Financial Aid Office
P.O. Box 14007 ● Salem, OR 97309
503.399.5018 ● Fax 503.399.5528
financialaid@chemeketa.edu
Request for Change For Use AFTER Financial Aid Has Been Awarded
Student Name: ________________________________ Student ID Number: K____________________________
Allow A Minimum Of Two Weeks To Process Request
Change
Enrollment Level:
Summer 2020
Fall 2020
Winter 2021
Spring 2021
[ ] Full-time
(12+ credits)
[ ] Full-time
(12+ credits)
[ ] Full-time
(12+ credits)
[ ] Full-time
(12+ credits)
[ ] 3/4-time
(9-11 credits)
[ ] 3/4-time
(9-11 credits)
[ ] 3/4-time
(9-11 credits)
[ ] 3/4-time
(9-11 credits)
[ ] Half-time
(6-8 credits)
[ ] Half-time
(6-8 credits)
[ ] Half-time
(6-8 credits)
[ ] Half-time
(6-8 credits)
[ ] Less than half-time
[ ] Less than half-time
[ ] Less than half-time
[ ] Less than half-time
[ ] Not attending
[ ] Not attending
[ ] Not attending
[ ] Not attending
Change Loans:
Change my loans to reflect the following:
[ ] I would like to accept $ _____________ in Direct Loan(s) that I declined or was not eligible to borrow.
(must be a specific total YEARLY dollar amount Not per term amount)
[ ] I would like to decline $ ____________ in Direct Loan(s) that I previously accepted.
(must be a specific total YEARLY dollar amount Not per term amount)
[ ] My parent would like to be considered for PLUS loan eligibility.
_
______________________________ _______________________________________________
Parent name (printed). Parent signature (required)
Please Note: Your Parent is responsible for repayment of this loan.
Change
Work Study:
Change my work study to reflect the following:
[ ] I would like to decline Federal Work-Study.
[ ] I would like to be added to the Federal Work-Study wait list.
[ ] I have declined my Federal Work-Study. I would like to be considered for any remaining loan eligibility.
Other Changes:
Please make the following other changes to my financial aid:
Student signature Date
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