721 Cliff Drive • Santa Barbara, California 93109-2394 • Phone (805) 730-5157 • Fax (805) 564-1893
2019-2020
FAFSA QUESTION 23 CLARIFICATION FORM
A. STUDENT INFORMATION
B. STUDENT AID ELIGIBILITY WORKSHEET FOR QUESTION 23
We are office requesting this form because you reported on your Free Application for Federal Student Aid (FAFSA) that you had a conviction
for possessing or selling illegal drugs or because you left this question blank.
Check the category that applies to you.
FAFSA Question 23 Clarification YES NO
1. Have you ever received federal student aid?
Answer “No” if you have never received federal student grants, federal student loans, or federal work-study. You
should also answer “No” if you have never attended college
Go to question 2
Skip to section C
2. Have you been convicted of possessing or selling illegal drugs?
Only include federal and state convictions. Do not count any convictions that have been removed from your record or
that occurred before you turned 18, unless you were tried as an adult.
Go to question 3
Skip to section C
3. Did the offense for possessing or selling illegal drugs occur during a period of enrollment
for which you were receiving federal financial aid (grants, loans, and/or work-study)?
Go to question 4
Skip to section C
4. Have you completed an acceptable drug rehabilitation program since your conviction? An
acceptable drug rehabilitation program must include at least two unannounced drug tests and be qualified to
receive funds from a federally or state-licensed insurance company; or be administered or recognized by a federal/
state/local government agency or court or a federally, or state-licensed clinic/doctor.
Skip to section C
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
# of convictions: ___
Skip to section C
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 financial aid (grants, loans, and/or work-study). # of convictions: ___
Go to section C
Go to section C
C. SIGNATURE
Last Name (Print) First Name M.I. Student ID (K00 Number)
Pipeline Email Phone Number
Student’s Signature
Date
Financial Aid Office: www.sbcc.edu/financialaid/
Date of last conviction: ___
____
federal financial aid (grants, loans, and/or work-study).
Date of last conviction: ________
I certify that all the information on this form and any attachments and subsequent information provided to the SBCC Financial
Aid Office is true, complete and accurate to the best of my knowledge. I understand that false statements or misrepresentations
will be cause for denial, reduction, withdrawal and/or repayment of financial aid and referral to appropriate administrators
under AP 500 Standards of Student Conduct.
