Financial Aid Enrollment-Change Form -2016-2017
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12016-2017 FINANCIAL AID
ENROLLMENT-CHANGE FORM
If you received a Financial Aid Award Notification (FAAN), you may use this form to make changes to your enrollment status. Do not submit this form
unless you have changes or updates to report. Please fill out the form completely and return to the VCU Office of Financial Aid.
NAME ____________________________________________________________________
Last
First
MI
Student ID Number
ADDRESS ____________________________________________________________________________________________________
Street Address
Apt. #
City
State
Zip Code
DATE OF BIRTH ___________________________________________ EMAIL ADDRESS _______________________________________
HOME PHONE NUMBER _____________________________________ ALTERNATE/CELL-PHONE NUMBER __________________________
(Including area code)
(Including area code)
Monroe Park Campus
School of Allied Health Professions, Nursing, or Pharmacy
School of Dentistry
School of Medicine
I will NOT enroll at Virginia Commonwealth University for the ___________________________academic year.
SECTION A: Fall Only
I will enroll for the fall only. Credit hours enrolled ________
I am graduating at the end of the fall semester.
I am enrolling in a new program in spring. Program: ______________________________ Credit hours ________
SECTION B: Spring Only
I will enroll for the Spring Only. Credit hours________
SECTION C: Less Than Full Time
Fall credit hours _____________________________________________________________
Spring credit hours
Undergraduate
Graduate
SECTION D: REINSTATEMENT
I indicated I would enroll for the fall only, but will now also enroll in the spring.
Fall credit hours ________
Spring credit hours ________
Undergraduate
Graduate
Student Signature ___________________________________________________________ Date ______________________________
(Required)
Office of Financial Aid
Grace E. Harris Hall Student Service Center
1015 Floyd Ave., 1st Floor
P.O. Box 843026
Richmond, VA 23284-2520
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(804) 828-1550
Fax (804) 827-0060
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VCU is an EEO/AA institution. ENR1314-121
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Parent category: Financial