1. No category

 NewStudents:
 Apply for Admissions under Senate Bill 1528 (See Registrar’s Office)  2015‐16 TASFA (Complete and Return to the Financial Aid Office)  2014 Tax Return Transcript (Parent/Student) www.irs.gov/Individuals/Get‐Transcript To Download Transcript: 1)Click “Get Transcript Online” 2)Sign in or Create an Account 3)Answer security questions 4)Choose the tax year under the Tax Transcript heading 5) Print or download 
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Statement of Student Eligibility Signed Statement of Selective Service Registration Status Provide a copy of Senate Bill 1528 Affidavit (Obtain from Registrar’s Office) Official High School Transcript (Turn in to Registrar’s Office) Proof of Selective Service (Males 18‐26 years)1‐888‐655‐1825 or www.sss.gov Check your @my.tccd.edu E‐Mail/WebAdvisor http://www.tccd.edu/ Apply for Scholarships http://foundation.tccd.edu/ ReturningStudents:
 2015‐16 TASFA/Paper FAFSA (complete and return to the Financial aid office)  2014 Tax Return Transcript (Parent/Student) www.irs.gov/Individuals/Get‐Transcript To Download Transcript: 1)Click “Get Transcript Online” 2)Sign in or Create an Account 3)Answer security questions 4)Choose the tax year under the Tax Transcript heading 5) Print or download 
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Statement of Student Eligibility Signed Statement of Selective Service Registration Status Check your @my.tccd.edu E‐Mail and WebAdvisor http://www.tccd.edu/ Apply for Scholarships http://foundation.tccd.edu/ Students under the Senate Bill 1528 can be considered for LIMITED funds from the State only (TPEG and TEOG). Student may apply for scholarships through outside sources and the TCC FOUNDATION at http://foundation.tccd.edu/s/1262/foundation/start.aspx. PriorityDEADLINEisMay1,2015
Rev. 01/10/15 2015–2016 Texas Application for State Financial Aid (TASFA)
For House Bill 1403/Senate Bill 1528 students only: House Bill 1403 from the 2001 State Legislative Session/Senate Bill 1528 from the 2005
State Legislative Session allows certain categories of foreign-born and immigrant students in the State of Texas to qualify for residency under
Texas Education Code Chapter 54, Section 54.052(a)(3). This state law allows such students to pay the resident tuition rate while attending public
institutions of higher education in Texas, and be classified as state residents for tuition purposes. As Texas residents, such students are eligible to
apply for some student financial aid programs offered by the State of Texas.
Name
Street address
City
State
ZIP code
Telephone
Email address
Date of birth (MM/DD/YYYY)
College Student ID#
High School (where you received or will receive your high school diploma):
High School City:
Grade Level beginning in 2015-2016:  Never attended college and 1st year undergraduate
 Attended college before and 1st year undergraduate
 2nd year undergraduate/sophomore
 3rd year undergraduate/junior
 4th year undergraduate/senior
 5th year/other undergraduate
 1st year graduate/professional
 Continuing graduate/professional or beyond
Date of Graduation:
Degree or certificate I am seeking:
 1st bachelor's degree
 2nd bachelor's degree
 Associate degree
 Certificate or diploma
 Teaching credential (non-degree program)
 Graduate or professional degree
 Other/Undecided
Section I: Student Information
1. Were you born before January 1, 1992?
 Yes
 No
2. As of today, are you married?
 Yes
 No
3. Are you in a graduate program of study? (e.g., master’s or doctoral program)
 Yes
 No
4. Do you have at least one child that you support?
 Yes
 No
5. Do you have dependents other than your children or spouse that you support?
 Yes
 No
6. Are you an orphan or ward of the court?
 Yes
 No
7. Are you or were you an emancipated minor as determined by the state’s court?
 Yes
 No
8. Are you or were you in legal guardianship as determined by the state’s court?
 Yes
 No
9. Did your high school or school district homeless liaison determine that you were an
unaccompanied youth who was homeless?
 Yes
 No
10. Did the director of an emergency shelter program funded by the U.S. Department of Housing and
Urban Development determine that you were an unaccompanied youth who was homeless?
 Yes
 No
11. Did the director of a runaway or homeless youth basic center or transitional living program determine that
you were an unaccompanied youth who was homeless or were self-supporting and at risk of being homeless?
 Yes
 No
For purposes of this application, if you answered “No” to all of the questions above, you are considered a dependent student and must include
parental income information on this form.
If you answered “Yes” to any of the questions above, you are considered an independent student and are not required to include parental income information on this form. An independent student who is married must include information about his or her spouse.
