Special Circumstance Review Request Form

Size: px
Start display at page:

Download "Special Circumstance Review Request Form"

Transcription

1 Special Circumstance Review Request Form Student Name: of Birth (MM/DD/YY): Program: Major: Last 4 digits of SSN: xxx-xx- Daytime Phone Student: Time Zone if different than EST: In cases where there is an involuntary, recent and documentable change in financial circumstances, the CIM Financial Aid Office may consider specific data element change(s) to the FAFSA. This will allow institutional reprocessing of the FAFSA to be based on more current financial scenario than was originally submitted on the FAFSA using the 2016 federal tax return data. Such changes do not always result in additional aid eligibility. The CIM Financial Aid Committee will review your review request and respond as soon as possible upon receipt of ALL required information. For all reviews, the Verification Form(s) must be completed BEFORE this review may occur. These forms are found on the NetPartner forms/links screen. For undergraduates, this includes both the Parent and Student Verification Forms. Graduate students only need to submit the Student Verification Form. We may only consider changes to the student finances, not that of parents, for graduate students. The parent assumed contribution on the FAFSA for all graduate students is already $0, by default. Required for all review requests: Step 1: Write a detailed description of your special circumstance(s) and submit with this form. This is required for all appeals. This step may also be ed to the Financial Aid Office at financialaid@cim.edu. Check here if this section s detail is being ed:

2 Step 2: Check the box(es) that best describe your situation and submit this completed form along with the supporting documentation. *Depending on the date of change, 2017 or 2018 records may be needed instead of 2016 documents noted below. Submit whatever documentation is the MOST RECENT year applicable to the change. CHECK BOX REASON FOR APPEAL Recent death of Student s parent or spouse. The student or parent(s) no longer receives benefits such as child support, taxable social security, or other sources of income. Extraordinary family medical/dental expenses paid Decrease in work hours or reduction of income. The student or the student s parents have separated or divorced. Loss of job for the student or parent(s). REQUIRED DOCUMENTATION Copy of the parent s or spouse s death certificate If taxes were filed jointly, complete the Estimated Income Form (for parents or student/spouse as applicable), see last pages 2016 W-2 and/or 1099-MISC for each person applicable to student s FAFSA (we need to document how much of the annual income was attributable to the deceased). If benefits are terminated - documentation of the monthly benefit amount received and date of benefit termination If benefits are reduced documentation of both original amount, date of reduction, and reduced amount Submit a 2016 IRS 1040 Schedule A if you itemized medical expenses. If you did not itemize, submit proof of medical expenses paid in An insurance Explanation of Benefit (EOB) is not acceptable documentation. Please do not send cancelled checks. Final pay stub before change Current pay stub showing change Dependent Student (generally, most undergraduates) Submit letters from both parents stating the date of separation and identifying the parent providing primary financial support for the student and household size and who will be the custodial parent going forward. The parent not providing primary support should state how much support (if any) will be given monthly to the custodial parent for all family members. Utility bills from each parent to substantiate two separate households are now being maintained W-2 and/or 1099-MISC for each person applicable to student s FAFSA (we need to document how much of the annual income was attributable to each parent). Independent Student (all graduate students) Submit a separate letter listing any dependents and include the amount of support payments (if any) provided to the student or dependents 2016 W-2 and/or 1099-MISC for both student and spouse (need to document how much of the income was attributable to each person). Documentation of unemployment benefits Copy of separation notice Final pay stub & documentation of severance pay (if applicable) Parent or student has received a one-time disbursement of funds. Other extenuating circumstances. not listed above Documentation of fund amount and the source of the funding Examples may include severance package, bonus, IRA early withdrawal etc. Detailed letter describing the extraordinary situation **Additional documentation will likely be requested. Step 3: FAFSA U.S. Citizens and Permanent Residents must have a valid FAFSA on file ( Also, the Verification Form (Student) is required, and Verification Form (Parent) is required for dependent students. These forms are found on your NetPartner Forms/Links screen. Step 4: Complete both Parent and Student Special Circumstances pages that follow, unless otherwise noted.

3 Parent(s) Special Circumstances Documentation This page is not applicable to U.S. citizen or Permanent Resident Graduate Students, as the parent contribution is already assumed to be zero for you, per FAFSA financial need formulas, which excludes any parent income/asset information. As such, financial special circumstances relating to parents of U.S. citizen or Permanent Resident graduate students are therefore not applicable for appeal review. Instructions: Provide actual and estimated 2018 income for the parent/stepparent(s) whose information was used to complete the FAFSA. If biological/legal parents are separated or divorced, report on the parent (and their spouse, if remarried) who you lived with more in the past 12 months. For any income listed, submit supporting documentation as specified on the appeal form. If a line item is left blank, you are certifying you have not received and there is no expectation of receiving income of that kind. If appeal is approved and there is any change to federal need-based aid due to FAFSA adjustment by the CIM Financial Aid Office, this page must be updated and resubmitted between 8/1/18 and 8/15/18 to the show more recent updated yearly income projections. Sources of Income Actual amounts from 1/1/2018 through today Expected amounts from tomorrow through 12/31/2018 TAXABLEINCOME Parent 1 / stepparent gross earnings from employer(s) $ $ Parent 2 / stepparent gross earnings from employer(s) $ $ Severance Pay $ $ Investment Income: Dividends, Net Rental Income, etc. $ $ Alimony Received $ $ Business Net Income $ $ Capital Gains (Sale of Property, etc.) $ $ IRA/Retirement Account Withdrawals $ $ Pension and Annuity Income $ $ Corporation & Partnership Income $ $ Farm/Ranch Net Income $ $ Unemployment Compensation (Gross) $ $ Taxable Social Security Benefits/Disability $ $ UNTAXED INCOME Payments to Tax-Deferred Pension and Savings Plans $ $ IRA Deductions/Payments to SEP, SIMPLE, Koegh $ $ Child Support Received $ $ Tax Exempt Interest Income $ $ Untaxed Portions of IRA Distributions $ $ Untaxed Pension and Annuity Income $ $ Housing, Food and Other Living Allowances paid to you $ $ Non-Educational Veterans Benefits $ $ Other Untaxed Income (Workers Compensation/Disability) $ $ ADDITIONAL FINANCIAL INFORMATION Child Support Paid $ $ Taxable Combat Pay or Special Combat Pay $ $ Financial support from others outside of your household $ $ Any other income: $ $ TOTAL INCOME $ $ Parent 1 Printed Name Parent 2 Printed Name Parent 1 (or Daytime Phone #) Parent 2 (or Daytime Phone #) Parent 1 Signature Parent 2 Signature

