Independent Status Documentation Form - 2017-2018 (Page 2 of 2) in pdf

Independent Status Documentation Form - 2017-2018 Page 2

2017-2018 INDEPENDENT STATUS DOCUMENTATION FORM

 If you answered “Yes” to the question: “At any time since you turned age 13, were

both your parents deceased, were you in foster care or were you a dependent or

ward of the court?”

o Please provide either death certificates or documentation confirming foster

care of ward of the court status

 If you answered “Yes” to the question: “As determined by the court in your state of

legal residence, are you or were you an emancipated minor?”

o Please provide supporting documentation from the court.

 If you answered “Yes” to the question: “As determined by a court in your state of

legal residence, are you or were you in legal guardianship?”

o Please provide supporting documentation from the court

 If you answered “Yes” to the question: “On or after July 1, 2016, were you homeless

or were you at risk of being homeless”?

o Please provide supporting documentation from the homeless shelter

My signature below indicates that all information provided is true and accurate.

Student Signature ________________________________________

Date _________________________

Independent Status Documentation Form - 2017-2018 Page 2