County College of Morris

Office of the Educational Opportunity Fund

EOF APPLICATION - 2021/2022

* Mandatory Fields

Part A: Personal Information

First Name *

Last Name *

Middle Initial

Last Four Digits of Social Security *

Address *

City *

State *

Zip Code *

County *

Home Phone #

Cell Phone # *

Emergency Phone # *

Email Address *

NJ Resident *

Years Lived in NJ *

Date of Birth *

Gender *

High School Attended *

Graduation Month/Year *

If Applicable, High School Equivalency Test Date.

Have you participated in a dual enrollment program while in high school? (Dual enrollment program is defined as a program where the student earns college credits towards an associate degree as part of their high school graduation requirements) *

Yes

No

Federal and State governments require the college to submit summary information in the following areas:

Your cooperation in completing this information will be appreciated.

Ethnicity *

Citizenship Status *

If you are an Eligible Non Citizen ONLY, provide Alien Registration #:

Alien Registration #

Student's Expected Enrollment Status 2021-2022 (Check One) *

If Re-admit, please provide Re-Admit from Academic Year:

Part B: Student Status Information (If Independent Student, Omit Part C -- Parent Information re: Name, Residential Address and Marital Status)

Independent or Dependent Criteria: *

If Independent Student, ONLY Select One Choice from the Drop Down Menu.

Part C: Household Information

Parent/Father

Parent/Mother

Father's Name

Mother's Name

Father's Address

Mother's Address

Father's City/State/Zip

Mother's City/State/Zip

Parents' Status

Parents' NJ Resident

Parents' Residency Date (Month/Year)

List Additional Family Members:

Full Name

Age

Relationship

College

Full Name

Age

Relationship

College

Full Name

Age

Relationship

College

Full Name

Age

Relationship

College

Full Name

Age

Relationship

College

You can list additional family members here:

Part D: Income and Expense Information for 2019 & 2020

If Independent, please disregard parent questions.

Family Size: Dependent Students & Independent Students

The maximum Gross Family Incomes for New Jersey EOF eligible student (2019 Income Year): (Add $8,960 for each additional household member) *

1A. Were you claimed by your parents as an income tax exemption in 2019?

Yes

No

1B. Were you claimed by your parents as an income tax exemption in 2020?

Yes

No

2. Did you receive Federal and/or State Financial Aid during the academic year 2020-2021?

Yes

No

3. In what year were you last claimed on your parents' income tax form?

4. Do both of your parents, stepparents or legal guardians earn wages from full-time or part-time jobs?

Yes

No

One parent?

Yes

No

Father's occupation

Mother's occupation

5. Parent(s) Adjusted Gross Income from Federal Income Tax returns?

2019

2020

6. Student's (and Spouse's if applicable) Adjusted Gross Income from Federal Income Tax returns:

2019

2020

7. Detail of Source(s) of 2020 income* (If not applicable, please populate field with $0.00) *

	(Step) Father or Guardian	(Step) Mother or Guardian	Student	Spouse (If Applicable)
Taxable salaries and wages (per year)	(Step) Father or Guardian	(Step) Mother or Guardian	Student	Spouse (If Applicable)
Dividends and interest (per year)	(Step) Father or Guardian	(Step) Mother or Guardian	Student	Spouse (If Applicable)
Social Security (per year)	(Step) Father or Guardian	(Step) Mother or Guardian	Student	Spouse (If Applicable)
Child Support (per year)	(Step) Father or Guardian	(Step) Mother or Guardian	Student	Spouse (If Applicable)
Veteran's Benefits (per year)	(Step) Father or Guardian	(Step) Mother or Guardian	Student	Spouse (If Applicable)
Welfare Benefits (per year)	(Step) Father or Guardian	(Step) Mother or Guardian	Student	Spouse (If Applicable)
Other (per year)	(Step) Father or Guardian	(Step) Mother or Guardian	Student	Spouse (If Applicable)

8. How many people are living in your household (include yourself, parents and anyone else receiving more than 50% support)?

*

9. How many people in your household (including yourself) will be enrolled in college during the 2021/2022 academic year?

