University of Central Missouri
Office of Student Financial Services
P.O. Box 800
Warrensburg, MO 64093-5178
Phone 660-543-8266
FAX 660-543-8080
Homeless Youth
UCM use only
___________________________________________________ 700___________________________
Student’s Name (please print) UCM ID Number
On your 2018/2019 Free Application for Federal Student Aid (FAFSA), you indica
ted that at some point
on or after July 1, 2017, your high school or school district or the director of a runaway/homeless
youth center, transitional housing/living program or U.S. HUD emergency shelter classified you as:
1) an Unaccompanied Homeless Youth or 2) self-supporting and at risk of being homeless.
Your response to this FAFSA question must be verified before processing of your aid eligibility can
continue. Therefore, please submit a photocopy of documentation verifying at least one of the above
circumstances. This can be a legal document or a letter from a representative from one of the above
The required document and/or letter should be attached to this form, which must be signed and dated
below. All materials should then be submitted to the Office of Student Financial Services:
Mailing Address:
Office of Student Financial Services
University of Central Missouri
P.O. Box 800
Warrensburg, MO 64093-5178
Hand carry to:
1100 Ward Edwards Bldg.
All required legal documents are attached to this form.
Mark this box if you should actually have answered No to Questions 56, 57 and/or 58 on your
2018/2019 FAFSA.
________________________________________________________ ________________________
Student’s Signature Date
Student_Q56-57-58_UNACC_18.pdf NOV 8, 2017
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