Dr. H.A. Miller Student Services Center
417 Schepps Blvd., Clovis, NM 88101
Ph. (575) 769-4060 * Fax (575) 769-4027
CCC ID:
Declining Aid
Name:
Declining Aid Statement
I,
_, have discussed my situation with the Clovis Community College Financial
Name
Aid Office and have decided to decline my
Type of Aid
for the semester.
Read & Initial
I understand
My financial aid file will no longer continue to be processed.
I am responsible for the payment of all/any charges.
This statement will only be effective for the current
aid year.
SIGNATURE REQUIRED
By signing and submitting this form, I am requesting that Clovis Community College cancel all aid. I certify that all of the information
reported above is complete and correct.
Student Signature:
Date:
Revised 10-05-2017
For Office Use Only:
FAO Initials:
Date:
Print
Submit
click to sign
signature
click to edit
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