*

10 A. Do you, your parent(s), stepparent(s) or legal guardian(s) own a home?

Yes

No

10 B. If your parent(s), stepparent(s) or legal guardian(s) own a home, what is the Present Market Value of home?

10 C. If your parent(s), stepparent(s) or legal guardian(s) own a home, what is the present Mortgage Owed on home?

11 A. If independent student, do you own a home?

11 B. If your are an independent student home owner, what is the Present Market Value of home?

11 C. If your are an independent student home owner, what is the Mortgage Owed on home?

11 D. If independent student, do you own a home?

Yes

No

12. Parent(s)/guardian(s) savings, stocks and bonds?

13. Student's savings, stocks and bonds?

14. Do your parent(s) own a business? (If yes, submit copies of all pages of your parent's most recent IRS Tax Return.) *

Yes

No

15. Do you own a business? (If yes, submit copies of all pages of your most recent IRS Tax Return.) *

Yes

No

If you have other comments or documents to attach to this application,

please send these directly to the EOF Office.

As per enclosed “EOF Applicant Letter” instructions below are available for download. Please submit ALL SUPPORTING FINANCIAL DOCUMENTS FOR 2019 & 2020 TO SUBSTANTIATE THE INFORMATION YOU HAVE HEREIN PROVIDED. For example, 2019 & 2020 Tax Return Transcripts including W-2 forms and appropriate schedules, Welfare Statement, Child Support Award Letter, Social Security forms, Pension Benefits form and other applicable documents.

Intentional False Statements or Misrepresentation By

The Applicant Subjects Them to a Fine and Automatic Disqualification.

Part E: Personal Statement (All Students Must Complete This Section)

Write a personal statement essay (no less than 250 words) on the topic, "Why I want to be an EOF Student." (Include a description of any unusual circumstances that may be important to be considered in the selection decision.)

0/3000 words

Part F: Award Information

In order to complete the award process, the following must be done:

Complete and File an Admissions Application to CCM.
Complete and File the 2021-2022 Free Application for Federal Student Aid (FAFSA) at fafsa.ed.gov. (This is only for applicant who has a Social Security Number and is either a US Citizen, US National or a Permanent Resident)
Complete and File the 2021-2022 NJ Alternative Financial Aid Application at hesaa.org/Pages/NJAlternativeApplication.aspx. (This is only for applicant who does not have a Social Security Number and/or is not a US Citizen, US National or Permanent Resident)
Complete and File the E.O.F. Application Form.
Submit Proof of Income and any other requested documentation, as per enclosed instructions.
Schedule Applicant Interview by calling 973.328.5270.
Submit two official forms of identification including driver’s license, social security card, student ID
and/or alien registration card.

Factors that determine eligibility include:

Full-time enrollment (at least 12 credits per semester)
One year residency in New Jersey
History of financial need (must meet EOF Income Guidelines - Part D of application)
Show potential and readiness to successfully complete transitional or college level course work through performance on the Accuplacer Entrance Examination (Minimum score of 3 or better on the Essay portion of exam is required)
A willingness to attend and participate in required EOF activities
Must not be in the last two terms of study leading to graduation or has not accumulated more than 30 credits.

I (We) certify that the information given on this application is true, accurate, and complete to the best of my knowledge. I understand EOF is not an entitlement program and slots are limited, based on state funding available. I (we) agree to provide proof of the information that I provided on this form if asked by an authorized official. If proof is not submitted, aid may be denied.

According to the Family Educational Rights and Privacy Act (FERPA), your permission is needed to discuss your application and documentation related to your educational and financial needs with faculty/staff, on occasion. Please sign below to certify the information provided and to grant EOF permission to discuss your needs with the appropriate person(s) for the purpose of educational planning.

Student Signature *

clear

Parent (Guardian) Signature (Required if you are a "Dependent Student")

clear

Date of Signature(s) * +

How did you hear about the EOF Program? *

Thank you for your interest. In order to determine your eligibility for admission into the Educational Opportunity Fund Program (EOF), you must provide income documentation. There is limited space in the Educational Opportunity Fund (EOF) Program, so be sure to submit requested documentation.
BEFORE submitting your application,
Please Click The Link Below and Print EOF Applicant Letter.

EOF Applicant Letter Link

Documentation Submission

If you applied for the EOF program and you are ready to submit your supporting documents, here are instructions on uploading documents via our secure site: CLICK HERE

You can easily do it through our secure upload site via MappinXpress: CCM/EOF MappingXpress Link

If you have any issues uploading your documents, please contact 973-328-5270 or eof@ccm.edu .

For additional information or assistance, contact the Educational Opportunity Fund Office listed below.

Educational Opportunity Fund

County College of Morris

214 Center Grove Road, Cohen Hall – CH 211

Randolph, NJ 07869-2086

Voice number: (973) 328-5270

Fax number: (973) 328-5269

Email address: eof@ccm.edu

Website address: www.ccm.edu/student-life/campus-services/educational-opportunity-fund/