H
ave you completed an acceptable drug rehabilitation program since your conviction?
An acceptable drug rehabilitation program must include at least two unannounced drug tests, and:
B
e 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,
h
ealth clinic or medical doctor.
If No, go to question 4.
3
If Yes, change your answer to question 31 to
“3,” and sign and send us your SAR.
If No, go to question 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).
4
If you have no con
victions for possessing drugs, skip to question 8.
//
If you have only one conviction for possessing drugs, add one year to the date in question 6, and write
that date here:
If y
ou ha
ve tw
o con
victions for possessing drugs, add
tw
o years
to
the date in question 6, and write that date here:
7
6
//
If you have only one conviction for selling drugs, add two years
to the date in question 8, and write that date here:
9
9
Look at the dates y
ou wrote in questions 7 and 9.
10
What to do with y
our eligibility date:
• If your eligibility date in question 10 is bef
ore July 1, 2006, change your answer to question 31 to
“1,
” and sign and
send us your SAR.
• If your eligibility date falls between July 1, 2006 and June 30, 2007, change your answer to question 31 to “2,” and
sign and send us y
our SAR.
Save this w
or
ksheet f
or your records. Contact your financial aid office at your school, and
tell them your eligibility date.
• If your eligibility date is after J
une 30, 2007, c
hang
e your answer to question 31 to
“3,
” and sign and send us y
our
SAR.
If Yes, change your answer to question 31 to
“
1,” and sign and send us your SAR.
Write the date of your last conviction for possessing illegal dr
ugs here:
6
/ /
7
If you have no con
victions f
or selling drugs, skip to question 10.
//
8
Write the date of y
our last con
viction for
selling ille
g
al drugs here:
8
If there is only one date, copy that date here:
If ther
e ar
e tw
o dates, write the later one her
e:
/ /
YOUR ELIGIBILITY DATE
10
YES
YES
NO
NO
If Yes, change your answer to question 31 to
“3,” and sign and send us your SAR.
If No, go to question 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
NO
5
Name ___________________________________________
Social Security # _________________________________