Student’s Signature
* Electronic Signatures will not be accepted
Financial Aid & Scholarships
1700 Spartan Drive, Elgin, IL 60123-7193
Location: B156
Phone: 847-214-7360 Fax: 847-608-5460
Email: financialaid@elgin.edu
2020-2021 Institutional Aid Application & Permission to Credit
`
STUDENT CERTIFICATION
Name ___________________________________________________________ ECC ID or SS #____________________
Use blue or black ink to complete this form
I understand I may not receive financial aid for a course that is not required for my financial aid eligible academic
program at ECC.
I understand I may not receive financial aid from two schools during the same academic term.
I understand the use of Federal Title IV funds I receive are solely for expenses related to attendance at ECC.
I understand ECC may cancel any or all financial aid if conflicting information is given and/or if I do not complete
required paperwork.
I am not currently in default of any Title IV Federal aid nor owe any federal grant repayments. If this changes any
time during the award year, I will notify the ECC Financial Aid office.
I understand in order to receive some forms of aid (loans, work study, certain grants/scholarships), there are enrollment
restrictions.
I understand that if I withdraw from any or all classes, my financial aid may be reduced and/or I may lose financial aid
eligibility.
I understand that it’s my responsibility to drop a class(es) that I do not plan to attend regardless of my financial aid
status. For information regarding refunds associated with dropping a class, please refer to the ECC refund policy at
elgin.edu/refunds.
I understand I am required to meet and maintain Financial Aid Satisfactory Academic Progress (SAP) standards.
I understand if I am convicted for the possession or sale of illegal drugs that occurred while receiving Title IV financial
aid (Federal and State), I may be ineligible for current and future financial aid.
I understand if my residency changes financial aid may not be enough to cover all charges.
I understand if my charges exceed my financial aid award, I will be responsible for any outstanding charges.
In order to receive financial aid, I understand that I must be actively pursuing completion of courses in which I am
enrolled.
I understand my financial aid may not pay for repeated classes.
I understand I may only receive financial aid for 30 hours of remedial coursework.
I agree to deposit/cash all financial aid refund checks within 90 days of the check date, otherwise the excess will be
returned to the U. S. Department of Education.
I understand that if I make schedule changes, ECC may adjust my state and federal aid up through the 50% point of the
term. I understand that after the 50%, I still may have adjustments made to my aid if I never attend the class(es) or am
dropped by my instructor with a last day of attendance prior to the 50% point.
I am responsible for reading the terms and conditions stated above, as a part of receiving financial aid from Elgin
Community College. I affirm to the best of my knowledge that the information submitted herein is complete and correct.
_____________________________________________________ ___________________ Date
Turn Over
Revised 10/19
________________________________________________ _______________________________________
STUDENT INFORMATION
First Name ________________________ Last Name _______________________________ ECC ID#_______________
Social Security _____________________ Date of Birth: _________________ Phone #: __________________
(Note: SS# must be on file with the Registration & Records office)
Address: ________________________________________ City: ______________________________ State: __________
1. Have you attended another college during the 2020-2021 school year?
Yes No
If you marked yes, indicate the semester aid was received: Summer 2020 Fall 2020
Spring 2021
ENROLLMENT INFORMATION
Your financial aid will be estimated based on your intended enrollment. You must be enrolled in at least six credit hours
to receive federal student loans.
My estimated enrollment status for the 2020-2021 school year (please check one box for each semester
):
Summer 2020 (June-August)
FT (12+ hours)
¾ time (9-11 hours)
½ time (6-8 hours)
Less than ½ time (<6 hours)
Not attending
Fall 2020(August-December)
FT (12+ hours)
¾ time (9-11 hours)
½ time (6-8 hours)
Less than ½ time (<6 hours)
Not attending
Spring 2021 (January-May)
FT (12+ hours)
¾ time (9-11 hours)
½ time (6-8 hours)
Less than ½ time (<6 hours)
Not attending
If no enrollment status is listed, you will be awarded at fulltime enrollment.
PERMISSION TO CREDIT
STUDENT ACCOUNT WITH FEDERAL STUDENT AID 2020-2021
Colleges must obtain written permission from the student to use federal student aid to pay prior year balances of $200.00
or less and other educationally related charges (such as books). You are not required to grant this permission.
To grant permission, check item 1. If you do not wish to grant permission, check item 2.
1._____ I grant ECC permission to use my federal student aid funds to pay educationally related charges to my account.
For example: books, supplies, a prior year balance of $200 or less, ECC Child Care charges, etc.
2._____ I do not grant ECC permission to use my federal student aid funds to pay educationally related charges to my
account. For example: books, supplies, prior year balance of $200 or less, ECC Child Care charges, etc.
I understand that I may modify or cancel this consent at any time by notifying the ECC Financial Aid & Scholarships
Office in writing. Cancellation of this agreement cannot apply to previous terms.
Student Signature Date
* Electronic Signatures will not be accepted
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome