Gavilan Joint Community College Board Of Governors Fee Waiver Application printable pdf download

Processing of this BOG is on hold due to:

Gavilan Joint Community College

Board Of Governors Fee Waiver Application (BOG)

SUMMER 08, FALL 08, SPRING 09 SESSIONS/SEMESTERS

This is an application to have your enrollment fees waived. This FEE WAIVER is for California residents only.

Note: Students who are exempt from paying nonresident tuition under Education Code Section 68130.5 (AB 540) are NOT California residents.

If you are NOT a California resident, you are not eligible for a fee waiver. Do not complete this application. You may apply for financial aid by

completing the FAFSA.

Name:

SSN#

Last

First

Middle Initial

Email (if available):

Telephone Number: (______)

Home Address:

Date of Birth:

_______/_______/_________

Street

City

Zip Code

Has the Admissions or Registrar's Office determined that you are a California resident?

q Yes q No

IMPLEMENTATION OF THE CALIFORNIA DOMESTIC PARTNER RIGHTS AND RESPONSIBILITIES ACT

The California Domestic Partner Rights and Responsibilities Act extends new rights, benefits, responsibilities and obligations to individuals in

domestic partnerships registered with the California Secretary of State under Section 297 of the Family Code. If you are in a Registered Domestic

Partnership (RDP), you will be treated as an Independent married student to determine eligibility for this Enrollment Fee Waiver and will need to

provide income and household information for your domestic partner. If you are a dependent student and your parent is in a Registered Domestic

Partnership, you will be treated the same as a student with married parents and income and household information will be required for the parent’s

domestic partner.

Note: These provisions apply to state student financial aid ONLY, and not to federal student financial aid.

Are you or your parent in a Registered Domestic Partnership with the California Secretary of State under Section 297 of the Family Code? (Answer

“Yes” if you or your parent are separated from a Registered Domestic Partner but have NOT FILED a Notice of Termination of Domestic Partnership

q Yes q No

with the California Secretary of State’s Office.)

If you answered “Yes” to the question above treat the Registered Domestic Partner as a spouse. You are required to include your domestic partner’s

income and household information or your parent’s domestic partner’s income and household information in Questions 3, 6, 7, 8, 9, 10, 11, 12.

Student Marital Status:

qSingle

qMarried

qDivorced

qSeparated

qWidowed

qRegistered Domestic Partnership

DEPENDENCY STATUS

q Yes q No

1. Were you born before January 1, 1985?

2. As of today, are you married or in a Registered Domestic Partnership (RDP)? (Answer "Yes" if you are separated but not divorced or have

q Yes q No

not filed a termination notice to dissolve partnership.)

3. Do you have children who receive more than half of their support from you, or other dependents who live with you (other than your children

and spouse/RDP) who receive more than half of their support from you, now and through June 30, 2009?

q Yes q No

4. Are (a) both your parents deceased, or (b) are you (or were you until age 18) a ward/dependent of the court ?

q Yes q No

5. Are you a veteran of the U.S. Armed Forces or currently serving on active duty for purposes other than training?

q Yes q No

· If you answered "Yes" to any of the questions 1 5, you are considered an INDEPENDENT student for enrollment fee waiver purposes

and must provide income and household information about yourself (and your spouse or RDP if applicable). Skip to Question #8.

· If you answered "No" to all questions 1 5, complete the following questions:

6. If your parent(s) or his/her RDP filed or will file a 2007 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?

qWill Not File q Yes q No

7. Do you live with one or both of your parent(s) and/or his/her RDP?

q Yes q No

· If you answered "No" to questions 1 5 and "Yes" to either question 6 or 7, you must provide income and household information about your

PARENT(S)/RDP. Please answer questions for a DEPENDENT student in the sections that follow.

· If you answered "No" or "Parent(s) will not file" to question 6, and "No" to question 7, you are a dependent student for all student aid except this

enrollment fee waiver. You may answer questions as an INDEPENDENT student on the rest of this application, but please try to get your PARENT

information and file a FAFSA so you may be considered for other student aid. You cannot get other student aid without your parent(s’) information.

METHOD A ENROLLMENT FEE WAIVER

8. Are you (the student ONLY) currently receiving monthly cash assistance for yourself or any dependents from:

q Yes q No

TANF/CalWORKs?

SSI/SSP (Supplemental Security Income/State Supplemental Program)?

q Yes q No

General Assistance?

9. If you are a dependent student, are your parent(s)/RDP receiving monthly cash assistance from TANF/CalWORKs or SSI/SSP as a

q Yes q No

primary source of income?

· If you answered "Yes" to question 8 or 9 you are eligible for an ENROLLMENT FEE WAIVER. Sign the Certification at the end of this

form. You are required to show current proof of benefits. Complete a FAFSA to be eligible for other financial aid opportunities.

Gavilan Joint Community College Board Of Governors Fee Waiver Application

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