Print full name here:
2015–2016 Texas Application for State Financial Aid
1
Section II: Household Information
12. If you are a dependent student, please list the names of ALL family members , including your parent(s), who will be supported by your
parent(s) from July 1, 2015 to June 30, 2016. If you are an independent student, you should include family members who are supported by
you. (See instructions for additional information.) Attach additional sheets if necessary.
Names
Age
[Include parent(s) and sibling(s),
or spouse (if applicable)]
Relationship
to student
Which college/university will
student be attending?
Self
Total number in household:
Total number in college in 2015–2016:
Section III: Additional Information
Student:
13. Independent students only:
As of today, are you or your spouse a dislocated worker?
 Yes
 No
 Don’t know
14. Did you work in 2014?
 Yes
 No
18. Housing plans for 2015–2016: Where do you plan to live?
 On campus
 Off campus
 Commuter/With parent or relative
If Yes, did you file a U.S federal (or foreign) income tax return for 2014? 19. At the start of the 2015–2016 school year, you will enroll:
 Full time
 Less than 1/2 time
 Yes (Attach tax return and tax transcript)

3/4
time
 Not sure
 No

1/2
time
 Will file
20. Have you received funds from either of the following grant
15. What is your marital status?
programs while attending a prior institution?
 Single  Divorced/Widowed
a. TEXAS Grant Program
 Yes
 No
 Married/Remarried
 Separated
b. Top 10% Scholarship Program  Yes
 No
16. Have you been convicted of a felony or a crime involving
c.
If
you
are
transferring
from
a
prior
institution,
did you earn
a controlled substance?
 Yes
 No
an Associate Degree?
17. Do you have authorization (e.g. DACA) to work in the U.S.?
 Yes (Enter date earned the Associate Degree ____/____/____)
 Yes Enter SSN: ________________________
 No
 No
 N/A (not applicable)
Parent:
21. Did your parents work in 2014?
 Yes
 No
24. Mother/Stepmother’s highest level of education completed
 Middle school/Jr. high
 High school
If Yes, did they file a U.S federal (or foreign) income tax return for 2014?
 College or beyond
 Other/unknown
 Yes (Attach tax return and tax transcript)
 No
 Will file
22. Is either of your parents a dislocated worker?
 Yes
 No
23. What is your parent's marital status?
 Married/Remarried
 Widowed
 Never married
 Separated/Divorced
 Unmarried and both parents living together
25. Enter your mother’s/stepmother’s age:
Date of birth:
26. Father/Stepfather’s highest level of education completed
 Middle school/Jr. high
 High school
 College or beyond
 Other/unknown
27. Enter your father’s/stepfather’s age:
Date of birth:
2015–2016 Texas Application for State Financial Aid
2
Section IV: Income and Assets
Do not leave any blanks. Enter “0” where appropriate. Dependent students: Complete both the Student and Parent(s) columns. Independent students: Complete the Student/Spouse column only.
Student/Spouse
Parent(s)
28. Child support received
$
$
29. Tax exempt interest income
$
$
30. Housing, food, and other living allowances paid on your behalf
$
$
Part A. Annual Untaxed Income
31. Other untaxed income not reported, such as worker’s compensation,
disability, etc.
32. Money you received (or bills someone else paid for you) not reported $
elsewhere on this form
33. Cash earnings (wages not listed on taxes or W-2 forms)
Student
Spouse
Mother
Father
$ $
$ $
Total Untaxed Income $ 0.00
Part B. Annual Income Exclusions
0.00
$ 34. Child support paid
$
$
35. Taxable earnings from work-study or other need-based work programs
$
$
36. Taxable scholarships and grants reported
on 2014 federal income tax return
$
$
37. As of today, balance of cash, savings, and checking accounts
$
$
38. As of today, investment net worth (do not include the home
you live in or the balance of retirement plans)
$
$
39. As of today, net worth of current business(es) or investment farm(s)
$
$
Part C. Assets
Section V: Total Family Income
40. Was your TOTAL FAMILY INCOME less than $7,000 in 2014?
(TOTAL FAMILY INCOME is the income reported on your parent’s and your W-2 IRS tax forms plus the Total Untaxed Income reported on
Section IV, Part A of this form for you and your parent(s))
 Yes
 No
If YES, please include a breakdown of your living expenses (e.g., rent, food, utilities, etc.) and provide a written summary that explains how
you were able to pay for your living expenses in 2014. Attach additional sheet(s) if necessary.
Print full name here:
2015–2016 Texas Application for State Financial Aid
3
Section VI: Statement of Selective Service Registration Status
41.
