University of Central Missouri
Office of Student Financial Services
P.O. Box 800
Warrensburg, MO 64093-5178
Phone 660-543-8266
FAX 660-543-8080
Webpage:
www.ucmo.edu/sfs
Request to Receive
Financial Aid for
Faculty-Led Tour -
Domestic
2018/2019
UCM use only
STDAB
To: Faculty Tour Leader
From: _________________________________________ 700_________________________
Student’s Name (please print) UCM ID Number
Please accept this request for additional financial aid to help pay the educational and living expenses I’ll
incur to participate in an approved program of study within the United States. I have filed/will file
the Free Application for Federal Student Aid (FAFSA) for the 2018/2019 school year: ____ Yes ____
No
Ple
ase note: completion of this form is not a guarantee of increased financial assistance.
Course Name and Number:
Location:
Program Title/Description:
Beginning date of program: ________________________ Ending date:
_________________________
Enrollment term for tour: ____ Fall 2018 ____ Spring 2019 ____ *Summer 2019
*For
summer enrollment, you will also need to submit UCM’s Summer Financial Aid Request,
No
available on MyCentral on or around March 1, 2019.
Is this program sponsored by the UCM Office of International Programs? Yes
Following are the total estimated expenses I expect to incur to participate in this program:
Tu
ition and Fees ..................................................................................................... $___________
Application and other required Program Fees ....................................................... $___________
Room (Housing)..................................................................................................... $___________
Board (Meals) ........................................................................................................ $___________
Books and Supplies ................................................................................................ $___________
Transportation ........................................................................................................ $___________
Personal Expenses. ................................................................................................. $___________
Other ..................................................................................................................... $___________
To
tal ................................................................................................................ $___________
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Page 2 Request to Receive Financial Aid for Faculty-Led Tour - Domestic 2018/2019
Student’s Last Name: __________________UCM ID#: 700_____________
Student Statement (Required)
Following is the primary reason(s) I wish to participate in a program of study within the United
States (continue on a separate page, if necessary):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Student's Signature Date
====================================================================
Before submitting this document to the Office of Student Financial Services,
you must
obtain the following approval.
I approve of this student's plan to participate in a faculty-led tour within the United States. The
student intends to complete and earn _______ credit hours, all of which will apply toward
completion of his/her UCM degree requirements. I believe this program of study represents a
valuable and complementary academic opportunity for this student.
Comments/Clarification: _________________________________________________________
____________________________________________________________________________________
___________________________________________________________ ______________________
Signature of Director of International Programs
Date
After completing this request, obtain approval from the Director of International Programs.
After approval, submit this document to the UCM Office of Student Financial Services in
person (1100 Ward Edwards Bldg.) or by mail (Student Financial Services, P.O. Box 800,
Warrensburg MO 64093-5178), or by fax (660-543-8080).
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