Campbellsville University

Financial Aid - Unusual Circumstances

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Federal Financial Aid Guidelines state that a dependent student and his/her family have the primary responsibility for meeting educational costs. If you are considered a dependent student according to the Federal Financial Aid definition, your aid eligibility is determined by using parent income and asset information, as well as your information.

A Dependency Override occurs when a Financial Aid Counselor exercises Professional Judgement and overrides the Department of Education’s criteria for dependent students. An override may be granted, with sufficient documentation, on an individual basis to students with unusual and exceptional circumstances. Documentation must show a compelling reason for a student to be granted “independent” status.

The following are examples that could warrant a Dependency Override: Abandonment, parental drug abuse, parental mental incapacity, physical or emotional abuse, estrangement from parents, and parental incarceration

To be considered for a Dependency Override, the following items must be included with this webform:

A signed statement from you, the student, explaining family circumstances that prevent parent financial information being included on FAFSA
Three SIGNED statements from non-relatives that are knowledgeable of the family situation and can verify the reason parent information cannot be provided. Appropriate third-parties are clergy, school counselors, teachers, etc. Please be sure these include contact information.

You may also include any of the following to further support Dependency Status:

Most recent Federal Tax Return and/or W-2s
Most recent pay stub(s)
Copy of current Lease Agreement
Proof of utility payments
Proof of auto loan payments and/or auto insurance payments

Student’s Name*

First Name Middle Initial Last Name

Phone Number*

Date of Birth*

CU ID#*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

For what reasons or circumstances are you unable or do not want to provide parent tax information on the FAFSA?*

What is the annual amount of financial support you receive from your parents? Include cash amounts as well as health and auto insurance, etc. If none received, write zero.*

Where and with who have you lived with during the past five (5) years.*

Where and with whom are you currently living?*

If paying rent, how much per month?*

If so, when did rent payments begin?*

How much did you earn during the last calendar year?*

How much do you expect to earn this calendar year?*

Please upload three SIGNED statements from non-relatives that are knowledgeable of the family situation and can verify the reason parent information cannot be provided. Appropriate third-parties are clergy, school counselors, teachers, etc. All statements need to be hand signed, state their relationship to the student and include contact information.

Upload Signed Statement #1:*

Max. file size: 100 MB.

Upload Signed Statement #2:*

Max. file size: 100 MB.

Upload Signed Statement #3:*

Max. file size: 100 MB.

If you have any additional supporting documentation you would like to include, please upload it below.

Additional Files

Max. file size: 100 MB.

CERTIFICATION

I, the undersigned, do certify that all of the information included on this form is true and complete to the best of my knowledge. I agree to provide supporting documentation of the information I have supplied on this form if requested by an authorized official. I understand that this documentation may include a copy of my Federal and/or State income tax return. I further understand that if the requested supporting documentation is not provided in a timely manner, the dependency override will not be considered in the processing of my financial aid for the current academic year.

Signature*

Date*