Fillable 2020-2021 Scholarship Certification Form (New Jersey Institute of Technology)

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2020-2021 Scholarship Certification Form (New Jersey Institute of Technology)

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Scholarship Certification Form
2020-2021
NJIT ID _____________________
Some scholarships require yearly certification in order to retain eligibility for multiple reasons. As a
recipient of one of these scholarships, you will be required to yearly certify eligibility to ensure that you
continue to meet the requirements requested by the donor/company. Please complete the personal
information section below and the special circumstance information that is applicable to your
scholarship.
This form must be completed, signed and uploaded via MappingXpress or feel free to bring the
completed form at the Financial Aid Office. Please note that if not received scholarship(s) will be
canceled.
Personal Information
Name __________________________________ _______________________________ ________
Last First M.I.
Special Circumstances
Please check the box of the circumstance that is applicable to your scholarships and complete the
required information.
Internship/Co-op Consideration
I certify that I am willing to consider an internship/Co-op with the company/donor related to
my scholarship for the 2020-2021 academic year.
I certify that I am/will be employed at least part-time for the 2020-2021 academic year.
I certify that I will not be employed for the 2020-2021 academic year.
____________________________________________ ________________________
Student Signature Date
Upload Completed Form/Documents to:
https://mappingyourfuture.org/MappingXpress/NJITFA/
Mail or Fax:
Student Financial Aid Services
NJ
IT - Student Mall, University Heights
Newark, NJ 07102 Fax: 973-596-6471
Involved in extracurricular activities including community service and/or sports
I certify that I will participate in extracurricular activities for the 2020-2021 academic year.
Employment Status
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2020-2021 Scholarship Certification Form (New Jersey Institute of Technology)

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Completed 24 August 2020

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