2020 2021 Pell Grant Cancellation Form
Student Information
Student ID #
Name
BU Student Email Address
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%, this is
based on your enrollment being 12 units or more each semester.
Complete this form if you would like to decline your Federal Pell Grant.
I want to decline my Pell Grant for the 2020 2021 aid year (initial below):
____ The Federal Pell Grant offered to me has not been disbursed and I wish to
decline ALL Pell Grant funds for this aid year.
____ I understand that it is my responsibility to ensure my tuition and fees are paid.
_________________________________________ ____________________
Student’s Signature Date
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signature
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