Bogf Application Form PDF Details

The Board of Governor’s Fee Waiver Application (BOGW) stands out as a crucial document for students seeking financial assistance with their enrollment fees at Modesto Junior College for the academic years spanning Summer 2014 through Spring 2015. Located at the Student Financial Services Office, this application is designed to aid students who are confronting financial challenges by waiving their enrollment fees. It distinctly benefits California residents, eligible AB 540 students, and those recognized under AB 1899, catering specifically to victims of trafficking, domestic violence, and other serious crimes by offering them an exemption from non-resident enrollment fees and eligibility for financial aid from state-administered programs. With sections detailing the conditions for independent or dependent financial aid application statuses, it also provides a pathway for students who might need additional support for costs beyond tuition, urging the completion of the Free Application for Federal Student Aid (FAFSA) or the California Dream Application for broader financial aid options. Moreover, it accommodates individuals in domestic partnerships under the California Domestic Partner Rights and Responsibilities Act for financial aid eligibility, ensuring an inclusive approach. The BOGW application, therefore, acts as a pivotal tool for students aiming to alleviate the financial burden of higher education, reinforcing the accessibility of educational opportunities across a diverse student body.

QuestionAnswer
Form NameBogf Application Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesbog fee waiver applicatrion, California, bog waiver, application for bog waiver

Form Preview Example

Board of Governor’s Fee Waiver Application (BOGW)

2014/2015

Summer 2014, Fall 2014 & Spring 2015

MJC Student Financial Services Office

West Campus: Yosemite Hall 147

2201 Blue Gum Ave

Telephone (209) 575-7700

Fax (209) 575-7719

This is an application to have your ENROLLMENT FEES WAIVED.

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) or the California Dream Application (for eligible AB 540 students) immediately. The FAFSA is available at www.fafsa.gov and the Dream Application is available at http://www.csac.ca.gov/dream_act.asp. Contact the Student Financial Services Office for more information.

IMPLEMENTATION OF Assembly Bill 1899: Victims of Trafficking, Domestic Violence and other Serious Crimes

AB 1899, chaptered in September of 2012, provides for a non-resident enrollment fee exemption for “Victims of trafficking, domestic violence and other serious crimes”. In addition, the legislation allows these students to apply for and, if eligible, receive financial aid from programs administered by public

postsecondary institutions or the state of California. Finally, the legislation provides that enrollment fees shall be waived for these students who apply for and are eligible to receive a Board of Governor’s enrollment fee waiver.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

MJC Student ID (or Soc Sec #)

 

Last

 

First

Middle Initial

 

 

 

 

 

 

 

Mailing Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

 

 

City

 

Zip Code

Date of Birth:

 

/

/

Home Phone: (

)

 

Cell Phone: (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CALIFORNIA RESIDENCY

This FEE WAIVER application is for California residents, eligible AB 540 students, and eligible AB 1899 students, as determined by the MJC Enrollment Service’s Office. Fee waiver eligibility cannot be determined until your status has been verified.

Has the Enrollment Service’s Office determined that you are a California resident?Yes No If no, has the Enrollment Service’s Office determined that you are eligible for a non-resident tuition exemption as an AB 540 student?

Yes No

If no, has the Enrollment Service's Office determined that you are eligible for a non-resident tuition exemption granted as a result of your immigration status under Section 1101(a)(15)(T)(i) or (ii), or Section1101 (a)(15)(U)(i) or (ii), of Title 8 of the United States Code?

Yes

No

 

 

CURRENT HIGH SCHOOL

 

Are you currently enrolled in high school? Yes No

 

IMPLEMENTATION OF THE CALIFORNIA DOMESTIC PARTNER RIGHTS AND RESPONSIBILITIES ACT

The California Domestic Partner Rights and Responsibilities Act extends rights, benefits, responsibilities and obligations to individuals in domestic partnerships registered with the California Secretary of State under Section 297 of the Family Code. If you are in a Registered Domestic Partnership (RDP), you will be treated as an Independent married student to determine eligibility for this Enrollment Fee Waiver and will need to provide income and household information for your domestic partner.

If you are a dependent student and your parent is in a Registered Domestic Partnership, you will be treated the same as a student with married parents and income and household information will be required for the parent’s domestic partner.

