| Yes No | Were you born before January 1, 1990? |
| Yes No | As of today, are you married? Answer "Yes" if separated, but not divorced. |
| Yes No | Will you be working on a master’s or doctorate program at the beginning of the 2013-14 school year? |
| Yes No | Are you a veteran of the U.S. Armed Forces or currently serving on active duty? |
| Yes No | Do you have children who will receive more than half of their support from you? |
| Yes No | Do you have any dependents (other than a child or spouse) who live with you and who receive more than half of their support from you? |
| Yes No | 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? |
| Yes No | Are you or were you an emancipated minor as determined by a court in your state of legal residence? |
| Yes No | Are you or were you in legal guardianship as determined by a court in your state of legal residence? |
| Yes No | At any time on or after July 1, 2012, did your high school or school district homeless liaison determine that you were an unaccompanied youth who was homeless? |
| Yes No | At any time on or after July 1, 2012, did the director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and Urban Development determine that you were an unaccompanied youth who was homeless? |
| Yes No | At any time on or after July 1, 2012, 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? |
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