2019-2020 FSA Loan/TEACH Grant Borrower Acknowledgment Form
This certification is to be completed by the student (borrower) only. The Department of
Education requires that the student must acknowledge that he is aware of the financial
responsibilities before receiving any new Federal Student Aid (FSA) loan or TEACH
grant within the 2019-2020 Award Year.
If you have any questions, please contact your GCU Student Services Counselor.
Borrower Section: Please read the statement below and sign.
I, , (name of borrower), understand that any new
FSA loan or TEACH grant that is awarded by Grand Canyon University cannot later be
discharged for any present impairment I currently have unless my condition deteriorates and I
am again totally and permanently disabled.
I also understand that if my prior loan was conditionally discharged and three years have
not elapsed, I will resume payment(s) on these loan(s) and unless my condition
substantially deteriorates, the prior loan cannot be discharged in the future for any impairment
present when the conditional discharge was granted.
(Print or type) Borrow
er’s Name GCU Student Number
Signature of Borrower Dat
e
NOTE: HANDWRITTEN SIGNATURE REQUIRED – TYPED/ELECTRONIC SIGNATURE NOT ACCEPTED
P0108142018
