state, or local government or from a federally-or-state licensed insurance
company; OR be administered or recognized by a federal, state or local government agency or court, or a federally or state-
licensed hospital, health clinic or medical doctor.
Yes If Yes, change your answer to question 23 to “1,” and sign and send us your SAR
No If No, go to question 5.
5. Do you have more than two convictions for possessing illegal drugs? Only count convictions for offenses that occurred during
a period of enrollment for which you were receiving federal student aid (grants, loans and/or work-study).
Yes If Yes, change your answer to question 23 to “3,” and sign and send us your SAR
No If No, go to question 6.
6. Do you have more than one conviction for selling illegal drugs? Only count convictions for offenses that occurred during a
period of enrollment for which you were receiving federal student aid (grants, loans and/or work-study).
Yes If Yes, change your answer to question 23 to “3,” and sign and send us your SAR
No If No, go to question 7.
7. Write the date of your last conviction for possessing illegal drugs here: 7.
If you have no convictions for possessing drugs, skip to question 9. mm/dd/yyyy
8. If you have only one conviction for possessing drugs, add one
year to
the date in question 7 and write that date here: 8.
If you have two convictions for possessing drugs, add two years to mm/dd/yyyy
the date in question 7 and write that date here:
9. Write the date of your last conviction for selling
illegal drugs here: 9.
If you have no convictions for selling drugs, skip to question 11. mm/dd/yyyy
10. If you have only one conviction for selling drugs add two
years to 10.
the date in question 9, and write that date here: mm/dd/yyyy
11. Look at the dates you wrote in questions 8 and 10. If there is only one date, copy
that
date here. If there are two dates, write the later one here. This is your “eligibility date.” 11.
CERTIFICATION: The person signing below certifies that all of the information reported is complete and correct.
Student Signature: Date:
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or both.
(v. 12/12/2018) (S:\20_Forms\formDRUGAC.wpd)
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