Award Revision Request Form - Contra Costa College
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2017-2018 Award Revision Request Form
Instructions: Complete the form below to request a revision to your financial aid award information. Check the
box next to the revision you are requesting, then fill in the necessary information.
Name: _______________________________________
Student ID#:_____________________________
Degree/Program Revision: I certify that I DO NOT have a Bachelor’s degree and will NOT have a
Bachelor’s degree before July 1, 2017, and am NOT enrolled in a Master’s or Doctorate program for the
current academic year.
Degree/Program Verification: I certify that I DO have a Bachelor’s degree and/or I am enrolled in a
Master’s or Doctorate program for the current academic year. I received my Bachelor’s degree at (enter
the name of the college/university): ____________________________________.
Decline an Award: I am requesting to cancel the following financial aid award(s) (circle all that apply):
Cal Grant
SEOG
Federal Work-Study
Student Loan
This cancellation is effective for the following semester(s) (circle all that apply):
Fall 2017
Spring 2018
Summer 2018
Loan Increase: I am requesting an increase to my Federal Direct Student Loan. The requested increase
amount is $____________. If you are ineligible to receive this full requested amount in subsidized loan,
do you want to be considered for an unsubsidized loan? (check one) _____ Yes _____ No
Loan Decrease: I am requesting a decrease to my Federal Direct Student Loan. The requested decrease
amount is $____________.
Other: ___________________________________________________________________________.
Student Signature:_____________________________________ Date:_______________________
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