Housing Adjustment Form - Financial Aid And Scholarships printable pdf download

2014-2015 HOUSING ADJUSTMENT FORM

__________________________________________________

___________________________________

Name: Last

First

UID#

Please complete this form and submit the requested supporting documentation if applicable.

*Requests must be submitted at least two (2) weeks prior to end of enrollment period/term.*



The Housing status currently used by the Financial Aid Office is incorrect.

(See Sec. A)

 



Mid-Quarter/Year change to housing status: I am now

On-Campus

Off Campus

Commuter

as of (term/date) ___________________.

(See Sec. A)



I am a single parenting student, my rent is $___________

(See Sec. B & C )



I want to request an increase to cover a higher rent expense than that allowed in the standard

budget.

(See Sec A)

Standard Budget Used

Undergraduate:

Off Campus $6883 Academic

On Campus $13,779 Academic

year ($765 monthly)

Year ($1531 monthly)

Graduate :

Off Campus $9702 Academic

——

Year ($1078 monthly)

We will allow a maximum of $200 per month for expenses that exceed the standard allowance.

Rent

add-on will be funded with loans. Federal regulations require that all loans offered must be divided

equally across all quarters of enrollment.

SECTION A: Current Housing Status (Check One)



On-campus (residence halls, residential plazas or residential suites only): Please submit a signed

copy of your Housing Offer letter or your Notice of Acceptance letter. DO NOT COMPLETE

SECTIONS B OR C OF THIS FORM.



Off-campus (apartment, university owned apartment, fraternity/sorority, co-op): Please refer to

section B and C.

STAFF: Student on Housing Report Y:____ N:____ Status____ Amt $ __________Initials________



Commuter (living with parents or relatives): If you check commuter status, no further

documentation is required with this form. Do not mark commuter if you are living with your

children and/or spouse, INDICATE OFF-CAMPUS.

SECTION B: Proof of payment



PROOF OF PAYMENT:

*If you are applying for a rent add-on, proof of payment must be supplied.*

Cleared (canceled) rent check (front and back copy) made out to landlord, rental company or a



roommate whose name appears on the lease, or

Copies of Money Orders or Cashier’s Checks that specify both purchaser and payee.



If rent is paid with cash, copies of bank statements reflecting rent payment for at least two (2)



months

** Note: If you pay your portion of rent to your roommate, you must submit (in addition to your rent

payment) proof of your roommates’ rent payment to the landlord/rental company.**

Student Signature ______________________________________

Date ________________________

Housing Adjustment Form - Financial Aid And Scholarships

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