Chabot College | Class Schedule | Spring 2010 Spring 2010

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Board of Governors Fee Waiver Application C h a b o t C o l l e g e | C l a s s S c h e d u l e | S p r i n g 2 0 1 0 BOARD OF GOVERNORS FEE WAIVER METHOD A ENROLLMENT FEE WAIVER 13. Are you (the student ONLY) currently receiving monthly cash assistance for yourself or any dependents from: TANF/CalWORKs? Yes No SSI/SSP (Supplemental Security Income/State Supplemental Program)? Yes No General Assistance? Yes No 14. If you are a dependent student, are your parent(s)/RDP receiving monthly cash assistance from TANF/CalWORKs or SSI/SSP as a primary source of income? Yes No • If you answered "Yes" to question 13 or 14 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. METHOD B ENROLLMENT FEE WAIVER 15. DEPENDENT STUDENT: How many persons are in your parent(s)/RDP household that they support? (Include yourself, your parent(s)/RDP, and anyone who lives with your parent(s)/RDP and receives more than 50% of their support from your parents/RDP, now and through June 30, 2010.) _________ 16. INDEPENDENT STUDENT: How many persons are in your household that you support? (Include yourself, your spouse/RDP, and anyone who lives with you and receives more than 50% of their support from you, now and through June 30, 2010.) ___________ 17. 2008 Income Information (Dependent students should not include their income information for Question# 17, a and b below.) DEPENDENT STUDENT: PARENT(S)/ RDP INCOME ONLY a. Adjusted Gross Income (If 2008 U.S. Income Tax Return was filed, enter the amount from Form 1040, line 37; 1040A, line 21; 1040EZ, line 4). $ $ b. All other income (Include ALL money received in 2008 that is not included in line (a) above (such as disability, child support, military living allowance, Workman’s Compensation, untaxed pensions). $ $ TOTAL Income for 2008 (Sum of a + b) $ $ INDEPENDENT STUDENT: STUDENT (& SPOUSE'S/ RDP) INCOME The Financial Aid Office will review your income and let you know if you qualify for an ENROLLMENT FEE WAIVER under Method B. If you do not qualify using this simple method, you should file a FAFSA. SPECIAL CLASSIFICATIONS ENROLLMENT FEE WAIVERS 18. Do you have certification from the CA Department of Veterans Affairs that you are eligible for a dependent's fee waiver? Submit certification. Yes No 19. Do you have certification from the National Guard Adjutant General that you are eligible for a dependent's fee waiver? Submit certification. Yes No 20. Are you eligible as a recipient of the Congressional Medal of Honor or as a child of a recipient? Submit documentation from the Department of Veterans Affairs. Yes No 21. Are you eligible as a dependent of a victim of the September 11, 2001, terrorist attack? Submit documentation from the CA Victim Compensation and Government Claims Board. Yes No 22. Are you eligible as a dependent of a deceased law enforcement/fire suppression personnel killed in the line of duty? Submit documentation from the public agency employer of record. Yes No • If you answered "Yes" to any of the questions from 18-22, you are eligible for an ENROLLMENT FEE WAIVER and perhaps other fee waivers or adjustments. Sign the Certification below. Contact the Financial Aid Office if you have questions. CERTIFICATION FOR ALL APPLICANTS: READ THIS STATEMENT AND SIGN BELOW I hereby swear or affirm, under penalty of perjury, that all information on this form is true and complete to the best of my knowledge. If asked by an authorized official, I agree to provide proof of this information, which may include a copy of my and my spouse/registered domestic partner and/or my parent's/registered domestic partner’s 2008 U.S. Income Tax Return(s). I also realize that any false statement or failure to give proof when asked may be cause for the denial, reduction, withdrawal, and/or repayment of my waiver. I authorize release of information regarding this application between the college, the college district, and the Chancellor's Office of the California Community Colleges. I understand the following information (please check each box): Federal and state financial aid programs are available to help with college costs (including enrollment fees, books & supplies, transportation and room and board expenses). By completing the FAFSA, additional financial assistance may be available in the form of Pell and other grants, work study and other aid. I may apply for and receive financial assistance if I am enrolled, either full time or part time, in an eligible program of study (certificate, associate degree or transfer). Financial aid program information and application assistance is available in the college financial aid office. Applicant’s Signature Date Parent Signature (Dependent Students Only) Date CALIFORNIA INFORMATION PRIVACY ACT State and federal laws protect an individual’s right to privacy regarding information pertaining to oneself. The California Information Practices Act of 1977 requires the following information be provided to financial aid applicants who are asked to supply information about themselves. The principal purpose for requesting information on this form is to determine your eligibility for financial aid. The Chancellor’s Office policy and the policy of the community college to which you are applying for aid authorize maintenance of this information. Failure to provide such information will delay and may even prevent your receipt of financial assistance. This form’s information may be transmitted to other state agencies and the federal government if required by law. Individuals have the right of access to records established from information furnished on this form as it pertains to them. The officials responsible for maintaining the information contained on this form are the