2019-2020 Declining or Reinstating Aid 19DRPG
The amount of Federal Pell Grant funds a student may receive over his or her lifetime is limited by a federal law to be the
equivalent of six years of Pell Grant funding. Since the maximum amount of Pell Grant funding a student can receive each year is
equal to 100%, the six-year equivalent is 600%. Your LEU is available on the National Student Loan Data System (NSLDS) Student
Access Website at www.nslds.ed.gov
using your FSA ID.
The amount of Cal Grant funds a student may receive over his or her lifetime is limited by the California Student Aid Commission
(CSAC) to be the equivalent of four years of full time grant payments. Your eligibility is available on
www.WebGrants4Students.org
by creating an account and clicking “View My Award Detail”.
Please mark the appropriate box(es) below:
DECLINE AID: I wish to decline my aid for the term(s) indicated.
Type of aid: Federal Aid (PELL/SEOG) State Aid (Cal Grant/SSCG)
Work-Study CA College Promise Grant
Term(s): Summer 2019 Fall 2019 Spring 2020 Summer 2020
Returning Grant Funds
I hereby return funds for which I am eligible for with the understanding that these funds may not be available to me
once the award year is over. Additionally, there is no guarantee that I may be eligible for funds in the future because
eligibility is determined annually with the submission of the Free Application for Federal Student Aid (FAFSA) or CA
Dream Act (CADA).
A
mount to be returned: $__________
REINSTATE AID: Please reinstate the aid I previously declined for the following term(s):
Term(s): Summer 2019 Fall 2019 Spring 2020 Summer 2020
R
eason(s) for Reinstating Aid:
____________________________________________________________________________________________________
CERTIFICATION
I/WE HEREBY CERTIFY THAT ALL INFORMATION REPORTED ON THIS FORM AND ANY ATTACHMENTS HERETO ARE TRUE, COMPLETE
AND ACCURATE. FALSE INFORMATION OR MISREPRESENTATION WILL BE CAUSE FOR DENIAL, REDUCTION, WITHDRAWAL, AND/OR
REPAYMENT OF FINANCIAL AID.
________________________________________________________________ __________________________
Student’s Signature Date
Processed by: For Office Use Only
Staff Initials: ________ Date: ____________ Comments: ______________________________________________________________
20
19-2020 DECLINING OR REINSTATING AID
STUDENT INFORMATION
Please PRINT clearly with black/blue ink
SJC Financial Aid Office * 1499 N State Street * San Jacinto, CA 92583 * Telephone: (951) 487-3245
MVC Financial Aid Office * 28237 La Piedra Road * Menifee, CA 92584 * Telephone: (951) 639-5245
Email: finaid@msjc.edu * Website: www.msjc.edu
