College Scholarship Parent Waiver Request

The Jack Kent Cooke Foundation requires both of the applicant's legal parents to submit Parent Information forms as part of the review process for the Cooke College Scholarship Program. Separate parent information forms will be collected if the student's legal parents are not married to one another or do not reside in the same household. The Cooke Foundation considers the legal parents to be the applicant's biological parents, adoptive parents, or legal guardians.

The Cooke Foundation may choose to waive the requirement of one or both parent's information form if the parent(s) are incarcerated or their whereabouts are unknown and no contact can be established. Click here and view the "Application Process" section of our website for more information about the waiver process.

Please complete this form to assist us in determining the parent form requirements for your circumstances. This submission does not guarantee a waiver will be granted.

Types of waiver requests that may be considered:

No contact or support ever received from your parent(s).
Legal orders that limit the parent's contact with you.
Abuse situations involving you and the parent.

Types of waiver requests that are usually not considered:

A parent refuses to complete the financial forms.
A parent refuses to pay for college expenses.
Divorce decree states that a parent is not responsible for the student's educational expenses.

Applicant (Student) Information

Reference Code
(from the email you received)

First Name

Last Name

Email Address

Birthdate

Are you requesting a waiver for one or both parents?

One

Both

Information Required for Waiver Request

1. Can you identify the Parent you are requesting a waiver for?

Yes

Please explain.

Please provide information about the parent you are requesting a waiver for. Provide all the information you know. If you do not know, report it as “unknown.”

Parent First Name

Parent Last Name

What is the highest level of education of this parent?

What is the job title of this parent? If they are not currently employed please list last known job title.

What is the name of the employer of this parent? If they are not currently employed please list last known employer.

2. Can you locate this parent?

Yes

Parent Address

Country

Street

City

Region

Postal Code

Please explain.

3. Can you contact this parent?

Yes

Parent Email Address

Parent Phone Number

Please explain.

4. When were you last in contact with this parent?

5. Is there a safety concern regarding contacting this parent?

Yes

Please explain.

6. Do you receive any financial support from this parent?

Yes

6a. Indicate the most recent tax year in which financial support/child support was paid.

6b. How much financial support was paid that year?

6c. If child support was paid, was the child support paid court-ordered?

6d. If child support was paid, did it require that the parent's wages be garnished?

7. To your knowledge, has this parent ever claimed you (the applicant) as a dependent on a federal tax return?

Yes

8. Please explain any additional circumstances regarding your relationship with this parent, particularly circumstances that relate to the above questions.

9. Are there any additional reasons that would prevent this parent from completing the parent financial information form?

Information Required for your Parent 2 Waiver Request

1. Can you identify Parent 2?

Yes

Please explain.

Please provide information about the second parent you are requesting a waiver for. Provide all the information you know. If you do not know, report it as “unknown.”

Parent 2 First Name

Parent 2 Last Name

What is the highest level of education for Parent 2?

What is the job title of Parent 2? If they are not currently employed please list last known job title.

What is the name of the employer of Parent 2? If they are not currently employed please list last known employer.

2. Can you locate Parent 2?

Yes

Parent 2 Address

Country

Street

City

Region

Postal Code

Please explain.

3. Can you contact Parent 2?

Yes

Parent 2 Email Address

Parent 2 Phone Number

Please explain.

4. When were you last in contact with Parent 2?

5. Is there a safety concern regarding contacting Parent 2?

Yes

Please explain.

6. Do you receive any financial support from Parent 2?

Yes

6a. Indicate the most recent tax year in which financial support/child support was paid.

6b. How much financial support was paid that year?

6c. If child support was paid, was the child support paid court-ordered?

6d. If child support was paid, did it require that the second parent's wages be garnished?

7. To your knowledge, has Parent 2 ever claimed you (the applicant) as a dependent on a federal tax return?

Yes

8. Please explain any additional circumstances regarding your relationship with Parent 2, particularly circumstances that relate to the above questions.

9. Are there any additional reasons that would prevent Parent 2 from completing the parent financial information form?

Examples of documentation that may be submitted:

Court documents or legal orders, if applicable.
Third-party documentation – preferably a written statement or letter from a counselor, a social worker, a teacher, or clergy who has first-hand knowledge about and can certify your situation. Statements from family members or attorneys may or may not be accepted.

Please upload any supporting materials regarding your waiver request (court documents, third-party explanation). If you are submitting a waiver request for both parents, please be sure the uploaded documents are clearly marked with the parent's name.

By signing below and submitting this waiver, I certify that the information provided is true and accurate to the best of my knowledge. I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Click to Sign...