Certification of registration status (Please check the appropriate box.)
 I certify that I am female and, therefore, not required to register with the Selective Service System.
 I certify that I am a male age 18 to 25 and am registered with the Selective Service System.
Please attach copy of registration acknowledgement card.
 I certify that I am not of an age required to register with Selective Service System. (That is, I am over 25.)
 I certify that I have been determined by the Selective Service System to be exempt from registration.
I certify that I have not reached my 18th birthday and understand that I will be required by law to register at that time.
I certify that I do not have a Social Security Number, but have submitted my Selective Service registration form to the
Selective Service System and will provide proof of registration to the financial aid office as soon as I receive my registration number.
Section VII: Signatures
42.
a. Student and Parent signatures
I understand that under Texas Education Code, Section 51.9095, I must be registered with the Selective Service System according to the
requirements of federal law in order to receive student financial aid funds from the State of Texas, and hereby certify that I meet this
requirement. I also certify that I will use state student financial aid to pay only the cost of attending an institution of higher education,
and that the information provided on this form is true, complete, and correct to the best of my knowledge. I understand that any false
statements may void my eligibility for state financial aid. I also certify that the information provided on this form will be used only for
evaluation of eligibility for state financial aid and that I may need to provide additional information for my school to determine eligibility
for state financial aid.
Student signature
Date
Parent signature*
Date
(*Parent signature required only for dependent students)
b. High School Counselor: Not required if parent signature already provided above.
High school counselor signature
Date
Printed name
Title
Street address
City
State
ZIP code
Telephone
Email address
Print full name here:
2015–2016 Texas Application for State Financial Aid
4
Attach Copy of Notarized Affidavit (Obtain from Registrar’s Office) Rev. 01/10/15 Attach Proof of Selective Service Registration (Male Students Only) Rev. 02/05/15 Attach Copy of 2014 Tax Return Transcript (Not the 1040) Rev. 02/05/15 Student Financial Aid Services
817-515-4AID [email protected]
Financial Aid for Undocumented Non-Citizens
Complete Appropriate Admissions Paperwork
 Students must first be admitted as Senate Bill 1528 eligible by the Admissions Office
 Complete all requirements, as requested by Admissions
 Undocumented students who fail to qualify under Senate Bill 1528 provisions may request consideration for a
non-citizen waiver (LUNDC) of out-of-state tuition charges
Financial Aid Application Steps
 2015-16 Paper FAFSA/TASFA Only
 Student completes and submits to Student Financial Aid Services
 DO NOT MAIL TO FEDERAL PROCESSOR
 Cannot complete Electronic Application
 Turn in copies of parent and/or student 2014 Tax Return Transcript from the IRS (1-800-908-9946 or www.irs.gov)
 Turn in an official high school transcript to the Registrar’s Office
 Sign below and submit this form to your campus Student Financial Aid Services
Types of Financial Aid Programs
 State Grants-Programs Only
o TPEG-Texas Public Education Grant
o TEOG-Texas Educational Opportunity Grant
 Scholarships
o TCC Stars of Tomorrow Program – complete information can be found at www.tccd.edu/fastars
o Outside organizations, businesses, church groups, clubs, community and civic groups
o How to Search
 www.collegeboard.com
 www.fastweb.monster.com
Statement of Selective Service Registration Status
 Under HB 2061, enacted by the 75th Texas State Legislature, if you are currently of the age and gender requiring registration with Selective Service, but knowingly and willfully fail to do so, you are ineligible to
receive funds from the State of Texas, including grant monies.  Almost all male U.S citizens, and male aliens living in the U.S., who are 18 through 25 years of age, are
required to register with Selective Service. Some non-citizens are required to register and others are not. Noncitizens not required to register include men who are in the U.S. on student or visitor visas, and men who are
part of a diplomatic or trade mission and their families. Almost all other male non-citizens are required to
register, including illegal aliens, legal permanent residents, and refugees.
 If you are not registered as required, you are presently not eligible to receive state funds and should register
promptly at a United States Post Office. A Certificate of Mailing may be obtained from the Post Office at such
time that you mail your registration and may be used as proof of your application until you receive your
Selective Service Registration Card.
 A false statement may be grounds for your financial aid to be suspended.
th
 I understand that under HB 2061, enacted by the 75 Texas Legislature, I must be registered with the Selective
Service System according to the requirements of federal law in order to receive funds from the State of Texas.
I further certify that the information provided on this form is true, complete, and correct to the best of my
knowledge. I understand that any false statements may void my eligibility for Financial Aid funds, and that the
information provided on this form will be used only for evaluation or eligibility for state funds.
