CERTIFICATION: I certify that the information provided on this form is true and correct to the best of my knowledge.
_____________________________________________ _______________________________
Student Signature Date
Financial Aid Office Use Only
FA Decision: Approved Denied
Documentation Submitted: _____________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
_____________________________________________________ __________________________________
Financial Aid Signature Date
Page 2 Dependency Determination
Rev. 03/27/20
Dependency Status Required Documentation
Unaccompanied Youth
At any time on or after July 1, 2019, your high school or school
district homeless liaison determined that you were an
unaccompanied youth who was homeless.
Note: Refer to definitions below.
• A determination or letter from your high
school or school district homeless liaison
Unaccompanied Youth
At any time on or after July 1, 2019, the director of an emergency
shelter or transitional housing program funded by the U.S.
Department of Housing and Urban Development determined that
you were an unaccompanied youth who was homeless.
Note: Refer to definitions below.
• A copy of your determination or letter from
the director of an emergency shelter or
transitional housing program funded by the
U.S. Department of Housing and Urban
Development that determined that you were
an unaccompanied youth who was homeless.
Unaccompanied Youth
At any time on or after July 1, 2019, the director of a runaway or
homeless youth basic center or transitional living program
determined that you were an unaccompanied youth who was
homeless or were self-supporting and at risk of being homeless?
Note: Refer to definitions below.
• A copy of your determination or letter from
the director of a runaway or homeless youth
basic center or transitional living program.
• Submit completed 2020-2021
Unaccompanied Homeless Youth
Determination Form
Definitions for dependency questions on the FAFSA:
“Homeless” means lacking fixed, regular and adequate housing, which includes living in shelters, motels or cars, or
temporarily living with other people because you had nowhere else to go.
“Unaccompanied” means you are not living in the physical custody of your parent or guardian.
“Youth” means you are 21 years of age or younger or you are still enrolled in high school as of the day you signed the
FAFSA application.
“Self Supporting” means you pay for your own living expenses, including fixed, regular, and adequate housing.
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