Section 3: Student Financial Information
I anticipate receiving funds for my education from the following source(s):
Employer
Yes; Employer Name: ______________________________________ Amount: ___________
No
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
semesters.
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)
