2010-2011 Forms - No longer in use
You will need adobe
reader to download and print the following PDF Forms.
Fall 2010, Spring 2011, and Summer 2011
If you are
required to request transcripts of your Federal Tax
Returns from IRS, please request a complete transcript
of prior tax returns.
Call IRS at 1800-829-1040.
Board of Governor's (BOG Fee Waiver) Application
This is an application to have your enrollment fees waived. This
fee waiver is for California residents only. If you need money
to help with books, supplies, food, rent, transportation and
other costs, please complete a Free Application For Federal
Student Aid (FAFSA) immediately. 2010-2011 BOG (Summer 2010, Fall 2010, Spring 2011)
Complete
and print the 1011 English BOG Application (PDF)
Supplemental Information
and Certification Form
This document is required of all financial aid applicants
each year. Please complete all items, sign and date, and
turn in to our office with all other requested verification
documents.
Download and print the 1011 Supplemental Information
and Certification Form ( PDF)
Verification
Worksheet-Dependent Student
Complete this form to include
information about yourself and your parents. Please complete all
items, sign and date, and turn in to our office with all other
requested verification documents (federal taxes for student and
parents).
Download and print the
1011 Dependent Verification
Form ( PDF)
Verification Worksheet-Independent Student
Complete this form to include information
about yourself and your spouse, if married. Please complete all
items, sign and date, and turn in to our office with all other
requested verification documents (federal taxes for student and
spouse).
Download and print the
1011Independent Verification
Form ( PDF)
Agency Certification & Untaxed
Income
Submit to your case worker or the Social
Security Office for completion and return our office. If using
this form to establish eligibility for BOG A, you must submit with a completed
BOG application.
Download and print the 1011 Agency Certification
of Untaxed Income Form (PDF)
Drug Eligibility Certification Form
You may have left question 23 of the FAFSA
blank, or indicated you have a drug related conviction which may
affect your eligibility for financial aid.
Download and print the 1011
English Worksheet for
Question 23 (PDF)
Download and print the
1011 Spanish Worksheet for Question
23 (PDF)
Parent Update Form
You must provide the last name, first initial,
and social security number for each parent or stepparent whose
information is provided on your Financial Aid application.
Failure to provide this information will result in a rejected
financial aid application, and we cannot proceed with file
review without it. Please use this form to update your parents
information by completing all items as instructed, and have each
parent sign and date form.
Download and print the
1011
Parent Update Form (PDF)
Verification of Childcare Expenses
Please provide the requested
information below on your dependents 12 years of age or under,
whom you included in question 96 on your FAFSA (or in Section 4
of FAFSA on the Web), number of family members, who will be in
childcare during the Fall 09/ Spring 10 semester(s). Do not
include private school tuition, including kindergarten.
Childcare expenses may be included in your cost of attendance
for the year; however, they do not represent any implied
financial aid award to cover these expenses.
Download and
print the 1011 Verification of
Childcare Expense (PDF)
Verification of Disability Expenses
Disability related expenses may be included
in your cost of attendance for the year, however, there is no
implied financial aid award to cover these expenses. If you have
costs associated with a disability, please complete this form to
verify the total amount of the expenses, and how much of these
expenses are paid for by an outside funding agency, or
reimbursed to you.
Download and print the
1011Verification of
Disability Expenses (PDF)
Verification of Family Size and Number in College
Download and print the 1011 Dependent Student Form
(PDF)
Download and print the 1011 Independent Student Form (PDF)
Housing Verification Form
Update if you live off campus or with parents.
Download and print the 1011 Housing Verification Form (PDF)
Non-Filer
Income Certification
If there are questions about untaxed income,
or we need your certification that you are not required to file
federal taxes, you may be required to complete this form.
