Fillable Co-op-earnings Form 1920

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Co-op-earnings Form 1920

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Upon reviewing your 2019-2020 FAFSA results, we must verify your reported earnings from work under a cooperative education
program, as a part of 2017 Additional Financial Information. Please provide us with the information requested below within 30 (thirty)
days to finalize your eligibility for aid. Failure to comply may jeopardize your award for the year.
STUDENT INFORMATION
Student’s Name Student ID#
Last First MI
Permanent Address
Street Address City State Zip
SSN (optional) ________________________ Home Phone ______________________ Cell Phone __________________
2017 ADDITIONAL FINANCIAL INFORMATION
Student/Spouse
Calendar Year 2017
Parent(s)
$
Earnings from work under a cooperative education program offered by a college.
(As it relates to questions 44f and 93f on FAFSA)
$
$
◄ TOTAL
TOTAL ►
Signature(s) - REQUIRED
I (We) hereby affirm that all information reported on this form and any attachment hereto is true, complete, and accurate to the best of
my (our) knowledge. I (We) understand that if I (we) receive federal student aid based on incorrect information, I (we) will need to repay
it; I (we) may be required to pay fines and fees.
Student Date
Parent (if dependent) Date
Office of Financial Aid
300 College Park
Dayton, Ohio 45469-1605
TEL: 937-229-4311 FAX: 937-229-4338
fss@udayton.edu
Co-op Earnings Form
2019-2020 Academic Year
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Co-op-earnings Form 1920

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Completed 15 November 2019

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