4 Student/Spouse Special Circumstances Documentation Instructions: Provide actual and estimated 2018 income for the Student/Spouse. For any income listed, submit supporting documentation as specified on the appeal form. If a line item is left blank, you are certifying you have not received and there is no expectation of receiving income of that kind. If appeal is approved and there is any change to federal need-based aid due to FAFSA adjustment by the CIM Financial Aid Office, this page will need to be updated and resubmitted between 8/1/18 and 8/15/18 to the show more recent updated yearly income projections. Sources of Income Actual amounts from 1/1/2018 through today Expected amounts from tomorrow through 12/31/2018 TAXABLE INCOME Student gross earnings from employer(s) $ $ Spouse gross earnings from employer(s) $ $ Severance Pay $ $ Investment Income: Dividends, Net Rental Income, etc. $ $ Alimony Received $ $ Business Net Income $ $ Capital Gains (Sale of Property, etc.) $ $ IRA/Retirement Account Withdrawals $ $ Pension and Annuity Income $ $ Corporation & Partnership Income $ $ Farm/Ranch Net Income $ $ Unemployment Compensation (Gross) $ $ Taxable Social Security Benefits/Disability $ $ UNTAXED INCOME Payments to Tax-Deferred Pension and Savings Plans $ $ IRA Deductions/Payments to SEP, SIMPLE, Koegh $ $ Child Support Received $ $ Tax Exempt Interest Income $ $ Untaxed Portions of IRA Distributions $ $ Untaxed Pension and Annuity Income $ $ Housing, Food and Other Living Allowances paid to you $ $ Non-Educational Veterans Benefits $ $ Other Untaxed Income (Workers Compensation/Disability) $ $ ADDITIONAL FINANCIAL INFORMATION Child Support Paid $ $ Taxable Combat Pay or Special Combat Pay $ $ Financial support from others outside of your household $ $ Any other income: $ $ TOTAL INCOME $ $ Student Printed Name Spouse Printed Name Student (or Daytime Phone #) Spouse (or Daytime Phone #) Student Signature Spouse Signature

5 Step 7: Certification: I certify that all of the information provided on this form (all pages) and attached documentation is correct and complete to the best of my knowledge. I will notify the CIM Financial Aid Office immediately in writing of any changes that occur that pertain to this appeal. Example: if appeal is due to loss of job and a new job is obtained before the 2018 year is over, I understand I must communicate the updated estimated 2018 income to CIM. Student Signature / Parent Signature (for Dependent students) / Or Signature of Student s Spouse/ Step 8: Please return this form and all requested documentation: Fax: * clearly labeled pdf to financialaid@cim.edu Mail: CIM Financial Aid Office, East Blvd., Cleveland, OH *NEVER SEND ANY FILES VIA THAT INCLUDE SSN UNLESS THE FILE IS ENCRYPTED AND THE PASSWORD IS SENT IN A SEPARATE . THIS IS DEPT OF EDUCATION REGULATIONS AND HELPS PROTECT YOU FROM IDENTITY THEFT.

SPECIAL CONDITION FINANCIAL AID APPLICATION Academic Year

SPECIAL CONDITION FINANCIAL AID APPLICATION Academic Year **FASPEC SPECIAL CONDITION FINANCIAL AID APPLICATION 2019-2020 Academic Year Please check one of the following: Continuing Student New Student / / Student's Last Name First M.I. King s ID # or Student's

More information

Student/Spouse Special Condition Request

Student/Spouse Special Condition Request 2018-2019 Student/Spouse Special Condition Request To submit the completed form: In person: MT One Stop, Student Services and Admissions Center (SSAC) Mail: MTSU, MT One Stop, SSAC Room 260, 1301 East

More information

ESTIMATED YEARLY INCOME DEPENDENT STUDENTS

ESTIMATED YEARLY INCOME DEPENDENT STUDENTS ESTIMATED YEARLY INCOME DEPENDENT STUDENTS SPECIAL CIRCUMSTANCES LOSS OF INCOME Submit Documents Via Secure Electronic Submission: my.fordham.edu/fasubmitdocs or Fax: (718) 817-3921 STUDENT: FIDN#: A Last

