Fall 2015 Credit Hour Adjustment Form

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FA Change Status Form / PCRAD
Fall 2015 Credit Hour Adjustment Form
Student Name: ___________________________________
Student ID: _________________________
Campus:
Denver Campus
Anschutz Medical Campus
Level:
Undergraduate Student
Graduate/Professional Student
Complete and submit this form to the Financial Aid & Scholarships Office if you will be enrolled less
than full time.
Financial aid awards are initially made based on full-time enrollment*. If you are enrolled less than full time,
funds will not pay to your student account until appropriate adjustments are made. Additionally, your cost of
attendance for both fall and spring semesters will be adjusted based on your enrollment status for the fall
semester. This may result in a reduction of your financial aid awards. You may request an adjustment to your
spring award after the spring semester census date. NOTE: There will be a delay in processing your request if
your actual enrollment is different than indicated below.
*Full-time enrollment is defined as:
Undergraduate (12 or more hours)
Graduate (5 or more hours)
Professional (10 or more hours)
Note: Wait-listed and audited courses do not count towards enrollment. Therefore, you should not submit this
form until your schedule is finalized and you are officially enrolled in all waitlisted courses.
1. In how many credit hours are you enrolled in the Fall 2015 semester? _________
2. Are any of these hours for thesis or dissertation credits?
No
Yes
Note: Typically, thesis and dissertation credits apply only to graduate students.
3. Will you graduate at the end of the Fall 2015 semester?
No
Yes
By signing this form, I certify that I do not intend to change my Fall 2015 semester enrollment and understand
that my cost of attendance and awards will be adjusted to allow disbursement. I further understand that if my
enrollment does change I may be required to return funds.
__________________________________________________
_________________________
Student Signature (required)
Date
Fax form to 303.352.3554
Denver: Student Commons Building 5105 | PO Box 173364 | Campus Box 125 | Denver, CO 80217 | 303.315.1850 | Financialaid@ucdenver.edu
th
Anschutz Medical Campus: Education 2 North | 13120 E. 19
Ave | Box A088 | Aurora, CO 80045 | 303.724.8039 | Financial.Aid@ucdenver.edu
Rev. 07/13/15
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