Las Positas College
CAL GRANT REQUEST TO RECEIVE FUNDS OR TO PLACE ON HOLD
FOR 2019-2020 SCHOOL YEAR
For students who have close to 2 or less years of Cal Grant remaining (200%)
STUDENT: MUST COMPLETE SECTION 1 OR SECTION 2
1. CAL GRANT B DECLINE FORM
[ ] Spring
2020
Students are limited to receive a Cal Grant for a maximum *400% (equivalent to 4 Full-Time years). Cal Grant B payments
received are added together for all colleges attended in California to determine the percentage received.
According to My Web Grants account (https://mygrantinfo.csac.ca.gov), I have received ______ percent of my Cal Grant B.
This leaves me with ______ percent of remaining Cal Grant or approximately _____ full time equivalent years.
Since my plan is to transfer, I wish to reserve my remaining Cal Grant for my transfer institution so that my Cal Grant will be
available to pay for my enrollment/tuition fees at a California four year university.
Please initial your choice of action and sign at the bottom:
_____ I would like to put my Cal Grant on permanent hold at Las Positas beginning [ ] Fall 2019
______ I would like to put my Cal Grant on hold at Las Positas for the following terms only:
__ Fall 2019
___ Spring 2020
2. CAL GRANT B ACCEPT FORM
According to My Web Grants account (https://mygrantinfo.csac.ca.gov), I have received ______ percent of my Cal Grant B.
This leaves me with ______ percent of remaining Cal Grant or approximately _____ full time equivalent years.
I acknowledge that I choose to receive my Cal Grant while attending Las Positas College this year. Either I do not intend to
transfer, or if I intend to transfer, I prefer not to save my Cal Grant to pay for tuition at my transfer institution. I understand I
will be forfeiting the ability to have my Cal Grant pay for my tuition upon transfer if I accept the funds while in community
college. I further acknowledge that tuition is currently averaging $7000 - $14,000/year at a four year California public
university and I understand that my Cal Grant would have directly paid for my tuition if I saved it.
Please initial one of the following choices and sign at the bottom:
_____ I do not intend to transfer and I wish to receive my remaining Cal Grant at Las Positas
_____ I do intend to transfer, but I choose to receive my remaining Cal Grant at Las Positas
For fall only For spring only For both fall and spring
STUDENT: MUST COMPLETE SIGNATURE SECTION
Student Name: ___________________________________________ Student ID # ___________________
Student Signature: _________________________________________ Date: __________________________
For Financial Aid Office use only: Processed Processor Date
Comments:
