If you can check any of the following boxes, you are an independent student. If you cannot check any of the following boxes you are a dependent student. Dependent students must provide parent information. *(please select all that apply to you)

LEGAL NAME

(a social security number is required to complete an application)

(Family size is the number of people for whom the parent (if dependent) or the student (if independent) provides more than 50% of their support for the entire award year (July 1 - June 30) - Include Yourself.)

I hereby certify the information I have furnished regarding my eligibility status answering the questions listed above are true to the best of my knowledge and hereby grant Owens State Community College TRIO Educational Opportunity Center permission to have access to my official academic, financial, and institutional records in order to complete my application.

• Furthermore, I understand that all my records are kept confidential and in accordance with Owens Community College and Federal Privacy Laws.
• I certify that the above information is complete and accurate to the best of my knowledge.
• I give permission for release of my data (name, photos, data related to awards and achievements) for purpose of awards, recognition and advertising.

Please sign, date and return this form. If you are considered a dependent, as defined by Free Application for Federal Student Aid (FAFSA), you must have your parent/guardian sign and date this form.

 

TRIO Educational Opportunity Center (EOC) is hosted at Owens Community College but will help individuals who desire to attend any college/university.

“Telefinancialaid Assistance” is defined as a method to deliver EOC financial aid (FAFSA) assistance and other services using live chat, telephone sessions or video conferencing to facilitate EOC services while the student and the EOC Staff are at two different locations.

 

I understand that I have the following rights and must meet the following requirements with respect to Telefinancialaid Assistance:

1.       I have the right to withhold or withdraw consent at any time. If consent is withheld or withdrawn I can request referral to my colleges/university financial aid office.

2.       The laws that protect the confidentiality of my personal information also apply to EOC telefinancialaid assistance. As such, I understand that the information disclosed by me during my sessions is confidential and will not be shared with a third party unless authorized to do so.

3.       I understand the following and limitations of telefinancialaid assistance:

a.       Telefinancialaid assistance may have disruptions or delays in the service and quality of the technology used.

b.       In rare cases, security protocols could fail, and your confidential information could be accessed by unauthorized persons.

4.       When receiving telefinancialaid assistance it is also required that I:

a.       Dress as you would if attending a face to face session.

b.       Engage in sessions only from a private location where you will not be interrupted.

c.       Do not record any sessions.

I understand that if an EOC Staff Member believes I would be better served by another form of assistance (ex. face-to-face services ) I will asked to schedule an appointment or be referred to my colleges/university financial aid office.

By electronically signing this document, I acknowledge that I have read and understood the information provided above and that I consent to the provisions described.