More information

SPECIAL CIRCUMSTANCES FORM

SPECIAL CIRCUMSTANCES FORM For Office Use Only FAC18SPC For Student Information Only 2018-2019 SPECIAL CIRCUMSTANCES FORM The Financial Aid Office recognizes that students and their families may have extenuating financial circumstances

More information

Request for Review of Special Circumstances for Independent Students

Request for Review of Special Circumstances for Independent Students 2016-2017 Request for Review of Special Circumstances for Independent Students SECTION A: STUDENT INFORMATION Name: UNTD Assigned ID: SSN (last 4 digits only): The 2016-2017 Free Application for Federal

More information

Parent Special Condition Request (SPCOND)

Parent Special Condition Request (SPCOND) To submit the completed form: In person: MT One Stop, Student Services and Admissions Center (SSAC) Mail: MTSU, MT One Stop, SSAC Room 260, 1301 East Main Street, Murfreesboro, TN 37132 Fax: (615) 898-5167

More information

EARLY FINANCIAL AID APPLICATION

EARLY FINANCIAL AID APPLICATION 2016 2017 EARLY FINANCIAL AID APPLICATION INSTRUCTIONS RECRUITED ATHLETES ONLY Step 1 COMPLETE THE 2016 2017 EARLY FINANCIAL AID APPLICATION Complete all four pages of this application. Please do not leave

More information

Expected Family Contribution Appeal

Expected Family Contribution Appeal STUDENT NAME: _ OSU ID#: The Ohio State University has established an appeal process to allow for adjustments to an individual s federal aid application based on circumstances within the household. If

More information

THE CLEVELAND INSTITUTE OF ART SPECIAL CIRCUMSTANCE FORM

THE CLEVELAND INSTITUTE OF ART SPECIAL CIRCUMSTANCE FORM Instructions: THE CLEVELAND INSTITUTE OF ART 2018-2019 SPECIAL CIRCUMSTANCE FORM Dependent Students: Please complete this form only if your parents 2018 income will be significantly less than the 2016

More information

FINANCIAL AID & SCHOLARSHIPS OFFICE

FINANCIAL AID & SCHOLARSHIPS OFFICE FINANCIAL AID & SCHOLARSHIPS OFFICE 2019-2020 Special Circumstances Appeal Please use this form to document changes that have occurred in your family s financial situation for the current academic year.

More information

DEPENDENT VERIFICATION INSTRUCTIONS AND PROCEDURES

DEPENDENT VERIFICATION INSTRUCTIONS AND PROCEDURES FINANCIAL AID OFFICE 724-938-4415 724-938-4551 FAX 2018-2019 DEPENDENT VERIFICATION INSTRUCTIONS AND PROCEDURES Your FAFSA application has been selected for Verification. The Financial Aid Office will

More information

Reduced Income Guide & Form

Reduced Income Guide & Form Office of Admission Carnegie Mellon University 5000 Forbes Avenue Pittsburgh, PA 15213 Phone: 412-268-2082 Fax: 412-268-7838 undergraduate-admissions@andrew.cmu.edu 2016-2017 Reduced Income Guide & Form

More information

Special Circumstances Application - Parent

Special Circumstances Application - Parent 2018-2019 Special Circumstances Application - Parent Office of Financial Aid and Veteran Services 7101 University Ave, Texarkana, TX, Telephone: 903.334.6601 Fax: 903.223.3140 FinAid@tamut.edu Office Use

More information

SPECIAL CIRCUMSTANCE APPLICATION

SPECIAL CIRCUMSTANCE APPLICATION 2015-2016 SPECIAL CIRCUMSTANCE APPLICATION Student Name: Student ID: Address: Street City State Zip Daytime Phone: KSU Email: The purpose of a Special Circumstance application is to explain that the information

More information

Independent Student Special Conditions Application OFFICE OF FINANCIAL AID

Independent Student Special Conditions Application OFFICE OF FINANCIAL AID 2017-2018 Independent Student Special Conditions Application OFFICE OF FINANCIAL AID Financial aid for the 2017-2018 academic year is based on 2015 income. If you and/or your family have had a significant

More information

Request for Review of Special Circumstances for Dependent Students

Request for Review of Special Circumstances for Dependent Students 2017-2018 Request for Review of Special Circumstances for Dependent Students SECTION A: STUDENT INFORMATION Name: UNTD Assigned ID: SSN (last 4 digits only): The 2017-2018 Free Application for Federal

More information

BLINN COLLEGE. Parent Recalculation

BLINN COLLEGE. Parent Recalculation PARREC Student Information Parent Recalculation 2017-2018 Last Name First Name MI Blinn ID If you or your family has unique documentable circumstances that affect your ability to contribute toward your

More information

Re-Evaluation of Financial Aid

Re-Evaluation of Financial Aid Re-Evaluation of Financial Aid In certain cases, VWC will re-evauate a student for additional financial aid. Adjustments must be reasonable and documented, and the institution is held accountable to the

More information

Special Circumstances Appeal

Special Circumstances Appeal Instructions 2013-2014 You have indicated that you and/or your family have experienced a significant change in your financial situation during 2012. We understand this may be a difficult time for you and

More information

Request for Re-evaluation Dependent Students

Request for Re-evaluation Dependent Students 2019-2020 Request for Re-evaluation Dependent Students Student Name: If you believe you have extenuating financial circumstances, or there is a current and significant reduction in family income, you may

More information

SPECIAL CIRCUMSTANCE REQUEST

SPECIAL CIRCUMSTANCE REQUEST 2018-2019 SPECIAL CIRCUMSTANCE REQUEST Reedley College Madera CCC Oakhurst CCC (559) 638-0312 (559) 675-4800 (559) 683-3940 This form is to request an income adjustment to your 2018-2019 Free Application

More information

Dependent Special Circumstance Form

Dependent Special Circumstance Form Dependent Special Circumstance Form 2013-2014 Please print Students Name: Student ID # Last First M.I Address: Phone # City State Zip Please indicate all the circumstances that may apply to your situation.

