Study Abroad Financial Aid Form - The Office Of Student Financial Aid

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Office of Student Financial Aid
Mailing Address:
Service Address:
Phone: 301-314-9000 & 888-313-2404
Office of Student Financial Aid
Student Financial Services Center
TTY:
301-314-7017
University of Maryland
1135 Lee Building
FAX:
301-314-9587
0102 Lee Building
Monday - Friday
E-mail:
umfinaid@umd.edu
College Park, MD 20742
8:30 a.m. - 4:30 p.m.
URL:
Study Abroad Financial Aid Form
SECTION 1: TO BE COMPLETED BY STUDENT
STUDENT INFORMATION: Name: ____________________________________ UID: ______________ Tem/Year Abroad: _________
STUDY ABROAD PROGRAM INFORMATION: Program (
):_____________________________
Location: _________
Name/ Sponsor
If the program is not sponsored by UMD, please provide the following information about the sponsoring school:
Phone: ___________________________________
Name & Address: _______________________________
Fax: _____________________________________
______________________________________________
E-Mail: ___________________________________
______________________________________________
Initial in each box to the left of the statement:
This form and a signed copy of my Permission to Study Abroad (PSA) Form must be on file with Education Abroad in order for my
financial aid to be processed.
I understand that if I am participating in a program that is not sponsored by/or affiliated with UMD or the program is not sponsored by
another Maryland institution; I am not eligible to receive aid from the State of Maryland such as Educational Assistance, Guaranteed
Access Grants, Maryland Hope, Delegate, and/or Senatorial Scholarships.
I understand that if I am participating in a program that is not sponsored by/or affiliated with UMD, my financial aid can only be
disbursed once the Host Institution confirms my enrollment with a Consortium Agreement detailing my course enrollment/registration.
I have been informed of the costs of my study abroad program. I understand which costs (if any) will be billed to my student account at
UMD and which costs I am responsible for paying to the program directly.
I understand that my aid can be credited to my student account, at the earliest, ten (10) days before the start of the semester at UMD.
(EXCEPTION: For students participating in a Non-UMD program, financial aid cannot be released until our office receives confirmation of
their enrollment from the Host Institution).
I am responsible for contacting my lender to discuss information about the deferment of my loans.
Failure to complete the necessary coursework and number of credit hours can result in a chargeback of financial aid.
I understand that Grants/Scholarships require me to maintain enrollment in at least 12 credits (full-time status) and Direct Loans require
me to maintain enrollment in at least 6 credits (half-time status) during the semester in which I study abroad.
I agree to notify UMD promptly if I withdraw from any of the Host Institution courses before their conclusion. I further agree to ask the
Host Institution to send an academic transcript to UMD at the conclusion of the program.
I understand that my financial aid will be disbursed to my student account at UMD. After all UMD charges are paid; any excess funds will
be disbursed to me as a financial aid refund. I understand that I am responsible for paying all charges to the Host Institution by the Host
Institution’s due date.
RECOMMENDED FORMS: Direct Deposit Authorization Form (preferred) or Power of Attorney Agreement
Student Signature:
Date:
___________________________________________________
________________
SECTION 2: TO BE COMPLETED AND SIGNED BY THE EDUCATION ABROAD ADVISOR
Semester (Fall, Spring, Summer, Winter)
Start Date
End Date
# of Credits
STUDY ABROAD COST OF ATTENDANCE - BUDGET
Budget provided
Tuition:
Board:
Airfare:
Other:
separately with
student roster
Room:
Books:
Personal:
TOTAL: $
Who will bill the student for tuition? (Check only one)
UMD (C.A. not required)
Third party (need C.A.)
Education Abroad Advisor Signature: ____________________________________ Date: ____________________
FOR OFFICE OF STUDENT FINANCIAL AID USE ONLY
Received this Form ___________ Sent_____ Faxed____ Consortium Agreement__________ Received Completed Consortium Agreement___________
Aid Released________________ Courses Confirmed_______________________ Added to Clearinghouse_________________________

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