2015-16 Princeton University Non-Custodial Parent Waiver Request

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Undergraduate Financial Aid
Box 591, Princeton, NJ 08542-0591
Tel. (609) 258-3330
PrincetonUniversity
Fax (609) 258-0336
Email
pfaa@princeton.edu
2015-16
Princeton University Non-Custodial Parent Waiver Request
_______________________________________
_________
_____________
Student Name
Date of Birth
Application ID #
It is Princeton’s policy to require information from both parents in order to determine eligibility for financial
aid. By completing this form, you are requesting that your non-custodial parent’s information be excluded from
the financial aid process. Before we can make this decision, we need the following information. You must
provide all information requested below.
1.
Parent’s Current Marital Status:
Divorced
Separated
Never Married
If divorced or separated, year of separation/divorce __________________
2. Statements from Student and Custodial Parent
Both you and your custodial parent must submit personal statements to help us better understand the
circumstances surrounding the non-custodial parent. Any supporting documentation (i.e. legal order,
police report) you feel is relevant should accompany the statements.
3.
Third Party Statements
Attach two statements from third parties that can verify the circumstances regarding your relationship with
your non-custodial parent. The statements should be on professional letterhead and include their name,
contact number, the number of years they have known you, and their relationship to you. The statements
must be from individuals familiar with your situation in a professional capacity such as a counselor, clergy,
teacher, or lawyer. The statements cannot be from family members or friends.
4.
Non-custodial Parent Contact Information
Name________________________________________________________________________
Address______________________________________________________________________
Email____________________________________ Phone______________________________
5.
Approximate number of times the non-custodial parent and student had contact with one another during
the last 12 months? _________
What was the nature of the contact (email/phone/in person)? ___________________
If no, what is the last date of contact? __________________
6.
Has your non-custodial parent ever claimed you as a dependent on a federal tax return?
Yes
No
If yes, what is the most recent year? ____________

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