2021-2022
INTRA DISTRICT COLLEGE CHANGE REQUEST
FCHB09
S
TUDENT
I
NFORMATION
Last Name First Name M.I.
Student ID#
1. I am requesting a financial aid college change for the following semester(s):
Spring 22/Summer 22 Summer
22 ONLY
Fall 21/Spring 22/Summer 22
a. I would like to OPEN my financial aid file at the following school (Choose one school ONLY):
Sacramento City College (SCC) American River College (ARC) Folsom Lake College (FLC)
OR
b. I would like to CLOSE my financial aid file at the following school and open at CRC (Choose one
school ONLY):
Sacramento City College (SCC) American River College (ARC) Folsom Lake College (FLC)
2. Initial all items to indicate your understanding and agreement of the following:
___ I
have declared an eligible major at the school I would like to receive my file for the semester(s)
chosen above.
___ I have added the school code of the college chosen above to my 2021-2022 FAFSA.
___ If I would like to return to Cosumnes River College, I will submit another Intra-District College Change
Request.
BY SIGNING THIS FORM, I CERTIFY THAT I UNDERSTAND AND AUTHORIZE THE CHANGES TO BE MADE TO MY
FINANCIAL AID FILE
. IF THE ITEMS INITIALED ABOVE HAVE NOT BEEN COMPLETED, THE PROCESSING OF MY
REQUEST MAY BE DELAYED
.
Student Signature: Date:
RETURN TO FINANCIAL AID OFFICE:
Please note that you may still receive aid from Cosumnes River College if you are taking classes at another Los Rios
campus even if you are not taking units at CRC. However, if your major is not offered at CRC and you would like to
decline your aid or will be receiving aid at another institution outside of the Los Rios Community College District,
complete this form.
