Explain Form (EXPLN)

Student Information

Student ID (S Number)*

ex: S0123456

Name*

First Name

Last Name

For which school year does this form apply?*

2023-2024 (Fall 2023, Spring 2024, Summer 2024)

Select which statement applies to your current situation:*

I am a dependent student I am an independent student

Please identify the reason for your explain statement:

Personal Statement

Explain your circumstance as it applies to the evaluation of your financial aid.*

Do you have supporting documentation that you need to upload to this application?*

Yes No I'll submit my documentation to the FRCC Financial Aid Office via email, or schedule an appointment through Navigate with Financial Aid to drop off in person.

Please upload supporting documentation:*

No File Chosen

File uploads may not work on some mobile devices.

Please include your Student ID Number on each attachment provided.

Student Signature

I understand that by electronically signing this document by typing my full legal name, that I acknowledge, agree, and attest that the information provided by me is true and correct and I am freely intending to create and adopt this signature as my own legal binding electronic signature that carries the same legal effective and enforceability as my handwritten signature.

Type Your Legal Name*

Parent Signature

Type Your Legal Name*