AFROTC Certification Form
NJIT ID _____________________
Some schola
rships require yearly certification in order to retain eligibility for multiple reasons. As a
recipient of one of these scholarships, you will be required to yearly certify eligibility to ensure that you
continue to meet the requirements requested by the donor/company. Please complete the personal
information section below and the special circumstance information that is applicable to your
scholarship.
This form must be completed, signed and uploaded via MappingXpress or feel free to bring
the completed form to the Financial Aid Office. Please note that if not received scholarship(s)
will be canceled.
Personal Information
Name __________________________________ _______________________________ ________
Last First M.I.
Special Circumstance
Member of The Air Force Reserve Officer Training Corps (AFROTC)
I certify that I am/will be an AFROTC member for the Fall 2019 semester at NJIT.
I certify that I am/will be an AFROTC member for the Spring 2020 s
emester at NJIT.
I understand that if I am no longer an AFROTC member that my AFROTC scholarship will be cancelled as this
i
s a requirement requested by the donor/company.
__________________
_____________________ ________________________
Student Signature Date
AFROTC Program Certification
In addition, your continued participation in AFROTC must be certified by one of the contacts below.
Please have this form signed for verification.
Master Sergeant May Ann Coleman, NCOIC, AFROTC Det 490
Lt Col Brian M. Dickenson, Commander, AFROTC Det 490
_____________________________________ ________________________
AFROTC Administrator Signature Date
Upload Completed Form/Documents to:
https://mappingyourfuture.org/MappingXpress/NJITFA/
Mail or Fax:
Student Financial Aid Services
NJIT - Student Mall, University Heights
Newark, NJ 07102 Fax: 973-596-6471
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