CANCEL
CANCELLATION FORM
(2019-2020 Academic Year)
2800 S Lone Tree Rd Flagstaff, AZ 86005-2701 PH: 928-226-4219 FAX: 928-226-4110 finaid@coconino.edu
FA-102-Cancellation form 1920 20181003
R
eview and complete by checking one of the following boxes. Return the signed form to the Office of Student Financial
Aid, only if you want to CANCEL your application for Federal Financial Aid at CCC for the 2019-2020 Academic Year.
Check only the box that applies to you.
I will not be attending Coconino Community College during the following semester(s) and by checking the
box
(es) and signing below I request that my Federal Financial Aid Application and Scholarships be cancelled.
(Please check all semesters that apply.)
Fall 2019 Spring 2020 Summer 2020
I will be attending Coconino Community College during the following semesters but have not completed my
financial aid file and wish to have it cancelled. This will stop any further correspondence.
Fall 2019 Spring 2020 Summer 2020
I have completed the Federal Financial Aid Application for the 2019 – 2020 academic year (includes Summer
2020). It has been determined that I am ineligible for federal and/or state funding. Please discontinue the
processing of my file for Federal Financial Aid for the 2019 - 2020 academic year (includes Summer 2020). If
applicable, scholarship awards will not be cancelled.
Student Signature Date
Aid cancelled for these semester(s):
CCC ID# Last Name First Name MI
Mailing Address City ST Zip Code
Telephone No. (include area code) Email Address