Note: These provisions apply to state student financial aid ONLY, and not to federal student financial aid.

Are you or your parent in a Registered Domestic Partnership with the California Secretary of State under Section 297 of the Family Code? (Answer “Yes” if you or your parent are separated from a Registered Domestic Partner but have NOT FILED a Notice of Termination of

Domestic Partnership with the California Secretary of State’s Office.)

Yes

No

If you answered “Yes” to the question above, treat the Registered Domestic Partner as a spouse. You are required to include your domestic partner’s income and household information or your parent’s domestic partner’s income and household

information in Questions 4, 11, 12, 13, 14, 15, 16, 17.

STUDENT MARITAL STATUS

Single Married Divorced Separated Widowed Registered Domestic Partnership

skip to question 13)
question 13)

DEPENDENCY STATUS

The questions below will determine whether you are considered a Dependent student or Independent student for fee waiver eligibility and whether parental information is needed. If you answer “Yes” to ANY of the questions 1-10 below, you will be considered an

INDEPENDENT student. If you answer “No” to all questions, you will be considered a Dependent student thereby reporting parental information and should continue with Question 11.

1.

Were you born before January 1, 1991? (If “yes”, skip to question 13)

Yes

No

2.

As of today, are you married or in a Registered Domestic Partnership (RDP)? (Answer "Yes" if you are separated but not divorced

 

or have not filed a termination notice to dissolve partnership. (If “yes”, skip to question 13)

Yes

No

3. Are you a veteran of the U.S. Armed Forces or currently serving on active duty for purposes other than training? (If “yes”, skip to Yes No

4.Do you have children who will receive more than half of their support from you between July 1, 2014 - June 30, 2015, or other dependents who live with you (other than your children or spouse/RDP) who receive more than half of their support from you,

now and through June 30, 2015? (If “yes”, skip to question 13)Yes No

5. At any time since you turned age 13, were both your parents deceased, were you in foster care, or were you a dependent or

ward of the court? (If “yes”, skip to question 13)

Yes

No

6.Are you or were you an emancipated minor as determined by a court in your state of legal residence? (If “yes”, skip to question 13) Yes No

7.Are you or were you in legal guardianship as determined by a court in your state of legal residence? (If “yes”, skip to question 13) Yes No

8.At any time on or after July 1, 2013, did your high school or school district homeless liaison determine that you were an

unaccompanied youth who was homeless? (If “yes”, skip to question 13)

Yes

No

9.At any time on or after July 1, 2013, did the director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and Urban Development determine that you were an unaccompanied youth who was homeless? (If “yes”,

Yes No

10.At any time on or after July 1, 2013, 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? (If

“yes”, skip to question 13)

Yes

No

If you answered "Yes" to any of the questions 1 - 10, you are considered an INDEPENDENT student for enrollment fee waiver purposes and must provide income and household information about yourself (and your spouse or RDP if applicable). Skip to Question #13.

If you answered "No" to all questions 1 - 10, complete the following questions:

11.

If your parent(s) or his/her RDP filed or will file a 2013 U.S. Income Tax Return, were you, or will you be claimed on their tax return

 

as an exemption by either or both of your parents?

Will Not FileYes

No

12.

Do you live with one or both of your parent(s) and/or his/her RDP?

Yes

No

If you answered "No" to questions 1 - 10 and "Yes" to either question 11 or 12, you must provide income and household information about your PARENT(S)/RDP. Please answer questions for a DEPENDENT student in the sections that follow.

If you answered "No" or "Parent(s) will not file" to question 11, and "No" to question 12, you are a dependent student for all student aid except this enrollment fee waiver. You may answer questions as an INDEPENDENT student on the rest of this

application, but please try to get your PARENT information and file a FAFSA so you may be considered for other student aid. You cannot get other student aid without your parent(s’) information.

 

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. YOU MUST bring this BOGW application into the Student Financial Services Office and fill out an “Agency Consent for Release of Information” form so we

can verify your current benefits. Continue to Method B below.