More information

REQUEST FOR CONSIDERATION OF SPECIAL CIRCUMSTANCES

REQUEST FOR CONSIDERATION OF SPECIAL CIRCUMSTANCES Financial Aid and Educational Funding Office W3718 South Drive Plymouth, WI 53073 Fax: 920-565-1070 INDEPENDENT STUDENT 2018-2019 REQUEST FOR CONSIDERATION OF SPECIAL CIRCUMSTANCES Student Name: Daytime

More information

Dependent Verification Document

Dependent Verification Document Office of Financial Aid at Rider University 2083 Lawrenceville Road Lawrenceville, New Jersey 08648 (609) 896-5360 Fax: 609-219-4487 Dependent Verification Document 2018-2019 We are requesting you verify

More information

Dependent Student Special Conditions Application OFFICE OF FINANCIAL AID

Dependent Student Special Conditions Application OFFICE OF FINANCIAL AID 2018-2019 Dependent Student Special Conditions Application OFFICE OF FINANCIAL AID Financial aid for the 2018-2019 academic year is based on 2016 income. If you and/or your family have had a significant

More information

Professional Judgment Review Application: Academic Year

Professional Judgment Review Application: Academic Year Professional Judgment Review Application: Academic Year 2018-2019 PRFJ The application will be returned if all pages are not completed in full or if pages are missing from the submission. STUDENT S NAME:

More information

Change of Circumstances Form

Change of Circumstances Form Student s Information Change of Circumstances Form 2017-2018 Ave Maria University Office of Financial Aid 5050 Ave Maria Blvd. Ave Maria, Fl. 34142 Phone: 239-280-1669 Fax: 239-280-2559 Last Name First

More information

EARLY FINANCIAL AID APPLICATION INSTRUCTIONS Recruited Athletes Only

EARLY FINANCIAL AID APPLICATION INSTRUCTIONS Recruited Athletes Only 2019 2020 EARLY FINANCIAL AID APPLICATION INSTRUCTIONS Recruited Athletes Only STEP 1 COMPLETE THE 2019 2020 EARLY FINANCIAL AID APPLICATION Complete all four pages of this application. Please do not leave

More information

Verification Tips

Verification Tips 2011-2012 Verification Tips Please read before submitting your verification documents to our office. Submit copies of 2010 tax returns. Keep originals for your records. Make sure that the Verification

More information

Documents Required for Appeal

Documents Required for Appeal Financial Aid Appeal Form 2019-2020 Academic Year If your family has experienced a recent change in financial circumstances which were not captured within your 2017 tax information, please use this form

More information

SPECIAL CIRCUMSTANCE APPLICATION

SPECIAL CIRCUMSTANCE APPLICATION 2014-2015 SPECIAL CIRCUMSTANCE APPLICATION Student Name: Student ID: Address: Street City State Zip Daytime Phone: KSU Email: The purpose of a Special Circumstance application is to explain that the information

More information

CSS/Financial Aid PROFILE Early Application School Year

CSS/Financial Aid PROFILE Early Application School Year Section A --- Student s Information 1. Student s Name: Last Name First Name M.I. 2. Student s permanent mailing address: Street address City Zip or Postal Code Country 3. Student s preferred telephone

More information

Special Circumstances Appeal

Special Circumstances Appeal 1 Special Circumstances Appeal 2018-19 SPECIAL CIRCUMSTANCES APPEAL You may complete the Special Circumstances Appeal form if you are an independent student whose current financial situation is t accurately

More information

PROFESSIONAL JUDGMENT REVIEW APPLICATION (Academic year)

PROFESSIONAL JUDGMENT REVIEW APPLICATION (Academic year) PROFESSIONAL JUDGMENT REVIEW APPLICATION 2016-2017 (Academic year) PRFJ ALL APPLICANTS ARE REQUIRED TO COMPLETE THIS SECTION. (THE APPLICATION WILL BE RETURNED IF ALL APPLICABLE PAGES ARE NOT COMPLETED

More information

DEPENDENT CONSIDERATION OF SPECIAL CIRCUMSTANCES Page 1 of 3

DEPENDENT CONSIDERATION OF SPECIAL CIRCUMSTANCES Page 1 of 3 2017-2018 DEPENDENT CONSIDERATION OF SPECIAL CIRCUMSTANCES Page 1 of 3 Student Name: Student ID# Complete this form only if you have already completed the 2017-2018 FAFSA (Free Application for Federal

More information

BLINN COLLEGE. Dependency Override Request Form

BLINN COLLEGE. Dependency Override Request Form Dependency Override Request Form 2017 2018 DEPOVR Student s Name Blinn ID: B00 Federal student aid programs are based on the premise that you and your family bear the primary responsibility for financing

More information

Bucks County Community College Verification Worksheet Dependent Student V6

Bucks County Community College Verification Worksheet Dependent Student V6 Bucks County Community College 2017 2018 Verification Worksheet Dependent Student V6 Your 2017 2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification.

