Form CFS407-3 "Application for Community College Payment Program Funds" - Illinois

What Is Form CFS407-3?

This is a legal form that was released by the Illinois Department of Children and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the Illinois Department of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CFS407-3 by clicking the link below or browse more documents and templates provided by the Illinois Department of Children and Family Services.

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Download Form CFS407-3 "Application for Community College Payment Program Funds" - Illinois

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CFS 407-3
State of Illinois
Rev 3/2015
Department of Children and Family Services
Application for Community College Payment Program Funds
Program Information
The Community College Payment Program is used to pay tuition, fees, required books, supplies, uniforms
and equipment for classes and/or programs that are not covered by financial aid grants at the student’s ‘in
district’ community college. If the student is enrolled in Career and Technical Educational program
requiring specific items available in the college bookstore, this form may be used for those items in
addition to the tuition, fees, required books and school supplies.
This application is not to be used in place of FAFSA grants. This form cannot be used to pay ‘out
of district’ tuition, classes that were dropped or not completed, items that are not required by
course (s) student are enrolled in, or previous fiscal year charges. Please verify with the college prior
to enrollment that the student meets the residency requirement to be considered an ‘in district’
student.
Eligibility Requirements
A. The Department must have court ordered legal responsibility for the youth at the time classes or
program begins;
B. The youth must have completed a Free Application for Federal Student Aid (FAFSA) for the
current academic year within the required deadlines set by the college and state and must
complete all necessary forms and provide documentation requested by the college in order to
receive financial aid at the college (If applicable);
C. The youth must be accepted for enrollment in their ‘in district’ community college;
D. The youth must make Satisfactory Academic Progress (SAP) as per the college’s definition; and
E. The youth must read and sign the service agreement portion of this application.
Program Requirements
Use of this application is limited to the following situations:
A. When financial aid is not available either because the program is not financial aid eligible or the
classes are not eligible for financial aid per the college;
B. When student is not eligible for financial aid because they have not graduated from high school
or are not a US citizen or eligible non-citizen;
C. When the student is using financial aid at another college so does not have financial aid at the
community college;
D. When it is the summer semester and student has used all available FAFSA related grants;
E. When it is being used for books and required supplies only;
F. When the student has used all available MAP and/or Pell credit hour eligibility; and
G. When the student is on financial aid suspension – (copies of denial of financial aid appeal and
record of extenuating circumstances must be submitted with the application)
Application Process
A Complete application must be submitted to the Community College Payment Program Coordinator at
least 30 days prior to the classes or program beginning. Submit completed application to:
DCFS/OETS, Community College Payment Program, 2001 NE Jefferson Ave, Peoria, IL 61603,
Fax 309-671-7946, Email: ETV.coordinator@illinois.gov
CFS 407-3
State of Illinois
Rev 3/2015
Department of Children and Family Services
Application for Community College Payment Program Funds
Program Information
The Community College Payment Program is used to pay tuition, fees, required books, supplies, uniforms
and equipment for classes and/or programs that are not covered by financial aid grants at the student’s ‘in
district’ community college. If the student is enrolled in Career and Technical Educational program
requiring specific items available in the college bookstore, this form may be used for those items in
addition to the tuition, fees, required books and school supplies.
This application is not to be used in place of FAFSA grants. This form cannot be used to pay ‘out
of district’ tuition, classes that were dropped or not completed, items that are not required by
course (s) student are enrolled in, or previous fiscal year charges. Please verify with the college prior
to enrollment that the student meets the residency requirement to be considered an ‘in district’
student.
Eligibility Requirements
A. The Department must have court ordered legal responsibility for the youth at the time classes or
program begins;
B. The youth must have completed a Free Application for Federal Student Aid (FAFSA) for the
current academic year within the required deadlines set by the college and state and must
complete all necessary forms and provide documentation requested by the college in order to
receive financial aid at the college (If applicable);
C. The youth must be accepted for enrollment in their ‘in district’ community college;
D. The youth must make Satisfactory Academic Progress (SAP) as per the college’s definition; and
E. The youth must read and sign the service agreement portion of this application.
Program Requirements
Use of this application is limited to the following situations:
A. When financial aid is not available either because the program is not financial aid eligible or the
classes are not eligible for financial aid per the college;
B. When student is not eligible for financial aid because they have not graduated from high school
or are not a US citizen or eligible non-citizen;
