Page 104 - Spring 2021 GCC Class Schedule

102 GCC SCHEDULE • SPRING 2021

California Community Colleges 2020-21 California College Promise Grant Application

This is an application to have your ENROLLMENT FEES WAIVED. If you need money to help with books, supplies, food, rent, transportation and other costs, please
immediately complete a FREE APPLICATION FOR FEDERAL STUDENT AID (FAFSA) or the California Dream Application (for eligible AB 540 students). The FAFSA is
available at www.fafsa.gov and the Dream Application is available at https://dream.csac.ca.gov. Contact the Financial Aid Office for more information.
IMPLEMENTATION OF Assembly Bill 1899: Victims of Trafficking, Domestic Violence and other Serious Crimes
AB 1899, chaptered in September of 2012, provides for a non-resident enrollment fee exemption for “Victims of trafficking, domestic violence and other serious crimes”. In addition,
the legislation allows these students to apply for and, if eligible, receive financial aid from programs administered by public postsecondary institutions or the state of California.
Finally, the legislation provides that enrollment fees shall be waived for those students who apply for and are eligible to receive the California College Promise Grant.

This CALIFORNIA COLLEGE PROMISE GRANT application is for California residents, students eligible under AB 540 and under AB 1899 as determined by the Admissions or Registrar’s
Office, and for California resident homeless youth as determined by the Financial Aid Office. If you have not had your California residency or eligibility status determined by the Admissions
or the Registrar or homeless status determined by the Financial Aid Office, see one of those offices to obtain the determination. California College Promise Grant eligibility cannot be
determined until your status has been verified.

Has the Admissions or Registrar's Office determined that you are a California resident?  Yes  No

If no, has the Admissions/Registrar's Office determined you are eligible for a non-resident tuition exemption as an AB 540 student?
 Yes  No

If no, has the Admissions or Registrar's Office determined that you are eligible for a non-resident tuition exemption granted as a result of you

residing in the United States with a “T” or “U” visa (immigration status under Section 1101(a)(15)(T)(i) or (ii), or Section1101 (a)(15)(U)(i) or
 Yes  No
(ii), of Title 8 of the United States Code)?

Has the Financial Aid Office or the college homeless liaison verified that you have been without a fixed, regular or adequate residence within the

last 24 months (homeless)? If you have been homeless but not verified, check “Yes” and contact the Financial Aid Office.
 Yes  No

Name: Student ID #

Last First Middle Initial

Email (if available): Telephone Number: ( )

Home Address: Date of Birth: //
Street City Zip Code

IMPLEMENTATION OF THE CALIFORNIA DOMESTIC PARTNER RIGHTS AND RESPONSIBILITIES ACT

The California Domestic Partner Rights and Responsibilities Act extends 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), or legal same sex marriage, you will be treated as an
Independent married student to determine Enrollment Fee Waiver eligibility 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, or legal same sex marriage, 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
 Yes  No
Partnership 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 4, 11, 12,
13, 14, 15, 16, 17.

Student Marital Status  Single  Married  Divorced  Separated  Widowed  Registered Domestic Partnership

DEPENDENCY STATUS

The questions below will determine whether you are considered a Dependent student or Independent student for fee waiver eligibility and whether
parental information is needed. If you answer “Yes” to ANY of the questions 1-10 below, you will be considered an INDEPENDENT student. If you
answer “No” to all questions, you will be considered a Dependent student thereby reporting parental information and should continue with
Question 11.

1. Were you born before January 1, 1997?  Yes  No

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 not
 Yes  No
filed a termination notice to dissolve partnership.

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

 Yes  No

4. Do you have children who will receive more than half of their support from you between July 1, 2020 - June 30, 2021, or other dependents

who live with you (other than your children or spouse/RDP) who receive more than half of their support from you, now and through June 30,
 Yes  No
2021?

5. 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
 Yes  No
court?

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