Foster and/or Homeless Youth Declaration
Students are encouraged to submit this form in a timely manner to ensure priority registration. This form only needs to be submitted once.
I declare that I am a current or former foster youth under the age of 25 as of the day prior to the next semester.
Please submit this form along with a copy of your County Ward of Court Letter or County Foster Care Verification Card to the
Financial Aid Department.
I declare that I am currently or was formerly homeless within the last 24 months and am under the age of 25 as of the day prior to
the next semester.
Please submit this form to the Homeless Youth Liaison along with a certification letter from a school district liaison, shelter, or
transitional housing program which confirms you were provided services within the last 24 months.
Per California Education Code 66025.9, current and former Foster Youth as well as Homeless Youth up to and including the
age of 24 are eligible for priority registration. Homeless Youth qualify for priority registration up to their 25
th
birthday, or up
to 6 years from their original application date, whichever comes first.
Student Signature: _____________________________________ Date:_____________________
White: Enrollment File Yellow: Financial Aid File Pink: Homeless Youth Liaison Foster Youth Declaration Rev: 05/2017 em
San Jacinto Campus
1499 N. State Street
San Jacinto, CA 92583
(951) 487-3215
Menifee Valley Campus
28237 La Piedra Rd.
Menifee, CA 92584
(951) 639-5215
Temecula Education Complex
27447 Enterprise Circle West
Temecula, CA 92590
(951) 506-6752
San Gorgonio Pass Campus
3144 W. Westward Ave.
Banning, CA 92220
(951) 922-1327
Foster Youth Documentation verified date:
Type of documentation:
Financial Aid initials:
Homeless Youth Documentation verified date:
Type of documentation:
Homeless Youth Liaison initials:
Priority Registration End Date:
Name:
Street:
City:
State/Zip:
ID Number:
Term/Year:
Phone:
Date of Birth:
click to sign
signature
click to edit
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