FULLERTON COLLEGE
FINANCIAL AID OFFICE
(714) 992-7091
N
A
ATIONAL
SSOCIATION FOR THE
E
H
DUCATION OF
OMELESS
C
Y
HILDREN AND
OUTH
Homeless Youth - Emancipated Minor - Legal Guardianship Verification
Name of Student ___________________________________________
Date of Birth ________________________ Age ___________
Social Security Number______________________________
Student Identification #__________________________________
Current Mailing Address of Student or contact person______________________________________________________________
________________________________________________________________________________________
According to your FAFSA application, you must verify one of the following:
ο HOMELESS YOUTH:
I am providing this letter of verification because I am an unaccompanied youth, homeless:
meaning I have no regular or adequate housing, which includes: living in shelters, motels, cars or
temporarily living with other people, at anytime as of July 1, 2008. I am 21 years of age or
younger. Check the box that applies to you.
ο A McKinney-Vento School District Liaison: ___________________________________
ο A director or designee of a HUD-funded shelter: ______________________________
ο A director or designee of a RHYA-funded shelter: _____________________________
To be completed by an authorized agency:
I am authorized to verify this student’s living
situation.
No further verification by the Financial Aid Administrator is necessary (as per the College Cost
Reduction and Access Act (Public Law 110-84). Should you have additional questions or need more
information about this student, please contact me:
Name___________________________________________
Phone Number _________________________
Position ___________________ Agency___________________________________ Date __________________
I confirm that (student’s name) ________________________________________
Social Security Number __________________________ met one of the following criteria:
1. An unaccompanied homeless youth after July 1, 2008
This means that, after July 1, 2008, _______________________________ was living in a homeless situation,
as defined by Section 725 of the McKinney-Vento Act, and was not in the physical custody of a parent
or guardian.
2. An unaccompanied, self-supporting youth, at risk of homelessness after July 1, 2008. This means
that, ______________________________________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 housing.
ο EMANCIPATED MINOR:
I am providing documentation to verify that I became an emancipated minor by court order and remained one until
the age of 18. I was emancipated on (date) ____________________ at the age of __________ in the state of
________________. Attach a copy of the court order.
ο MINOR IN LEGAL GUARDIANSHIP BEFORE THE AGE OF 18:
I am providing documentation to verify that I was in legal guardianship ordered by the court at the age of _____ on
(date) _____________ in the state of _________________. Attach a copy of the court order.