California Community Colleges Board Of Governors Enrollment Fee Waiver Form
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1
2FORM MUST BE COMPLETED IN INK
Print Name: Last
First
M.I.
Palomar Student ID #
For Ofce Use Only
California Community Colleges Board of Governors
Enrollment Fee Waiver Application 2002-2003
(Summer 2002, Fall 2002, Spring 2003)
for California Residents Only
This is an application to have your enrollment fees waived. If you need money to help meet the costs of additional
educational expenses, resident and nonresident applicants may complete the FREE APPLICATION FOR FEDERAL
STUDENT AID (FAFSA) right away. It’s okay to file both this form and the FAFSA. The information you provide on this
application is subject to verification. If you give false or misleading information on this application, you will be required
to pay all fees that were waived and you could be subject to disciplinary actions. Note: Students who are exempt from
paying tuition under Education Code Section 68130.5 are not California residents.
General Information
Address:
Street
City
State
Zip
Phone
Date of Birth:
/
/
Marital Status:
Single
Married
Divorced
Separated
Widowed
Have you been determined to be a California resident by the Palomar College Admissions Office?
Yes
No
Dependency Status
1.
Were you born before January 1, 1979?
Yes
No
2.
Are you a veteran of the U.S. Armed Forces?
Yes
No
3.
Are you married?
Yes
No
4.
Are you an orphan or a ward of the court, or were you a ward of the court until
your 18th birthday?
Yes
No
5.
Do you have legal dependents other than a spouse? (Answer yes if your dependent
receives more than half of their support from you. Otherwise answer no.)
Yes
No
•
If you answered "Yes" to any of the questions numbered 1-5, you are considered an
INDEPENDENT
student and must
provide income and household information about yourself (and your spouse if you are married). Skip to METHOD A
or Method B.
•
If you answered "No" to all questions 1-5, complete the following questions:
6.
If your parent(s) filed or will file a 2001 U.S. Income Tax Return, were you, or will you be claimed on their tax return as an
exemption by either or both of your parents?
Yes
No
Parent(s) won't file
7.
Do you live with one or both of your parents?
Yes
No
•
If you answered “No” to questions 1 through 5 and "Yes" to either question 6 or 7, you must
provide
income and household
information about your PARENT(S). Please answer questions for a
DEPENDENT
student in the sections that follow.
•
If you answered "No" or
"Parent(s) won't
file" to question 6 and "No" to question 7, you are considered an
INDEPENDENT
student for this fee waiver only. You may answer questions as an INDEPENDENT student on the rest of this application.
To be considered for other student aid, you will need to complete a FAFSA aplication and provide your parents’ income
information. You cannot get other student aid without your parent(s)’ information. Talk to the Financial Aid staff if you
think you have special circumstances.
Method A: Use this method if you or your parent/guardian receives public assistance.
8.
Are you currently receiving monthly cash assistance from:
TANF/CalWORKs?
Yes
No
SSI/SSP?
Yes
No
General Assistance?
Yes
No
9.
If you are a dependent student, are your parent(s) receiving TANF/CalWORKs or SSI/SSP as their sole source of
income?
Yes
No
10. Do you have Certification from the California Department of Veterans Affairs or the National Guard Adjutant General that you
are eligible for a dependent's fee waiver?
Yes
No
•
If you answered "Yes" to question 8, 9, or 10, you are eligible for a FEE WAIVER. Sign the Certification at the end of this
form.
You are required to submit current proof of
benefits.
Ask the Financial Aid office for instructions.
•
If you answered "No" to all questions (8, 9, 10), continue to Method B.
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