METHOD B ENROLLMENT FEE WAIVER

15.DEPENDENT STUDENT: How many persons are in your parent(s)/RDP household? (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, 2015.) _________

16.INDEPENDENT STUDENT: How many persons are in your household? (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, 2015.) ___________

17.2013 Income Information

 

 

 

DEPENDENT STUDENT:

INDEPENDENT STUDENT:

 

 

 

 

PARENT(S)/ RDP

STUDENT (& SPOUSE'S/

 

DO NOT ESTIMATE

 

INCOME ONLY

 

RDP) INCOME

 

 

 

 

 

 

 

 

 

 

a. Adjusted Gross Income (If 2013 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

 

 

 

 

 

 

 

 

2013 that is not included in line (a) above (such as

 

 

 

 

 

 

 

 

wages, disability, child support, military living

 

 

 

 

 

 

 

 

allowance, Workman’s Compensation, untaxed

 

 

 

 

 

 

 

 

pensions).

 

 

 

 

 

 

 

 

Don’t include: TANF/Welfare, Social Security/SSI,

 

 

 

 

 

 

 

 

Combat pay, earned income credit or additional child

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

tax credit.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL Income for 2013 (Sum of a + b)

 

$

 

 

$

 

 

 

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. Submit this application and documentation to the Student Financial Services Office. Contact the Student Financial Services 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 2013 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.

By signing below, I acknowledge that I understand the following information:

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 or the California Dream Application, additional financial assistance may be available in the form of Cal Grants, 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.

Incomplete applications will be returned to the student which will delay processing.

TO EXPEDITE PROCESSING: Submit IN-PERSON to the Student Financial Services Office, West Campus Yosemite Hall 147

Other Options: FAX: 209-575-7719 MAIL: Modesto Junior College, Student Financial Services Office, 435 College Ave, Modesto CA 95350

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

Office Use Only

Missing Information:

 

S/P Taxes S/P Signature S/P Household Size

Other________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BOGW A

BOGW B

 

Not Eligible

Special Classifications

 

 

 

 

Student

Independent

 

N/E

RDP: Student Parent

 

 

 

 

Parent

Dependent

 

Notified by: Mail In Person

Veteran

 

 

 

 

Document Rec’d ________

 

 

 

BOGW C Already on Line

Other__________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certified & Entered By:

 

 

 

 

Date:

 

 

 

 

 

How to Edit Bogf Application Form Online for Free

It is easy to fill out the FAFSA. Our PDF editor was made to be allow you to prepare any PDF easily. These are the basic steps to go through:

Step 1: Hit the orange button "Get Form Here" on the page.

Step 2: The document editing page is presently available. You can add text or manage current information.

Type in the requested information in each area to complete the PDF FAFSA

entering details in 2013 stage 1

Fill in the METHOD B ENROLLMENT FEE WAIVER, INDEPENDENT STUDENT How many, Income Information, DO NOT ESTIMATE, a Adjusted Gross Income If US, Return was filed enter the amount, b All other income Include ALL, Dont include TANFWelfare Social, DEPENDENT STUDENT PARENTS RDP, and INDEPENDENT STUDENT STUDENT section with the particulars asked by the platform.

Completing 2013 stage 2

Write down the essential particulars in TOTAL Income for Sum of a b, SPECIAL CLASSIFICATIONS ENROLLMENT, Do you have certification from, Submit certification, Yes No, Do you have certification from, Submit certification, Are you eligible as a recipient, Submit documentation from the, Yes No, Yes No, Are you eligible as a dependent, Submit documentation from the CA, Yes No, and Are you eligible as a dependent segment.

Finishing 2013 step 3

The Applicants Signature Date, Parent Signature Dependent, CALIFORNIA INFORMATION PRIVACY ACT, State and federal laws protect an, The officials responsible for, Missing Information, Office Use Only, and SP Taxes SP Signature SP section will be applied to write down the rights or obligations of both parties.

stage 4 to entering details in 2013

Look at the fields BOGW A, BOGW B, Not Eligible, Special Classifications, Student Parent, Independent Dependent, Document Recd, NE Notified by Mail In Person, BOGW C Already on Line, RDP Student Parent Veteran, Certified Entered By, and Date and then complete them.

Filling in 2013 stage 5

Step 3: When you are done, select the "Done" button to upload the PDF file.

Step 4: It's going to be simpler to keep copies of the document. You can rest assured that we will not publish or see your details.

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