Fillable 2019-2020 Authorization to Decline Pell Grant Form (Grand Canyon University)

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2019-2020 Authorization to Decline Pell Grant Form (Grand Canyon University)

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2019-2020 Authorization to Decline Pell Grant Form
Student N
ame: ________________________ GCU Student Number: ________________
I, ________________________, (name of student), would like to decline the Pell Grant funds
for which I am eligible to receive. I understand that these funds may not be available once
the 2019-2020 award year is over. I understand that the maximum eligibility for the
2019-2020 Award Year is 150% of the Pell Grant amount.
Student S
ignature: ________________________ Date: ________________
HANDWRITTEN SIGNATURES REQUIRED – TYPED/ELECTRONIC SIGNATURES NOT ACCEPTED
P0108032018
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2019-2020 Authorization to Decline Pell Grant Form (Grand Canyon University)

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Completed 16 August 2020

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