Fillable 2021-2022 Authorization to Decline Pell Grant Form (Grand Canyon University)

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2021-2022 Authorization to Decline Pell Grant Form (Grand Canyon University)

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2021-2022 Authorization to Decline Pell Grant Form
Student Name:
________________________ GCU Student Number: ________________
I, ________________________ (name of student), would like to decline the Pell Grant funds
for which I am eligible to receive. I understand that these funds may not be available once
the 2021-2022 award year is over. I understand that the maximum eligibility for
the 2021-2022 Award Year is 150% of the Pell Grant amount.
Student Signat
ure: ________________________ Date: ________________
HANDWRITTEN SIGNATURES REQUIRED – TYPED/ELECTRONIC SIGNATURES NOT ACCEPTED
P0109082020
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2021-2022 Authorization to Decline Pell Grant Form (Grand Canyon University)

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Completed 28 January 2021

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