PARENTAL FAFSA/CALIFORNIA DREAM ACT NONPARTICIPATION FORM

Beginning with 2017-2018 school year, high school seniors in the Val Verde Unified School District will be required, to complete either the Free Application for Federal Student Aid (FAFSA) or the California Dream Act Application as part of their graduation requirement.

Please complete this form if you are the parent of a student attending a high school in the Val Verde Unified School District and you wish to have your student exempted from the FAFSA/California Dream Act Application Requirement.

Student Name:	Date of Birth (mm/dd/yyyy):	
Parent/Legal Guardian Name:	Name of School:	
Home Address:	
City:	State:	ZIP:	
Telephone Number:	Email:	

Rationale for Nonparticipation (optional):

Print Parent/Legal Guardian Name:

I am the parent or legal guardian of the student referenced above, and I am electing to not have them complete either the FAFSA or California Dream Act Application as part of their graduation requirement.

Parent/Legal Guardian Signature:
X	Date: