2019-2020 Unaccompanied /Homeless Youth Verification Form
Students who have completed his / her Free Application for Federal Student Aid (FAFSA) and indicated that he
/she was an unaccompanied youth, homeless or at risk of being homeless must have this information verified.
Please complete form and return to the Office of Financial Aid.
Student Name (Print):__________________________________Student ID#___________________________
Address: _______________________________________Telephone Number: _________________________
City: _________________________________________State:_____________ Zip Code: ________________
Please return completed form along with supporting documentation to the Office of Financial Aid
Agency Section:
I am providing this letter of verification as a (check one status, then provide name, phone number, and any other
contact information)
___McKinney-Vento School District Liaison
___A Director or Designee of HUD Funded Shelter
___A Director or Designee of RHYA-Funded Shelter
Per the College Cost Reduction and Access Act (Public Law 110-84) I am authorized to verify this student’s
living situation. No further verification by a Financial Aid Administrator is necessary.
I hereby confirm that: ______________________________________
Student Name (print)
Check One:
____ An unaccompanied homeless youth after July 1, 2018, living in a homeless situation, as defined by
Section 725 of McKinney-Vento Act, and was not in the physical custody of a parent or guardian.
____An unaccompanied, self-supporting youth at risk of homelessness after July 1,2018, This means that, after
July 1,2018 he/she was not in the physical custody of a parent or guardian, provides for his / her own living
expenses entirely on his / her own, and is at risk of losing his / her housing.
Authorized Signature: _________________________________________Date:__________________________
Print Name: ______________________________________Telephone Number: _________________________
Title: ____________________________________Agency:__________________________________________
As set forth in full in the Student Handbook/Course Catalog, Southern Crescent Technical College is an Equal Opportunity Institution and does not discriminate on the basis of race, color,
national origin, sex, age or disability.
Office of Financial Aid
501 Varsity Road 1533 Hwy 19 South
Griffin, GA 30223 Thomaston, GA 30286
770-228-7368 p 706-646-6386 p
770-229-3029 f 706-646-6063 f
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signature
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