Financial Aid Acceptance Form

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FINANCIAL AID ACCEPTANCE FORM – 2015-16
Notes: 1. You must notify us of any Stafford Loan modifications no later than two weeks after receiving your award letter.
OTHERWISE, your Stafford will be originated for the amounts listed in your award letter. GradPLUS will not be
originated until we receive this acceptance form and the GradPLUS Credit Authorization form (which will be
available after June 1, 2015)
2. Acceptance of this financial aid package does not preclude making an appeal at a later time.
I accept the current financial aid package
I accept the current financial aid package with the following modification(s):
FEDERAL LOAN PROGRAMS AMOUNT REQUESTED
Direct Unsubsidized Stafford $
Direct Graduate PLUS
$
If my awarded amount is not already at the annual maximum, I would like to borrow the 1.073%
fee (1.068% for loans disbursed on or after 10/1/15) in addition to the amount recommended on my
award letter for the Direct Unsubsidized Stafford (check box).
I would like to borrow the 4.292% fee (4.272% for loans disbursed on or after 10/1/15) in addition to the
amount recommended on my award letter for the Direct Graduate PLUS (check box).
OTHER FINANCIAL AID COMPONENT, OUTSIDE SCHOLARSHIPS OR LOANS NOT PREVIOUSLY REPORTED
$
$
$
I AM ENROLLED OR WILL ENROLL in the Columbia Student Medical Insurance Plan please
include this expense in my cost of attendance
I PLAN TO WAIVE the Columbia Student Medical Insurance Plan and understand
it is not included in my cost of attendance
I agree to inform SFP of any changes in my or my family’s circumstances from what was reported in
my application materials including a change in the number of siblings who are full-time students or a
change in my marital status. I understand that any outside loan or scholarship, or academic year
income must be reported.
I understand that the school’s financial aid offer is based upon statutes and regulations, and are
contingent upon receipt of funds from federal and other sources, which are subject to change.
Signature:
Date: _______________
Print Name:
Class of: _____________
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
P&S  DDS
PG/AEGD
IHN
OT
PT
UNI:

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