2025-2026 Homeless or At Risk of Homelessness Verification Form

If you need assistance with this form, contact Mid Michigan College Financial Aid at (989) 386-6664 or finaid@midmich.edu.

Student Name*

Phone Number*

Mid Michigan College Student ID*

You can find your Student ID Number on your Mid Michigan College Student ID Card or in myMid.

Enter your Mid Mich Email*

You MUST provide a Mid Mich Email so that we can verify your identity. Other emails will not be accepted and you will be unable to complete this form.

ERROR The email you entered is not a Mid Mich Email. In order to complete this form, you must enter a Mid Mich Email so we can verify your identity.

Re-enter your Mid Mich Email, click 'Verify Email', and follow the directions.*

You did not report information about your parents on your FAFSA because you indicated you are homeless or at risk of homelessness. You must review this form carefully and take the appropriate actions.

Definition

You may fall under this category if you are not in the physical custody of your parent or guardian and are “homeless” meaning lacking fixed, regular, and adequate housing. This might include living in shelters, motels, vehicles, or temporarily living with other people because you have nowhere else to go. Also, if you are living in any of these situations and fleeing an abusive parent you may be considered homeless even if your parent would provide support and a place to live. If you are unsure if your situation meets these definitions or you need help in knowing what documentation to submit, call Mid's Financial Aid team at (989) 386-6664. The National Center for Homeless Education 1-800-308-2145 is also available if you have questions.

If you made an error on your FAFSA and are not homeless or at risk of homelessness, you do not need to return this form, however, you must change your answer on your FAFSA and provide your parent(s)’ financial information and signature.

Complete this section and return this form if at any time on or after July 1, 2024, you were an unaccompanied youth who was homeless or at risk of being homeless. We may request a statement from an individual with whom you have temporarily lived with or who knows of your situation. Please provide documentation from an outside agency if possible.

I am confirming/reaffirming that I am homeless or at risk of being homeless, as defined above by*

A McKinney-Vento School District LiaisonA director or designee of a HUD-funded shelter (HUD = Housing and Urban Development)A director or designee of a RHYA-funded shelter (RHYA = Runaway and Homeless Youth Act)A TRIO or GEAR UP college access programA mental health professional, social worker, employer, mentor, doctor, or clergyI am confirming/reaffirming that I am homeless or at risk of being homeless, however an outside agency/representative cannot confirm that I am homeless or at risk of being homeless (If you choose this option you MUST complete additional questions.)

I am confirming/reaffirming that I am homeless or at risk of being homeless, as defined above by*

A McKinney-Vento School District LiaisonA director or designee of a HUD-funded shelter (HUD = Housing and Urban Development)A director or designee of a RHYA-funded shelter (RHYA = Runaway and Homeless Youth Act)A TRIO or GEAR UP college access programA mental health professional, social worker, employer, mentor, doctor, or clergyI am confirming/reaffirming that I am homeless or at risk of being homeless, however an outside agency/representative cannot confirm that I am homeless or at risk of being homeless (If you choose this option you MUST complete additional questions.)

Upload supporting documentation for the selections you made above.*

Browse Files

Why is your housing not fixed, regular, or adequate? Select all that apply.*

Experienced loss of housing.Experienced economic hardship resulting in inability to secure and maintain fixed, regular, or adequate housing.Other (Parent forced you to leave home, you experienced abuse in the home, or had conflict with your parent.)

Which of the following housing situations do you currently experience. Select all that apply and explain below.*

Housing Situation Explanation | Please explain your living conditions past and present that confirm or reaffirm that you are homeless or at risk of being homeless.*

If you were to lose your current housing situation, what would your housing situation look like?*

I certify that all information provided in and with this document is true, complete, and accurate. I understand that if I purposely give false or misleading information I may be fined, sentenced to jail, or both.

Signature*

Date*

MonthDayYear

Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact Strategic Communications at (989) 386-6622 x579 or stratcomm@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.