financial aid administrators at the institutions to which you are applying for financial aid. The SSN may be used to verify your identity under record keeping systems established prior to January 1, 1975. If your college requires you to provide an SSN and you have questions, you should ask the financial aid officer at your college for further information. The Chancellor’s Office and the California community colleges, in compliance with federal and state laws, do not discriminate on the basis of race, religion, color, national origin, gender, age, disability, medical condition, sexual orientation, domestic partnership or any other legally protected basis. Inquiries regarding these policies may be directed to the financial aid office of the college to which you are applying. FOR OFFICE USE ONLY BOGFW-A TANF/CWorks SSI/SSP* GA (B1) (B2) (B3) BOGFW-B (BB) BOGFW-C (BC) Comments: Special Classification (13) Dep. of Veteran** (BF3) (14) Dep. of Natn’l Guard** (BF2) (15) Recipient / Dep - Medal of Honor (BF4) (16) Dep. of 9/11 Victim (BF5) (17) Dep. of deceased law/ fire personnel (BF1) (**deceased/disabled) RDP Student Parent Student is not eligible Advised Verbally of Ineligibility [S:\FinAid\FAForms\0910 FA\forms - set up\0910 set up][Revised 03-2009] 14 Certified by: Date:
C h a b o t C o l l e g e | C l a s s S c h e d u l e | S p r i n g 2 0 1 0 Nonresident Tuition Exemption For Eligible CA High School Graduates The law passed by the Legislature in 2001 as AB 540. General Information Any student, other than a nonimmigrant alien, who meets all of the following requirements, shall be exempt from paying nonresident tuition at the California Community Colleges, the University of California, and the California State University (all public colleges and universities in California). • Requirements: • The student must have attended a high school (public or private) in California for three or more years. • The student must have graduated from a California high school or attained the equivalent prior to the start of the term (for example, passing the GED or California High School Proficiency exam). • An alien student who is without lawful immigration status must file an affidavit with the college or university stating that he or she has filed an application to legalize his or her immigration status, or will file an application as soon as he or she is eligible to do so. • Students who are nonimmigrants (for example, those who hold F [student] visas, B [visitor] visas, etc.) are not eligible for this exemption. • The student must file an exemption request including a signed affidavit with the college that indicates the student has met all applicable conditions described above. Student information obtained in this process is strictly confidential unless disclosure is required under law. • Students eligible for this exemption who are transferring to another California public college or university must submit a new request (and documentation if required) to each college under consideration. • Nonresident students meeting the criteria will be exempted from the payment of nonresident tuition, but they will not be classified as California residents. They continue to be “nonresidents.” • AB540 does not provide student financial aid eligibility for undocumented alien students. These students remain ineligible for state and federal financial aid. Para estudiantes e/egibles que se graduaron de una High School de California La legislatura aprobó la ley bajo el nombre AB 540. Informacion General Todos los estudiantes (menos los extranjeros que no sean inmigrantes) que cumplen con los requisitos siguientes no tienen que pagar la matricula de no-residente en las universidades publicas del estado de California, que son: los California Community Colleges, California State University, y University of California. • Los Requisitos: • EI estudiante tiene que haber asistido a ciases de un High School en el estado de California (pública o privada) por 10 menos tres años • EI estudiante tiene que haberse graduado de un High School de California 0 haber aprobado un examen de graduación (por ejemplo, el GEO 0 el examen California High School Proficiency) antes del comienzo del periodo académico. • Todos los estudiantes que no tengan un estado de inmigración legal deben someter una declaración con la universidad en la cual indiquen que ya han sometido una petición para arreglar tal estado o, si esto no es posible en la actualidad, que lo van a hacer tan pronto califiquen. • Los estudiantes que tienen visas de no-inmigrantes (las visas de estudiante ‘F’ y las visas de turista ‘B’) no califican para esta excepción. • EI estudiante tiene que someter una petición para la excepción con la universidad, inciuyendo una declaración legal firmada en la cual afirma que ha cumplido con todos los requisitos pertinentes. Esta información se mantendra confidencial al menos cuando la ley requiera que se proporcione. • Los estudiantes elegibles para esta excepción que piensan cambiarse a otra universidad pública deben someter una nueva peticion para esta excepción a cada universidad en la cual se piensen matricular (y si es necesario los documentos necesarios). • Aunque los estudiantes no-residentes que curnplen con esos requisitos no tendrán que pagar la rnatricula de noresidente, no se convielten en residentes de California a través de esta nueva ley Siguen siendo non-residents. • La ley AB540 no ofrece a los estudiantes sin documentos la posibilidad de conseguir becas gubernamentales. Estos estudiantes siguen inelegibles para estas becas, tanto al nivel nacional como al nivel estatal. AB 540 TuITON ExEMPTION 15
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Chabot College | Class Schedule | Spring 2010 Spring 2010

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