4. Explain circumstance which justify treatment of student as self-support (attach other sheets as necessary):_____________________________________________________________
5. Attach documentation; describe below.
Nature of documentation:___________________________________________________ Source:__________________________________________ Date received:__________
Nature of documentation:___________________________________________________ Source:__________________________________________ DaterReceived:__________
6. Action: Approved:_____________ Denied:_____________ Date:___________
Additional information requested:__________________________________Date requested:______ Staff:_________________________________________
Mail or fax this form along with documentation of your circumstances to: Financial Aid Office Empire State College 111 West Ave. Saratoga Springs, NY 12866 FAX: 518 581-2782 Phone: 518 587-2100
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Fax: 518-581-2782Mailing Address: Empire State CollegeFinancial Aid111 West Ave.Saratoga Springs, NY 12866
Questions? Contact the Student Information Center at 518-587-2100 or 800-847-3000.
Code: 010286Name: SUC Empire State College
Undergraduate: 0913Graduate: 5680 (for graduate students applying for Veteran Tuition Awards)
Students planning to attend 2016-2017 should complete the Free Application for Federal Student Aid for 2016-2017. Students wishing to get an early jump on applying for financial aid for 2017-2018 (enrollments beginning on or after May 15, 2017) can do so by submitting the 2017-2018 FAFSA.