ATC is an affirmative action, equal opportunity educator/employer. To receive this information in an alternate format, 763-576-7730 .
2019 – 2020
Declaration to Waive the
Minnesota State Grant and Child Care Grant
__________________________________________________ ____________________________
Name (Please Print) Student I.D. #
Please indicate why you are waiving your right to the Minnesota State Grant and Child Care Grant:
I am unable to provide my transcript(s), but I plan to.
*NOTE : It is the student’s responsibility to notify the financial aid office to review the transcript when it is provided. Disbursement will be
based on eligibility at the time of submission.
I am unable to provide my transcript(s), and will not acquire them this academic year.
Other: ________________________________________________________________________________________
By signing this waiver, you are certifying that you are voluntarily relinquishing any and all rights to the 2019 – 2020 Minnesota State
Grant and Child Care Grant.
_____________________________________________________________________________ _________________________________
Student’s signature Date