More information

Florida Agricultural and Mechanical University Tallahassee, Florida

Florida Agricultural and Mechanical University Tallahassee, Florida Division of Student Affairs Office of Financial Aid Florida Agricultural and Mechanical University Tallahassee, Florida 32307-3100 TELEPHONE: (850) 599-3730 FAX: (850) 561-2730 2017-2018 Special Circumstance

More information

VERIFICATION - TAX FILING EXTENSION INSTRUCTIONS

VERIFICATION - TAX FILING EXTENSION INSTRUCTIONS 2016-2017 VERIFICATION - TAX FILING EXTENSION INSTRUCTIONS Approximately 30% of all FAFSA applications are randomly selected for the Verification process. As part of this process, students selected must

More information

Household Resources Worksheet (F17HHD) Dependent

Household Resources Worksheet (F17HHD) Dependent 2016-2017 Household Resources Worksheet (F17HHD) Dependent Office of Student Financial Aid One University Blvd 327 Millennium Student Center St. Louis MO 63121-4499 T: 314-516-5526 F: 314-516-5408 E-Mail:

More information

DEPENDENT VERIFICATION WORKSHEET

DEPENDENT VERIFICATION WORKSHEET 2015-2016 DEPENDENT VERIFICATION WORKSHEET Your 2015-2016 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before awarding Federal

More information

Summer Academy in Applied Science and Technology School of Engineering and Applied Science, University of Pennsylvania

Summer Academy in Applied Science and Technology School of Engineering and Applied Science, University of Pennsylvania Summer Academy in Applied Science and Technology School of Engineering and Applied Science, University of Pennsylvania SUMMER 2015 FINANCIAL AID APPLICATION FORM For US Citizens Please submit a copy of

More information

DEPENDENT VERIFICATION WORKSHEET

DEPENDENT VERIFICATION WORKSHEET 2016-2017 DEPENDENT VERIFICATION WORKSHEET Your 2016-2017 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before awarding Federal

More information

INSTRUCTIONS. Item 6: Indicate who is responsible for tuition and what percentage for the dependents listed in Section C.

INSTRUCTIONS. Item 6: Indicate who is responsible for tuition and what percentage for the dependents listed in Section C. Section A & B Parent, Guardian or Other Adult This section should be filled out by the parent, guardian or other adult responsible for the tuition of the child or children attending Most Holy Trinity Catholic

More information

Santa Clara University Financial Aid Office Financial Aid Appeal for Reconsideration

Santa Clara University Financial Aid Office Financial Aid Appeal for Reconsideration Santa Clara University Financial Aid Office Financial Aid Appeal for Reconsideration Purpose of Form Through the Higher Education Act, Santa Clara University Financial Aid Office has been granted the authority

More information

SPECIAL CIRCUMSTANCES APPLICATION

SPECIAL CIRCUMSTANCES APPLICATION R Student Rocket Number Student Last Name Student First Name 2018-19 SPECIAL CIRCUMSTANCES APPLICATION COMPLETE WITH BLACK INK ONLY. ELECTRONIC SIGNATURES ARE NOT ACCEPTABLE ON THIS FORM. If the information

More information

Verification Worksheet Federal Student Aid Programs Dependent Students

Verification Worksheet Federal Student Aid Programs Dependent Students OFFICE OF FINANCIAL AID 2018-2019 Verification Worksheet Federal Student Aid Programs Dependent Students Your 2018 2019 Free Application for Federal Student Aid (FAFSA) was selected for review in a process

More information

INSTITUTE FOR CURATORIAL PRACTICE IN PERFORMANCE (ICPP) FINANCIAL AID AWARD FORM DEADLINE: FEBRUARY 1, 2017

INSTITUTE FOR CURATORIAL PRACTICE IN PERFORMANCE (ICPP) FINANCIAL AID AWARD FORM DEADLINE: FEBRUARY 1, 2017 INSTRUCTIONS: The deadline for this application is February 1, 2017 Information you will need to complete this application: o 2015 tax returns for you and your spouse or partner o Records of untaxed income,

More information

Special Circumstances Form

Special Circumstances Form 2018-2019 Special Circumstances Form Occasionally, unusual circumstances exist that may warrant reconsideration of financial aid eligibility. If the information you reported on your Free Application for

More information

Special Circumstances Form

Special Circumstances Form 2019-2020 Special Circumstances Form Occasionally, unusual circumstances exist that may warrant reconsideration of financial aid eligibility. If the information you reported on your Free Application for

More information

Appeal Questionnaire

Appeal Questionnaire Appeal Questionnaire 2014-2015 Financial Aid Office Illinois Wesleyan University PO Box 2900 (309) 556-3096 fax (309) 556-3833 Bloomington, Illinois 61702-2900 2014-2015 APPEAL QUESTIONNAIRE Name of Student

More information

REQUEST FOR DEPENDENCY OVERRIDE

REQUEST FOR DEPENDENCY OVERRIDE Financial Aid Office Contact Us: P: (972)881-5760 Financialaid@collin.edu Student Information 2018 2019 REQUEST FOR DEPENDENCY OVERRIDE Name: Have you ever received a Dependency Override before? YES _

More information

DEPENDENT Special Circumstance Review

DEPENDENT Special Circumstance Review 2017-2018 DEPENDENT Special Circumstance Review Last Name (Student) First Name M.I. Daytime Phone number (include area code) Missouri S&T Student ID# Please indicate all the circumstances that may apply

More information

Scholarship Application Form Fall 18, Spring 19 & Summer 19

Scholarship Application Form Fall 18, Spring 19 & Summer 19 Need-based Scholarships: These scholarships are open only to students admitted to degree candidacy (matriculated) who are U.S. citizens or permanent residents. Scholarship applicants must have a completed

More information

A. STUDENT S INFORMATION (PLEASE PRINT) B. STUDENT S FAMILY INFORMATION. List below the people in your parent s household.