Sign:
Date:
Tarrant County College is an Equal Opportunity institution that provides educational and employment opportunities on the basis of merit and
without discrimination because of race, color, religion, sex, age, national origin, veteran status or disability.
Oficina Para Estudiantes de Servicios de Ayuda Financiera 817-515-4AID
[email protected]
Ayuda Financiera para Estudiantes Indocumentados
Llene la Solicitud Para Admisión
 El estudiante debe ser admitido como estudiante extranjero bajo la ley “Senate Bill 1528” por la Oficina de
Admisión
 Entregue todos los documentos requeridos que sean pedidos por la Oficina de Admisión.
 Los estudiantes quienes no son elegibles bajo la ley de “Senate Bill 1528,” debe pedir la consideración LUNDC,
para ser elegible para la tarifa de matrícula para los estudiantes fuera del estado.
Proceso de Solicitud de Ayuda Financiera
 Use la solicitud de papel de 2015-16 FAFSA/TASFA SOLAMENTE
 Complete y ENTREGUE a la Oficina Para Estudiantes de Servicios de Ayuda Financiera
 NO la mande al PROCESADOR FEDERAL
 NO puede usar la solicitud electrónica
 Entregue la copia de su declaración de impuestosde Rentas Internas del año 2014(TAX RETURN TRANSCRIPT 1-800­
908-9946 o www.irs.gov)
 E ntregue el expediente oficial de la escuela secundaria de donde se gradúo de un programa Recomendado o Distinguido.
 Firme abajo y entregue este formulario a la Oficina de Ayuda Financiera
Programas disponibles de ayuda financiera
 Becas del estado
o TPEG-Becas de Texas para la educación pública
o TEOG-Becas de Texas
 Becas
o TCC Stars of Tomorrow- ver el proceso de solicitud en esta página de Internet www.tccd.edu/espanol
o Otorgadas por organizaciones, empresas, agrupaciones religiosas y grupos de la comunidad
o Puede buscar en:
 www.collegeboard.com
 www.fastweb.monster.com
Declaración del Estado de Registro de los Servicios Selectivos
 Bajo la ley HB 2061, descrito por el poder legislativo del estado 75 de Texas, si usted está actualmente en la edad y el
género que requiere matricularse con el Servicio Selectivo, pero falla voluntariosamente y concientemente, usted es
inelegible para recibir los fondos del estado de Texas, incluso el dinero de becas.
 La mayoría de los varones de los Estados Unidos, y los varones extranjeros que viven en los Estados Unidos, entre
18 y 25 años de edad, son requeridos a registrarse con el Servicio Selectivo. Algunos no-ciudadanos son requeridos a
registrarse y otros no. Los varones sin ciudadanía que no son requeridos a registrarse incluyen a hombres que están
en los Estados Unidos con visas de estudiante o visitante, y los hombres que forman parte de un diplomático o la
misión comercial, y sus familias. Casi todos los otros varones sin ciudadanía son requeridos a registrarse, incluyendo
extranjeros ilegales, residentes permanentes legales y los refugiados.
 Si falla a registrarse como es requerido, usted no es elegible para recibir fondos del estado por el momento. Debe
registrarse lo más pronto posible en las Oficinas Postales de los Estados Unidos. Podrá obtener un formulario de
registración en la Oficina Postal y puede ser usado como comprobante mientras recibe su tarjeta de Registración al
Servicio Selectivo.
 Una declaración falsa puede ser el motivo para que su ayuda financiera sea suspendida.
 Yo entiendo que bajo la ley HB 2061, descrito por el poder del estado 75 de Texas, yo debo registrarme con el
Sistema de Servicio Selectivo según los requerimientos por la ley federal como condición para recibir ayuda del
estado de Texas. Yo testifico que la información proveída es verdadera, completa y correcta según mi conocimiento.
Yo entiendo que una declaración falsa puede cancelar mi elegibilidad para ayuda financiera, y que la información
proveída en este formulario será usada solamente para la evaluación e la elegibilidad para los fondos del estado.
Firma:
Fecha:
Tarrant County College es una institución de igualdad de oportunidades que proporciona educación y oportunidades de empleo por el mérito y sin
discriminación a causa de la carrera, el color, la religión, el sexo, la edad, el origen nacional, estatus de veterano o incapacidad.
Student Financial Aid Services
Tarrant County College recently notified you that your Financial Aid Award Letter was available online at
https://waj.tccd.edu/. Included in this financial aid package was one of the following Texas State Grants. In order to
verify your eligibility for the state grant included on your Award Letter, please sign and return the Statement of
Student Eligibility to your campus Student Financial Aid Services Office as soon as possible. Additional guidelines for
the grants are listed below.
