5500NorthSaintLouisAvenueDBuildingRoom200Chicago,IL6062546997734425016Fax:7734425040
Financial[email protected]neiu.edu/financialaidCheckyourfinancialaidstatusatneiuport.neiu.edu
NortheasternIllinoisUniversityStudentFinancialWellness
20192020UnaccompaniedHomelessYouthVerificationForm
Student’sFirstName
6digitNEIU
StudentID#
Student’sLastName
PhoneNumber
YoureportedonyourFreeApplicationforFederalStudentAid(FAFSA)eitherthatyouareanunaccompaniedyouth
who is homeless or an unaccompanied youth providing for your own living expenses who is at risk of being
homeless.Todetermineyoureligibility,theFinancialAidOfficeneedsadditionalinformation.Pleasecompleteand
submitthisformwiththerequireddocumentationwithin14businessdays.IncludeyourstudentIDnumberonall
documentssubmitted.
Note:Ifyouwereconsideredanunaccompaniedhomelessyouthinpreviousyears,pleaseprovideourofficewith
astatementexplainingyourcurrentsituation.
Homeless‐meanslackingfixed,regularand
adequatehousing,whichincludeslivinginshelters,motelsorcars,or
temporarilylivingwithotherpeoplebecauseyouhadnowhereelsetogo.
Unaccompanied‐meansyouareNOTlivinginthephysicalcustodyofyourparent orguardian.
Youthmeansyouare21yearsofageoryoungeror
stillenrolledinhighschoolasofthedayyousignyourFAFSA.

ATTACHDocumentationVerifyingHomelessnessorRiskofHomelessness
Attachdocumentationfromoneofthefollowing:
AChicagoPublicSchoolDistrictLiaison
AdirectorordesigneeofaHUDfundedshelter
Adirectorordesigneeofanotherhomelessshelter
Thedocumentationmustconfirm:
You are an unaccompanied homeless youth‐Effective after July 1, 2018, you are
living in a
homelesssituationasdefinedbytheChicagoPublicSchoolsHomelessliaisonandyouarenotin
thephysicalcustodyofaparentorguardian.
Youareanunaccompanied,selfsupportingyouthatriskofhomelessness‐EffectiveafterJuly1,
2018,youarenotinthephysicalcustodyofaparent/guardian,youprovideforyourownliving
expensesentirelyandyouareatriskoflosingyourhousing.
ATTACHanexplanationletterifyoucannotobtainaletterfromoneoftheabove
Attach a letter explaining your situation, if you have other circumstances that qualify you as an
unaccompanied homeless youth or you are at risk of homelessness and you are not able to get
documentationfromoneoftheabovenamedofficials.Ifyouhavequestions,youmaycontactthe
NationalCenter
forHomelessEducation,8003082145or[email protected].
Check,ifyouarenothomelessandwillprovideparentalinformationontheFAFSA
I am not homeless and do not qualify as an unaccompanied homeless youth or youth at risk of
homelessness.
You must correct the information on your FAFSA by providing your parent(s)’ financial
information.
YouandoneparentmustsigntheFAFSAandsubmitittothefederalprocessor.
REQUIREDSIGNATURE:Icertifythatallinformationreportediscompleteandcorrect.Iunderstandthat
changes in my FAFSA financial information based on the documentation provided may result in a change in
financialaideligibility.
Student’sSignatureDate