This form is to be used to document a parent/guardian or student’s exemption from the State law requirement to file, as a prerequisite to receiving a high school diploma:

1. A Free Application for Federal Student Aid (FAFSA) at studentaid.gov/;, 

2. An application for State financial aid at isac.org/students/before-college/finan..., or 

3. An Ill. State Board of Education (ISBE) FAFSA Nonparticipation Form at isbe.net/Documents/FAFSA-Non-Participa.... 105 ILCS 5/22-875(b) (added by P.A. 101-180).

Return a copy of the completed form to the parent/guardian or student, and keep a copy in the student’s file.

Completed by Student’s parent/guardian or Student, if 18 years or older or legally emancipated.

Grade: _____________________________

I am unable to file a FAFSA, an application for State financial aid, or an ISBE FAFSA Nonparticipation Form because of the following:

Completed by the High School Principal.

Extenuating circumstances exist and the Student is exempt from the requirement to file a FAFSA, an application for State financial aid, or an ISBE FAFSA Nonparticipation Form):

☐ Yes      ☐  No, exemption denied

(Complete next portion only if the answer is Yes above)

I attest that the District has made the following good faith efforts to assist the Student’s parent/guardian or Student in filing an application or a waiver from this requirement:

The student has met all other graduation requirements and received a diploma.

☐ Yes, exemption approved      ☐ No, exemption denied

High School Principal Signature                        Date