SUNY Broome
The information you provide here will be used in the review of your eligibility for the Educational Opportunity Program. It is to your advantage to provide as much information as possible.
Answer all of the questions below to help determine if you qualify for exclusion from the income eligibility guidelines.
Are you or your family primarily dependent on public assistance payments from Temporary Assistance to Needy Families (i.e. Family Assistance, Safety Net, cash grants received from public assistance)?
Are you in foster care as established by the court?
Are you a ward of the court or county?
If you answered “Yes” to either of the last two questions above, skip to Section 8. All others, continue to Section 3.
Answer all of the questions below to help determine your dependency status.
Were you born before January 1, 1999?
As of today, are you married? (Also answer “yes” if you are separated, but not divorced.)
Are you currently serving on active duty in the U.S. Armed Forces for purposes other than training?
Are you a veteran of the U.S. Armed Forces?
Do you now have or will you have children who will receive more than half of their support from you between July 1, 2024 and June 30, 2025?
Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their support from you, now and through June 30, 2025?
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?
As determined by a court in New York State, are you or were you an emancipated minor?
Does someone other than your parent or stepparent have legal guardianship of you, as determined by a court in your state of legal residence?
At any time on or after July 1, 2023, did your high school or school district homeless liaison determine that you were an unaccompanied youth who was homeless or were self-supporting and at risk of being homeless?
At any time on or after July 1, 2023, 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?
Dependent students must complete this section. Independent students should leave this section blank. For the purposes of this form, “legal parent” means your (biological or adoptive) parent, or a person that the state has determined to be your legal parent. Grandparents, foster parents, stepparents, legal guardians, widowed stepparents, aunts, uncles and siblings are not considered legal parents on this form unless they have legally adopted you.
What are the names of your legal parents (biological or adoptive)?
What is the relationship of your legal parents to each other?
If your legal parents were married to each other at one time, provide the month and year they were married, separated, divorced or widowed to or from each other.
If your legal parents are married to each other, or are not married but living together, skip to the last question in this section.
If your legal parents are not married to each other and do not live together, which parent did you live with more during the past 12 months?
If you answered “Neither Parent” above, which parent provided more financial support during the past 12 months?
Is the legal parent identified in either of the last two questions above currently married or remarried?
Provide the month and year that the parent identified above married or remarried.
Complete for special circumstances only: If you did not live with either of your legal parents during the past 12 months, with whom did you live?
Provide the following information for all household members.Dependent Students: Include yourself, the parent(s) with whom you live, your stepparent if applicable, their other dependent children (even if they do not live with you) if your parent(s) will provide more than half of their support between July 1, 2023 and June 30, 2024, and other people if they now live with you, your parent(s) provide more than half of their support and your parent(s) will continue to provide more than half of their support between July 1, 2023 and June 30, 2024.Independent Students: Include yourself, your spouse (if married), your children (if any) if you will provide half of their support between July 1, 2023 and June 30, 2024, even if they do not live with you, and other people if they now live with you, you provide more than half of their support and you will continue to provide more than half of their support between July 1, 2023 and June 30, 2024.
Dividends, interest, or other income from investments:
Rents paid to you:
Social Services/Public Assistance (TANF, etc):
Social Security benefits:
Workers Compensation/Disability:
Pension/Annuity:
Unemployment:
Veterans Noneducation Benefits:
Alimony/Maintenance:
Child Support:
Other income, including money received or paid on your behalf, e.g. bills, not reported elsewhere on this form. This includes money that you received from a parent or other person whose financial information is not reported above and that is not part of a legal child support agreement.
Your cash, checking and savings accounts:
Your investments (non-retirement):
Your trust fund/settlement:
Spouse’s cash, checking and savings accounts:
Spouse’s investments (non-retirement):
Spouse’s trust fund/settlement:
First parent’s cash, checking and savings accounts:
First parent’s investments (non-retirement):
Second parent’s or Stepparent’s cash, checking and savings accounts:
Second parent’s or Stepparent’s investments (non-retirement):
Business or farm owned by you, your spouse or your parent(s):
Purchase Price
Current Value
Current Debt
Monthly Mortgage Payment
Home owned by you, your spouse or your parent(s):
Other real estate owned by you, your spouse or your parent(s):
Please indicate if you currently participate in any of following programs:
Have you filed for FAFSA?
Have you applied for TAP?
I understand that I must be academically and economically eligible for EOP and that I must provide required documentation with this form to prove my eligibility. I understand that I am required to file the 2023-24 Free Application for Federal Student Aid (FAFSA) as soon as possible after October 1, 2022. I understand that additional paperwork may also be required.
All information submitted is true to the best of my knowledge. I understand that any knowing falsification or omission of data may result in the denial of admission or dismissal.