A. STUDENT S INFORMATION (PLEASE PRINT) B. STUDENT S FAMILY INFORMATION. List below the people in your parent s household. DEPENDENT STANDARD 2013-14 Verification Worksheet (V1) (Tax/Non Tax Filers, Supplemental Nutrition Assistance Program (SNAP), Child Support and Child Support Paid) A. STUDENT S INFORMATION (PLEASE PRINT)

More information

THE FOLLOWING DOCUMENTS MUST BE SUBMITTED WITH THE INCOME ADJUSTMENT REQUEST FORM:

THE FOLLOWING DOCUMENTS MUST BE SUBMITTED WITH THE INCOME ADJUSTMENT REQUEST FORM: Napa Valley College 2018-2019 INCOME ADJUSTMENT REQUEST INDEPENDENT Students Application Deadline: March 29, 2019 July 2018 Police Academy: Contact the Financial Aid Office for possible early submission

More information

( ) - FOR APPLICANTS:

( ) - FOR APPLICANTS: Change In Circumstance Form (CCF) 2017 2018 UNC Asheville Office of Financial Aid One University Heights Brown Hall CPO# 1330 Asheville, NC 28804 financialaid.unca.edu (828) 251-6535 Phone (828) 232-2294

More information

(daytime) DATE OF BIRTH:

(daytime) DATE OF BIRTH: This application is for GSB China Entrepreneur Loan Forgiveness Program recipients who are applying for the first time or reapplying for the next 12 month period. A. DEMOGRAPHIC INFORMATION (Please do

More information

Financial Aid and Scholarships Office Verification Form Independent

Financial Aid and Scholarships Office Verification Form Independent Financial Aid and Scholarships Office 2016-17 Verification Form Independent Student Name Student ID # (required) Your financial aid application for the 2016-2017 academic year has been selected for a process

More information

Standard Verification Form

Standard Verification Form 2018-2019 Standard Verification Form Your 2018 2019 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that, before awarding Federal

More information

UNC Application for Aid

UNC Application for Aid 8 9 UNC Application for Aid Step One (Student): For questions -4, leave any questions that do not apply to you (the student) blank. OMB # 845-000 Your full name (exactly as it appears on your Social Security

More information

17MI-{CN} INDIVIDUAL RETURN DUE APRIL 30, 2018 Taxpayer's SSN Taxpayer's first name Initial Last name

17MI-{CN} INDIVIDUAL RETURN DUE APRIL 30, 2018 Taxpayer's SSN Taxpayer's first name Initial Last name CF-1040 {CITY NAME} 2017 17MI-{CN}-1040-1 INDIVIDUAL RETURN DUE APRIL 30, 2018 Taxpayer's first name Initial Last name Spouse's SSN If joint return spouse's first name Initial Last name Mark (X) box if

More information

New Student Financial Aid Appeal Questionnaire

New Student Financial Aid Appeal Questionnaire New Student Financial Aid Appeal Questionnaire 2018-2019 Financial Aid Office Illinois Wesleyan University PO Box 2900 (309) 556-3096 fax (309) 556-3833 Bloomington, IL 61702-2900 2018-19 Appeal Questionnaire

More information

CHANGE IN CIRCUMSTANCE APPEAL

CHANGE IN CIRCUMSTANCE APPEAL CHANGE IN CIRCUMSTANCE APPEAL 2018 2019 Dependent Student Federal regulations permit the Office of Student Financial Aid the ability to make adjustments to a student s Free Application for Federal Student

More information

Change in Income/Employment Special Conditions Appeal Form

Change in Income/Employment Special Conditions Appeal Form Fairfield University Office of Financial Aid Please email completed form to: finaid@fairfield.edu Or mail to: Office of Financial Aid 1073 North Benson Road Fairfield, CT 06824 Fax: 203-254-4008 Change

More information

Parent Marital Status Correction/Update Form

Parent Marital Status Correction/Update Form Student Financial Aid Services Office Use Only 875 Perimeter Drive MS4291 Doc: PASD #22 Moscow, ID 83844-4291 Tkg Grp: PHONE: 208-885-6312 Comp. Date: FAX: 208-885-5592 Comp. By: EMAIL: finaid@uidaho.edu

More information

SPECIAL CIRCUMSTANCES APPLICATION

SPECIAL CIRCUMSTANCES APPLICATION SPECIAL CIRCUMSTANCES APPLICATION Lima Christian School Special Circumstances Fund FAQ Answer: Answer: Who can apply for Special Circumstance Funds? Anyone who is in need of tuition assistance due to family

More information

INDEPENDENT Special Circumstance Review

INDEPENDENT Special Circumstance Review 2018-2019 INDEPENDENT Special Circumstance Review Student Financial Assistance Office GI Parker Hall, 300 W. 13th Street Rolla, MO 65409 Phone 573/341-4282 or 800/522-0938 Fax 573/341-4274 Email: sfa@mst.edu

More information

DATABASE MATCHES. The remainder of the chapter consists of the following items: SAR Comment Texts with C Flags Assumption Overrides CUNY Edits

DATABASE MATCHES. The remainder of the chapter consists of the following items: SAR Comment Texts with C Flags Assumption Overrides CUNY Edits 3 DATABASE MATCHES This chapter is excerpted from the 2015-16 EDE Technical Reference, 2015-16 ISIR Guide, the 2015-16 SAR Comment s and Text, and other Department of Education bulletins. This material

More information

Prepare, print, and e-file your federal tax return for free!