Texas Educational Opportunity Grant Program (TEOG) – A student must:
 Have a Statement of Student Eligibility form on file with the Student Financial Aid Services Office
 Have less than 30 hours earned to qualify for a 1st year award
 Enroll in at least six credit hours each semester
 Complete 67 percent of hours enrolled with a 2.0 GPA the first year you receive the grant
 Complete 75 percent of hours enrolled with a 2.5 GPA for renewal award in all subsequent years
 Not have completed an Associate Degree or higher
 Not have attempted more than 75 total semester hours (including accepted transferred hours)
A TEOG award may transfer to a Public Texas University.
TEOG awards will be prorated based on your actual enrollment level as of the census date.
Six to eight hours will receive 50 percent; nine to 11 hours will receive 75 percent; 12 or more will
receive 100 percent of the award.
TEXAS (Towards Excellence, Access and Success) Grant – A student must:
 Have received an initial TEXAS Grant prior to the Fall of 2014
 Have a Statement of Student Eligibility form on file with the Student Financial Aid Services Office
 Enroll in at least nine credit hours each semester
 Complete 67 percent of hours enrolled with a 2.0 GPA the first year you receive the grant
 Complete 24 hours during the year with a 2.5 GPA for renewal award in all subsequent years
 Not have completed an Associate Degree or higher
 Not have attempted more than 150 total semester hours (including accepted transferred hours)
The TEXAS Grant will transfer to a Public Texas University.
Statement of Student Eligibility
Have you ever been convicted of a felony or an offense under Chapter 481, Health and Safety Code (Texas Controlled Substances Act), or
under the law of another jurisdiction involving a controlled substance as defined by Chapter 481, Health and Safety Code?
NO_____
*YES_____ * Must complete Secondary Review Section on back
I hereby certify that the information I have provided is true and correct. I understand that if I fail to provide accurate information, I may be
required to reimburse the institution and penalties may be imposed. I understand that it is my responsibility to inform Tarrant
County College if the status of my eligibility changes.
Each campus location, hours, mailing address and fax number may be found online at www.tccd.edu/financialaid ________
Student Signature
Printed Name ‐4AID, Email: [email protected] TCC ID #
Date
Student Financial Aid Services ‐Phone (817)515
Tarrant County College is an Equal Opportunity institution that provides educational and employment opportunities on the basis of merit and
without discrimination because of race, color, religion, sex, age, national origin, veteran status or disability
Rev. Feb. 2015
Secondary Review Section
If your answer is yes, you must complete this section before submitting this form to the Student Financial Aid Office
in order for us to determine your eligibility to receive a TEXAS Grant or TEOG.
A student may be eligible for the Texas Grant or TEOG funds if they have indicated they have been convicted of a
felony or an offense under Chapter 481, Health and Safety Code (Texas Controlled Substances Act), or under the law
of another jurisdiction involving a controlled substance as defined by Chapter 481, Health and safety Code if they have
received:
1. A certificate of discharge by the Texas Department of Criminal justice or a correctional facility OR
completed a period of probation ordered by a court AND at least two years have elapsed from the date of
receipt or completion ; or
2. A pardon, had the record of the offense expunged from the person’s records, or otherwise been released from
the resulting ineligibility to receive a grant under this subchapter.
If you meet one or more of the above mentioned resolutions and you are able to provide supporting documentation
follow the instruction provided below.
Please check all that apply, provide required supporting documentation, sign and return completed form to the
financial aid office.
At least two years has elapsed since I have completed a prison sentence or parole in Texas.
o Must provide Certificate of Discharge
o County where parole occurred: ___________________________
At least two years has elapsed since I have completed a prison sentence or parole outside of Texas
o Must provide Certificate of Discharge (TCC Chief or Assistant Chief of Police may be able to assist
you)
o County & State where placed on parole occurred: __________________________
At least two years has elapsed since I have completed probation in Texas, or elsewhere
o Must provide documentation of probation
o County where placed on probation: ___________________________________
I have been pardoned, had my record expunged or have been “otherwise released from the resulting eligibility
to receive state grant.”
o Must provide documentation of item above
I, ___________________________________________, certify all the information provided is complete and accurate.
Print Student Name
_____________________________________________
Student Signature
________________
Student ID#
________________
Date Tarrant County College is an Equal Opportunity institution that provides educational and employment opportunities on the basis of merit and
without discrimination because of race, color, religion, sex, age, national origin, veteran status or disability
Rev. Feb. 2015