Office of Financial Aid | 500 Salisbury Street |Worcester, MA 01609 |Tel: (508) 767-7158 | Fax: (508) 519-1286 | fa@assumption.edu
Office of Financial Aid
500 Salisbury Street
Worcester, MA 01609
Email:
fa@assumption.edu
Phone: (508) 767-7158
Fax: (508) 519-1286
2021-2022 Off Campus Housing Intent Form
Student Name: __________________________ Student ID Number: ___________________
According to your FAFSA, you indicated you will be living off campus for the 2021-2022
academic year. In order to make sure we have the correct information; can you confirm you
will be living off campus rather than living at home with your parents or guardians. The FAFSA
question defines the three housing options as follows:
“On Campus” if you intend to have on-campus housing
“With Parent” if you intend to live with your parent(s)
“Off Campus” if you intend to live off campus, but not with your parent(s)
(you will pay rent, utilities, and other expenses related to off campus housing on
your own)
Please select your housing status for the 2021-2022 academic year:
I am living on campus (e.g. Assumption University housing)
I am currently living with my parent(s) (commuting from home)
Address: __________________________________________________________.
I am living off campus (e.g. I am paying rent, utilities, food etc.)
Address: __________________________________________________________.
* If you are living off campus, please provide our office with documentation of your off-
campus housing expenses that are in your name (rental agreement, rental payments,
utility bills, etc.). Once that documentation is received we will update your housing
status on the FAFSA.
I certify that the above information is complete and correct and may require further follow-up
from the Office of Financial Aid.
Student Signature: __________________________ Date: __________________
FAC21HOU
click to sign
signature
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