Prepare, print, and e-file your federal tax return for free! Prepare, print, and e-file your federal tax return for free! www.freetaxusa.com Form 1040 Department of the Treasury Internal Revenue Service (99) U.S. Individual Income Tax Return 2017 OMB No. 1545-0074

More information

Application For Reevaluation

Application For Reevaluation Student Financial Services University of Pennsylvania 005 Franklin Building 3451 Walnut Street Philadelphia, PA 19104-6270 www.sfrs.upenn.edu Fax: (215) 573-5428 Application For Reevaluation 2019-2020

More information

TITLE IV VERIFICATION PROCEDURES

TITLE IV VERIFICATION PROCEDURES METROPOLITAN LEARNING INSTITUTE Licensed by the New York State Education Department Non Profit Educational Organization Innovative Approach Is Our Way to Success www.gettraining.org Main Campus: Extension:

More information

Wingate University Verification - Frequently Asked Questions

Wingate University Verification - Frequently Asked Questions What is Verification and why was I selected? Wingate University Verification - Frequently Asked Questions Verification is a process used to verify certain information on the FAFSA to ensure its accuracy.

More information

Professional Judgment Income Reduction and Fax Coversheet

Professional Judgment Income Reduction and Fax Coversheet Student Legal Last Name (print or type) First Name Middle Initial Student IRN In limited circumstances, the University may independently modify student financial aid eligibility using (PJ) to evaluate

More information

FINANCIAL INFORMATION INQUIRY FORM FOR THE EDUCATIONAL OPPORTUNITY PROGRAM (EOP)

FINANCIAL INFORMATION INQUIRY FORM FOR THE EDUCATIONAL OPPORTUNITY PROGRAM (EOP) For Office Use Only: Checklist Item CommKey 9EOPIF 9ECIN FINANCIAL AID AND SCHOLARSHIP SERVICES FINANCIAL INFORMATION INQUIRY FORM 2019-2020 FOR THE EDUCATIONAL OPPORTUNITY PROGRAM (EOP) YOU MUST HAVE

More information

If you have any questions prior to mailing or bringing your application in, please feel free to contact our department at

If you have any questions prior to mailing or bringing your application in, please feel free to contact our department at NJ Hospital Care Assistance Program(NJHCAPS) NJ Hospital Care Assistance Program (formerly known as Charity Care) is available to every patient regardless of whether they are insured or not. Each patient

More information

Texas Application for State Financial Aid (TASFA)

Texas Application for State Financial Aid (TASFA) INSTRUCTIONS FOR: 2014 2015 Texas Application for State Financial Aid (TASFA) Student s Checklist 1. Apply for admissions: Complete your admissions application prior to completing the Texas Application

More information

Application for estimated Financial Aid

Application for estimated Financial Aid Student Financial Services University of Pennsylvania 005 Franklin Building 3451 Walnut Street Philadelphia, PA 19104-6270 www.srfs.upenn.edu Application for estimated Financial Aid U.S. Citizens and Permanent

More information

Dependent Special Conditions Academic Year

Dependent Special Conditions Academic Year DSC20 Dependent Special Conditions Academic Year 2019-2020 The Department of Education recognizes that special conditions may exist for families who have suffered major reductions in income for various

More information

CSS/Financial Aid PROFILE Early Application Instructions.

CSS/Financial Aid PROFILE Early Application Instructions. CSS/Financial Aid PROFILE 2013-14 Early Application Instructions www.collegeboard.org INSTRUCTIONS Read the instructions as you fill out the PROFILE Early Application. Mistakes will delay the processing

More information

Financial Aid Verification Statement Dependent

Financial Aid Verification Statement Dependent Financial Aid Verification Statement Dependent **DO NOT LEAVE ANY ITEMS BLANK** Incomplete forms will be returned to you. The priority deadline for all requested verification documents is May 15. If your

More information

Overview of the Tax Structure

Overview of the Tax Structure Overview of the Tax Structure 2007, CCH INCORPORATED 4025 West Peterson Ave. Chicago, IL 60646-6085 http://www.cch.com 1 of 35 3 of 35 Responsibilities of Taxpayers Prepare appropriate tax forms and schedules

More information

Verification and Professional Judgment in a PPY World

Verification and Professional Judgment in a PPY World Verification and Professional Judgment in a PPY World March 22, 2017 2010 2017 by National Association of Student Financial Aid Administrators (NASFAA). All rights reserved. NASFAA has prepared this document

More information

Last Name First Name MI

Last Name First Name MI 2017-2018 DEPENDENT VERIFICATION WORKSHEET Your 2017 2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says we may ask to confirm the