Download and print the 1011 Student
Non-Filer Income
Certification Form (PDF)
Download and print the 1011 Parent Non-Filer Income Certification Form
(PDF)
ACG HS Validation
Academic Competitiveness Grant (ACG)
Rigorous Course of Study Validation Form. This form helps
validate the eligibility of high students for an additional
federal grant. When validation is complete the form is
returned to the Chabot Financial Aid Office. Please
read enclosed information regarding the ACG program.
Download and print the 1011 ACG HS
Validation Form (PDF)
Appeal for Reinstatement
or Extension of Financial Aid
If a student has
extenuating reasons for failing to meet satisfactory academic progress
standards (over 90 attempted units, or
unsatisfactory performance), s/he may complete and submit to the
Financial Aid Office a Petition for Reinstatement or
Continuation of Financial Aid.
Download and print the 1011 Appeal for
Reinstatement or Extension of Financial Aid (PDF)
Verification
of Dependency Status (new form)
You have answered "yes" to one
of the dependency questions (Q48-50, 53-60) on your FAFSA.
Complete this form and provide documentation to verify your
dependency status.
Download and print the 1011 Dependency Verification
Form (PDF)
Dependency Verification-Military (new form)
Complete this form and provide documentation to verify your
active duty or veteran status.
Download and print the 1011 Dependency
Verification-Military Form (PDF)
Independency
Status Change Request (come to our office)
A student who wishes
to request a dependency status change must meet with a Financial
Aid advisor. Students 24 years or older are automatically
considered independent. You must be able to document the reasons
you present in your request. In some cases, approval of this
request can decrease your eligibility for federal aid.
Special
Circumstances Petition (come to our office)
Please see the Financial Aid Office staff if
you wish an additional review of your eligibility based on the
decrease in family income or other special circumstances after
filing the FAFSA.
Student
Advisement Checklist
Download
and print the 1011 Student Advisement Checklist (PDF)
Consortium Agreement
Only complete if you will be enrolled less
than full-time at Chabot AND enrolled at another college for the same term
you will be attending Chabot. Approval is done on a case by case basis.
Download and print the 1011 Consortium Agreement Form (PDF)
Ability to Benefit (ATB)
Certification Form
For students who do not have a high school
diploma or equivalent and would like to qualify for financial aid, we
provide a test to determine if the student meets the criteria to be
eligible for aid. Students are usually referred by the Financial Aid
Department for this test. This is a pass or fail test and is done by
appointment only. Please contact the Assessment
Center to make an appointment.
Download and print the 1011 Ability to Benefit (ATB)
Certification Form (PDF)
Release of Information FERPA Form
In compliance with FERPA (Family Educational Rights and Privacy Act) laws,
and to protect the privacy of our students, the Chabot College Financial Aid
Office will not discuss a student's financial aid file or eligibility with
anyone other than the student. If a student wishes to authorize the Financial
Aid Office to release information to or discuss financial aid with another
person (parent, spouse, advocate, etc.), the student may complete the Release
of Information Form. The release is good for one academic year only.
The release form must be signed by the student in person at the Financial
Aid Office, or must be officially notarized. Photo ID is required of both
student and representative at each visit.
Download and print the 1011 Release of Information FERPA Form
(PDF)
Cal Grant GPA Verification Form
Cal Grant deadline for community college students is
September 2nd. Students must have completed at least 24 college units,
completed a FAFSA application, Cal Verification Form, and have a minimum
2.0 GPA. Students must complete the form and submitted to the California
Student Aid Commission, visit www.calgrants.org for more information.
Download and print the 1011 Cal Grant GPA Verification Form
(PDF)
Chabot Debit
Card CIP Form
Students who need to verify their identity for the
Higher One account, should complete the CIP form and bring appropriate
identification verification information requested.
Download and print the
1011 Chabot Debit Card CIP Form
Change of Personal Data
Form
Students should complete a Request to
Change Personal Data who need change or make corrections to:
- Name
- Address
- Telephone number
- Intended major
- Social security number
- E-mail address
Completed forms should be submitted to
the Office of Admissions & Records.
Download and print the 1011 Chabot Change of Personal Data Form
