Enrollment Form - Old Dominion University
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1Office of Student Financial Aid
Division of Student Engagement & Enrollment Services
2002 Rollins Hall ● Norfolk, VA 23529-0052 ● Telephone: (757) 683-3683 ● FAX (757) 683-5920
ENROLLMENT FORM
Semester: ____________________Year:_______________
**To Be Completed by All Distance Learning Students each semester for which you are applying for aid**
The purpose of this form is for the Financial Aid Office to ensure that aid corresponds to your enrollment level. Every distance learning student has
an individualized budget for financial aid that must be calculated on an individualized basis each term. This form allows the financial aid counselor
to create your budget before you start classes.
Student Name: _________________________________________________________________
University Identification Number (UIN): _____________________________________________
Total Credit Hours Enrolled: _______________________
Old Dominion University Credit Hours Enrolled: ______________
Community College Credit Hours Enrolled: __________________ Institution: _______________________________
Other resources/aid expected (such as scholarships, tuition waivers, contracts, military benefits, vocational rehab benefits, etc.)
Type
Amount
_________________________________
$_______________
__________________________________
$_______________
Please read carefully and refer to your Student Success Advisor for assistance.
CIRCLE
Did you receive financial aid at any institution other than Old Dominion University last semester?
YES/NO
Initial
Students can only receive financial aid from ONE institution during any given period of enrollment.
Initial
Students must be enrolled in at least one class at Old Dominion University and be enrolled at least halftime (see chart below)
to be eligible to receive federal financial aid. Verify with your Student Success Advisor that the institution has a financial aid
agreement with ODU. If that institution is not a financial aid partner, financial aid will not be awarded for courses taken
there.
Initial
To receive your financial aid, the ENROLLMENT FORM must be completed by the student and received by the Old
Dominion University Financial Aid Office.
Initial
A student may be eligible for the Federal Pell Grant if enrolled less than half time if all eligibility criteria are met. The
maximum Pell limit is 6 years.
Initial
If you are completing coursework with a partner community college you are required to complete the Consortium Agreement
Form
(NOTE: TCC, TNCC, & PDCC do not use this form. Please use the Virginia Tidewater Cross Registration Form.
Your Student Success Advisor can assist you with this process).
Initial
If completing a consortium agreement form, financial aid disbursements will be delayed until the ODU Financial Aid Office
receives the consortium agreement form from the community college after its drop/add deadline. NOTE: The consortium
agreement form must be completed and signed by your ODU Student Success Advisor.
Undergraduate Enrollment Level
Graduate Enrollment Level
100% = 12 or more semester hours
100% = 9 or more semester hours
75% = 9 - 11 semester hours
75% = 6 - 8 semester hours
50% = 6 - 8 semester hours
50% = 4 -5 semester hours
By signing this form, I agree to accept only the financial aid offered by Old Dominion University for the term specified.
Signature: ____________________________________ Date: _____________________
After completing with your Student Success Advisor, they will submit on your behalf or please mail to
Old Dominion University’s Office of Student Financial Aid (address provided at top)
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