More information

CHANGE IN CIRCUMSTANCE APPEAL

CHANGE IN CIRCUMSTANCE APPEAL CHANGE IN CIRCUMSTANCE APPEAL 2018 2019 Independent Student Federal regulations permit the Office of Student Financial Aid the ability to make adjustments to a student s Free Application for Federal Student

More information

V1 Standard Verification Worksheet

V1 Standard Verification Worksheet 2018-19 V1 Standard Verification Worksheet Verification Information What is verification and why was I selected? Verification is the process by which certain required information on the FAFSA is reviewed

More information

Special Circumstance Form

Special Circumstance Form ID# Phone # NDSU Email Have you submitted a Special Circumstance Form to NDSU in any previous year? Special Circumstance Form 2018-19 If you are completing this form you are requesting that financial aid

More information

Financial Aid Glossary

Financial Aid Glossary Academic year:... 2 Accrued interest:... 2 Adjusted Gross Income (AGI):... 2 Alternative Loan:... 2 Assets:... 2 Award Letter:... 2 Borrower:... 2 Business/Farm Supplement Form:... 2 Capitalization:...

More information

UCSC Student s Last Name. q W-2 and/or 1099 Forms Be sure to include all W-2 and/or 1099 forms received from your employer(s), if applicable.

UCSC Student s Last Name. q W-2 and/or 1099 Forms Be sure to include all W-2 and/or 1099 forms received from your employer(s), if applicable. FINANCIAL AID AND SCHOLARSHIP OFFICE uc santa cruz 2011 2012 Dependent Student Verification Packet UCSC Student s ID /Account You have been selected by the UC Santa Cruz Financial Aid and Scholarship Office

More information

DALLAS COUNTY COMMUNITY COLLEGE DISTRICT Special Circumstance Application

DALLAS COUNTY COMMUNITY COLLEGE DISTRICT Special Circumstance Application 2017-2018 Special Circumstance Application Scanning Doc Category: Grants Doc Type: Special Cond. Award Year: 2017 The purpose of this form is to determine the outcome of a proposed special situation. Turning

More information

Financial Aid and Scholarships Office FVFFD Federal Verification - Dependent Student

Financial Aid and Scholarships Office FVFFD Federal Verification - Dependent Student FVFFD 032618 VL Financial Aid and Scholarships Office 2018 19 FVFFD Federal Verification - Dependent Student Student Name Student ID Number (required) Your financial aid application for the 2018 19 academic

More information

EAMA Tuition Scholarship Application

EAMA Tuition Scholarship Application 1 of 7 EAMA Tuition Scholarship Application All applications must include financial documentation. If you wish to be considered for a Tuition Scholarship you must print out, complete, and mail the forms

More information

I affirm that I have read, understood, and agreed to this form in its entirety and that the information supplied is true and complete.

I affirm that I have read, understood, and agreed to this form in its entirety and that the information supplied is true and complete. Office of Financial Aid and Scholarships Student Success Building Counter #6 Campus Box 2, PO Box 173362 Denver, CO 80217 Phone Number: 303-556-8593 www.msudenver.edu/financialaid finaid@msudenver.edu

More information

2018 IONIA INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, partyear residents and nonresidents

2018 IONIA INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, partyear residents and nonresidents City of Ionia Income Tax Division PO Box 512 Ionia, Michigan 48846 Form I-1040 INDIVIDUAL INCOME TAX INSTRUCTIONS For use by individual residents, partyear residents and nonresidents ALL PERSONS HAVING

More information

Business Office 1730 E Portland St Springfield, MO DATE. Patient Name Mailing Address City, State, Zip

Business Office 1730 E Portland St Springfield, MO DATE. Patient Name Mailing Address City, State, Zip Business Office 1730 E Portland St Springfield, MO 65804 DATE Patient Name Mailing Address City, State, Zip RE: Financial Assistance Guarantor Account # ********* Mercy strives to provide assistance to

More information

Review and Adjustment Request

Review and Adjustment Request Review and Adjustment Request For Office Use Only: Date Sent / / Date Received / / Received From: (Check one below) CP NCP Other State Requesting Parent s Name Other Parent s Name (if known) Requesting

More information

COMMUNITY FINANCIAL ASSISTANCE APPLICATION

COMMUNITY FINANCIAL ASSISTANCE APPLICATION COMMUNITY FINANCIAL ASSISTANCE APPLICATION Attached is Mary Free Bed Rehabilitation Hospital s Community Financial Assistance Application Form (CFA-3). If you are interested in applying for financial assistance

More information

CITY OF HAMTRAMCK INCOME TAX 2014

CITY OF HAMTRAMCK INCOME TAX 2014 City of Hamtramck Income Tax Department P.O. Box 209 Eaton Rapids, MI 48827-0209 Form H-1040 2014 HAMTRAMCK INDIVIDUAL INCOME TAX FORMS AND INSTRUCTIONS For use by individual residents, part-year residents

More information

VERIFICATION WORKSHEET FAQ S

VERIFICATION WORKSHEET FAQ S 2019-2020 VERIFICATION WORKSHEET FAQ S What is Verification and why was I selected? You are not alone! Many of the students enrolled at Wingate are selected for verification and are required to submit

More information

Parent Request for Income Change

Parent Request for Income Change 2018-2019 Parent Request for Income Change Last Name First Name MI Palomar ID Number The Financial Aid Office may be able to adjust data items used to calculate your expected family contribution (EFC)

More information