ABSN% Undergr aduate% Financial %Aid% Application%
This form requests information to meet federal and institutional regulations for financial assistance. It will be use d to
check the accuracy of the i nformation provided on your FAFSA. You must submit this form before y our financial
assistance can be aw arded.
Section 1: Personal Information
Name: ______________________________________________________ Student ID #:
_________________________City: ______________ State: ____ Zip Co de:
of Birth:
___________ Email Addr
ess: ____________________________________________________
Home Phone: _____________ Cell/Other
Work Phone
Section 2: Application and Enrollment Status
A. Application Status:
Have you completed the 2020-2021 Free A pplication for Federal Student Aid (FAFSA)?
No: you must complete the 2020-2021 FAFSA - SHU’s school code is 001403.
B. Enrollment Status:
Are you a:
New Undergraduate Student? Date Accepted: ___________
urning Undergraduate Student?
Have you previously received a Bachelors Degr
ee? Yes No
Are you attending another college/university while attending Sacre d Heart? Yes No
If yes, please note that as a matriculated SHU stude nt you cannot take cl asses and/or receive f ederal aid at
another institution without wri
tten University permission.
C. Number of Credits:
Based upon this program t he following outlines anticipated course work per term. Please note, you will onl
receive f inancial aid for the num ber of credits listed.
Semester Number of Credits
Fall Session 1 & 2 + winter
Spring 1 & 2
Late spring (May intensive) Summer 1 & 2
Fall 1 & 2
*If your enrollment plans change for any reason, you must notify the Office of Student Financial Assistance
immediately. Students MUST be enrolled for a minimum of 6 credits in any semester/term for which they seek
financial aid p er federal regulation.
Section 3: Student Financial Information
I anticipate receiving funds for my education from the following source(s):
Yes; Employer Name: ______________________________________ Amount: ___________
Section 4: Statement of Understanding
Please note that in order to be eligible to receive financial assistance a student MUST:
Be accepted and attend SHU on at least a half-time basis (6 credits per term) in an undergraduate degree program
Not be in default on a federal student loan
Not owe a refund on a federal student grant/loan
Be a U.S. citizen or eligiblenon-citizen
Maintain satisfactory academic progress (minimum cumulative GPA of 2.0 or above).
I understand thatany form of federal financial assistance is based on demonstrated financial need. Need is determined by
the cost of my educational program, whichis based on the number of credits I enroll in each term, less the EstimatedFamily
Contribution (EFC) and any other form of financial assistance (i.e. employer reimbursement, private scholarships).
I understand that if there is a change in my enrollment plans from what I have certified in Section II of this form, I must notify
the Office of Student Financial Assistance and that my financial aid award may be revised.
If information received during the process of Verification changes the result of my expected family contribution, a revision
and/or cancellation of my award mayoccur.
If my award includes a Federal Stafford Loan I understand I must contact my servicer, in writing, within ten (10) days if I
change my name, address, telephone number, graduation date, or enrollment status and/or withdraw from the University.
I understand that in order to continue to receive federal financial assistance I must maintain satisfactory academic progress.
If I am placed on academic probation or dismissed from the University, my award will be cancelled for subsequent
I certify that I have read and understand the above requirements and that all the information on this form is true and correct
to the best of my knowledge.
Student Signature: ____________________________________________ Date: ___________________
This document may be submitted to the Office of Student Financial Assistance ONLY via SHUAwards (Menu > My Documents >
Upload it now!), secure fax, mail, or in-person as it contains personally identifiable information.
5151 Park Avenue, Fairfield, CT 06825 203-371-7980 (phone) 203-365-7608 (secure fax)