Pima Community College-Desert Vista-SSS

Are you a U.S. Citizen or Permanent Resident?*

YesNo

Do you have a documented disability?*

YesNo

Are you registered with the Access and Disability Resource Office (ADR)?*

YesNoIn Process

A first-generation college student is defined as:
- An individual neither of whose parents/guardians received a Bachelor's Degree;
OR
- A student who, prior to the age of 18, regularly resided with and received support
from only one parent/guardian who did not receive a Bachelor's Degree.

Are you a First-Generation College Student?*

YesNo

Complete Either the "Independent Student Section" or the "Dependent Student Section", Based on Information from the Most Recent Tax Year:

Are you an independent or a dependent?*

INDEPENDENT student (Typically age 24 or older, married or emancipated; parental income is not reported on the FAFSA) Complete and sign:DEPENDENT student (Younger than 24, unmarried or not emancipated; parental income is reported on the FAFSA): Parent/guardians must complete and sign:

Which best describes you?*

I am under 24 years of ageI am 24 years or olderI am or have been: married, on active duty in the U.S. Armed Forces, financially supporting dependent children, an orphan (both parents deceased), a ward of the court, and or an emancipated minor

INDEPENDENT STUDENT SECTION:

I am an independent student (typically age 24 or older, married or emancipated; parental income is not reported on the FAFSA) complete and sign:*

YesNo

Number of people in household:*

Federal Taxable Income on most recent tax year:*

Taxable Income (NOT Adjusted Gross Income: Form 1040 line 15. If taxes were not filed, please report total income from all sources.)

Student Name:*

Student Signature:*

Tax Year:*

DEPENDENT STUDENT SECTION:

I am a dependent student (younger than 24, unmarried or not emancipated; parental income is reported on the FAFSA): parent/guardians must complete and sign:*

YesNo

Number of people in household:*

Federal Taxable Income on most recent tax year:*

Taxable Income (NOT Adjusted Gross Income: Form 1040 line 15. If taxes were not filed, please report total income from all sources.)

Parent/Guardian Name:*

Parent/Guardian Signature:*

Tax Year:*

New Student Application