INFO20
Rev. 3/15/19
Of
fice of Financial Aid
2019-2020
INFORMATION SHEET
You must notify Admissions & Records of name, mailing address, e-mail address, and phone
number changes as soon as they occur. Failure to do so may affect your award disbursements.
Please print your information in blue or black ink & complete ALL SECTIONS. Incomplete files will not be accepted.
1.
Last Name
First Name
M.I.
2. Student ID#
Phone Number
E-Mail
PLEASE NOTIFY ADMISSIONS AND RECORDS OF ANY ADDRESS CHANGE.
3. Current Mailing Address:
Address (include apt. no)
City State Zip Code
4. Date of Birth / /
Month Day Year
5. Male
Female
6. U.S. Citizen Eligible Non-Citizen
Non U.S. Citizen
Student’s Educational Goal:
7a.
What degree or certificate will you pursue at Solano Community College? (Check all that apply)
Certificate A.A. or A.S. Degree
Transfer Studies Biomanufacturing, B.S.
7b.
7c.
What is your educational Major/Program of Study at SCC?
(If major listed does not match Admissions and Records, your award may be delayed)
What is your estimated date of graduation or transfer from SCC? /
Month Year
Note: To be eligible for Financial Aid, you must have a High School Diploma, General Education
Diploma Certificate (GED) or equivalent.
Please check box that applies to you:
8. High School Diploma
For
eign High School Diploma
GED Certificate or Proof of Equivalency
Approved Home School Diploma
None of the Above
If you will be a 2019 High School Graduate, you must submit a copy of your High School Diploma in order for SCC’s
Financial Aid Office to complete your file.
9. You are required to indicate any college degree(s), Foreign or Domestic, already earned from any country (USA or
outside USA, i.e., Associates of Arts, Associates of Sciences, Bachelor of Arts, Bachelors of Sciences, Master of Arts or
Master of Sciences)
List Degree: List Degree:
INFO20
Rev. 4/8/19
Student’s Name: SCCID#:
10. Have you, or will you attend Solano Community College AND another University, College, Technical or Vocational
schools during the same semester this academic year? Check “YES” if you are also attending another school.
Summer 2019
Yes
No
Fall 2019
Yes
No
Spring 2020
Yes
No
Summer 2020
Yes
No
If YES, please indicate the OTHER institution you have attended or plan to attend WHILE attending Solano
Community College AND submit proof that you have decline aid from the institution(s) listed below:
11. Have you received any Federal Financial Aid (Pell Grant and/or Federal Loans) at any OTHER university, college,
Technical or Vocational school during Fall 2019, Spring 2020 and/or Summer 2020?
If YES, list semester(s): and institution financial aid
was received:
Please READ, INITIAL and SIGN below
I agree to repay Solano Community College for any overpayment of funds I received whether due to my
misrepresentation of information, reduction of my enrollment status or institutional error.
I authorize Solano Community College to deduct any outstanding financial debts owed to the institution from my
Financial Aid funds disbursement.
I certify that all of the information reported on this information sheet is complete and correct.
Warning: Purposely giving false or misleading information on this form may result in fines and/or jail time.
Signature
Date
Do not mail this form to the U.S. Department of Education