Summer Pell Grant Class Form - For Medical Related Programs

19-20

2020 Summer Pell Grant Class Plan

FOR MEDICAL RELATED PROGRAMS

A student who is eligible for a Federal Pell Grant for the summer semester MAY charge tuition (or books if award is adequate) to his/her Federal Pell Grant Award each term.

Please submit this form after you have registered for classes by clicking the "Submit" button below.

PLEASE NOTE: COE, LLS, AND EDU CLASSES WILL NOT BE COUNTED TOWARD TOTAL HOURS FOR FINANCIAL AID PURPOSES UNLESS THEY ARE IN THE STUDENT’S CURRICULUM

Name*

First Name

Last Name

Student ID Number*

This is your 9-digit generated student ID number

Email*

Please provide your school issued email address. We will use this email to contact you if needed.

Phone number *

Please enter a number where you can be reached in case we need to call you.

Term Selection and Class Information

For which term are you enrolling? *

Please select the appropriate Program of Study and the enter your class(es) for the Summer Online term.

Students that have used attended full time in the fall and spring semesters will be required to enroll and attend at least six hours. Freshman and those who have attended less that full time in either the fall or spring semesters are only required to enroll and attend three hours.

When you are finished please be sure to click "SUBMIT".

Class Name*

For Ex: English Comp I

CRN*

Course Number: Ex. 1122

Credit Hours *

Credit Hours for the course

Class Name

For Ex: English Comp I

CRN

Course Number: Ex. 1122

Credit Hours

Credit Hours for the course

Class Name

For Ex: English Comp I

CRN

Course Number: Ex. 1122

Credit Hours

Credit Hours for the course

Class Name

For Ex: English Comp I

CRN

Course Number: Ex. 1122

Credit Hours

Credit Hours for the course

Class Name

For Ex: English Comp I

CRN

Course Number: Ex. 1122

Credit Hours

Credit Hours for the course

Have you ever attended another college?*

Yes No

If yes, give name and the dates attended of all colleges:

*Please include semesters in which you withdrew from college. Failure to list other colleges attended could mean denial of student financial aid.

I understand that if I do not take the hours listed above I could become ineligible for my Pell Grant award for the summer semester. I understand that Withdrawal (official or unofficial) from classes could result in repayment of a portion of my Title IV awards according to the Return of Title IV Fund policy. I also understand all of the guidelines above.

I certify I understand the above statments and wish to submit this form *

Yes No

Please enter your initials to sign this form.*