Applicant’s Signature Date Parent Signature (Dependent Students Only) Date FOR OFFICE USE ONLY BOGFW-A Classification RDP is not BOGFW-B Special Student TANF/CalWORKs Veteran Guard eligible National Student GA Dependent Parent SSI/SSP of Honor Dependent BOGFW-C Medal 9/11 Dep. of deceased law enforcement/fire personnel Comments: Certified by: Date:
Applicant’s Signature Date Parent Signature (Dependent Students Only) Date FOR OFFICE USE ONLY BOGFW-A BOGFW-B Special Classification RDP Student is not TANF/CalWORKs Veteran National Guard Student eligible GA Dependent Parent SSI/SSP BOGFW-C Medal of Honor 9/11 Dependent Dep. of deceased law enforcement/fire personnel Comments: Certified by: Date: