Financial Aid Cochise College
901 N. Colombo Avenue
Sierra Vista, AZ 85635
Office: (520) 515-5417 Fax: (520) 515-5304
Finaid@cochise.edu
2020-2021
UNACCOMPANIED YOUTH OR AT RISK OF HOMELESSNESS
Student Name (please print) C-number
On your Free Application for Federal Student Aid (FAFSA), you answered “yes” to one of the following questions:
At any time on or after July 1, 2019, did your high school or school district homeless liaison determine that you were
an unaccompanied youth who was homeless?
At any time on or after July 1, 2019, did the director of an emergency shelter or transitional housing program funded
by the U.S. Department of Housing and Urban Development determine that you were an unaccompanied youth who
was homeless?
At any time on or after July 1, 2019, did the director of a runaway or homeless youth basic center or transitional
living program determine that you were an unaccompanied youth who was homeless or were self-supporting and at
risk of being homeless?
As noted in your Free Application for Federal Student Aid (FAFSA) you may be required to provide evidence of your
situation.
Check the statement below that applies to you since July 1, 2019. Attach any documentation.
I am an unaccompanied youth who is homeless according to my high school or school district
homeless liaison. Attach letter of Unaccompanied Homeless Youth designation from high school or school district
liaison.
I am an unaccompanied youth who is homeless according to the director of an emergency shelter or
transitional housing program funded by the U.S. Housing and Urban Development Office. Attach letter from
Director of an emergency shelter or transitional housing program funded by the U.S. Housing Urban Development Office
I answered incorrectly and none of these conditions apply to me. By checking this box, I understand that I
will need to return this form to Office of Financial Aid and correct my FAFSA by changing this answer to “no”
and by adding parental information as well as a parental signature.
I certify that the statement I checked above is correct.
X
Student Signature Date