C. When the student is using financial aid at another college so does not have financial aid at the
community college;
D. When it is the summer semester and student has used all available FAFSA related grants;
E. When it is being used for books and required supplies only;
F. When the student has used all available MAP and/or Pell credit hour eligibility; and
G. When the student is on financial aid suspension – (copies of denial of financial aid appeal and
record of extenuating circumstances must be submitted with the application)
Application Process
A Complete application must be submitted to the Community College Payment Program Coordinator at
least 30 days prior to the classes or program beginning. Submit completed application to:
DCFS/OETS, Community College Payment Program, 2001 NE Jefferson Ave, Peoria, IL 61603,
Fax 309-671-7946, Email: ETV.coordinator@illinois.gov
CFS 407-3
State of Illinois
Rev 3/2015
Department of Children and Family Services
Application for Community College Payment Program Funds
Student’s Name
DCFS ID#
Date of Birth
School Student ID#
Student’s current address
City
State
Zip
Phone
Student’s Email
Permanency worker
Agency
Phone
Email
Date classes or program will begin
Name of community college
The following items must be submitted with application packet:
(Place a check in the box to verify that the attachment is included with the packet when submitted)
Current Schedule
Previous Grades OR
Transcript instead of schedule and grades
No previous grades as first time post-secondary student
Financial Aid Denial of Appeal Letter and documentation of extenuating circumstances (if applicable)
Community College Payment Program shall be used only for the following reasons:
(Please check the box to designate the reason this form is being used)
No financial aid because the program is not financial aid eligible
No financial aid because class is pre-credit, remedial, or foundational
Student not eligible for financial aid because not a citizen or eligible non-citizen
Student not eligible for financial aid because does not have high school diploma or GED
Student is using financial aid at another college so not financial aid eligible at community college
Summer semester and student has used all available financial aid
Books and required supplies only
Student has used all available MAP and/or Pell credit hour eligibility
Student on financial aid suspension – (copies of the denial of financial aid appeal and record of
extenuating circumstances must be submitted with this application)
CFS 407-3
State of Illinois
Rev 3/2015
Department of Children and Family Services
Application for Community College Payment Program Funds
SERVICE AGREEMENT
Do not sign this Service Agreement until you have read and understand its content. Refer any questions you have
about the agreement to your Permanency Worker.
By using the Community College Payment Program I,
agree to do all
of the following:
Enroll in an ‘in district’ Illinois community college;
Complete FAFSA (Free Application for Federal Student Aid) each January for financial aid and designate
on the FAFSA form the institution (s) I am planning to attend;
Submit to college ALL requested documents for registration, admissions, and financial aid;
Complete form CFS407-3 with my Permanency Worker 30 days prior to classes or program beginning;
Maintain a “C” average or make Satisfactory Academic Progress (SAP). I understand that if my grades fall
below a “C,” my Permanency Worker may require that I enroll in tutoring and/or I may not approved to use
this funding in the future;
Provide an official copy of my class schedule and grades to my Permanency Worker within two weeks after
I receive them. I understand that if I fail to do this that I may not be eligible for ongoing participation in the
program; and
Cooperate with my Permanency Worker. Cooperation includes but is not limited to my participation in the
development of my service plan, completing the tasks established in my service plan, adhering to the in-
person and telephone schedule of contacts with my Permanency Worker, completing required health
exams, and providing the required health and academic documentation to my Permanency Worker for
inclusion with my service plans submitted for administrative case reviews.
I will receive the following BENEFITS as a participant in the Community College Payment Program if I
fulfill the conditions listed above:
Payment of ‘in district’ community college tuition, fees, and books not covered by financial aid grants if I
complete the program/classes; and
Services and assistance as required from my permanency worker and/or DCFS Education Advisor.
I understand that:
I am only eligible to receive assistance from the Community College Payment Program if there is no
financial aid available for the classes and/or program that I am enrolled in;
I am responsible for participating in educational support/tutoring offered by my school in order to maintain
a “C” average and Satisfactory Academic Progress (SAP);
It is my responsibility to formally withdraw from classes that I cannot complete within the time
required by the college I am attending. Withdrawing from classes may result in charges to my
student account;
DCFS will not pay any debt that I incur while in the Community College Payment Program. I am
responsible for payment of any debt including charges for classes dropped, repayment of MAP and/or Pell
grants to the college and/or US Department of Education received if classes are not completed or loans that
I accepted;
If I fail to comply with any of the Community College Payment Program requirements, I may not be
eligible for current and/or future benefits of the program; and
I am giving permission to the college to release financial, academic, and attendance information to
the DCFS Community College Payment Program.
Applicant’s Signature:
Date:
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