FINANCIAL AID
BRIGHT FUTURES RE-EVALUATION FORM
This form is for Bright Futures students who did not meet renewal requirements at the end of Spring
semester and/or have had a change that warrants re-evaluation. Please turn the form in to the
Financial Aid Office or Student Services.
Student’s First Name: Last Name:
Date: IRSC Student Identification:
Address:
Student Address City State Zip
Email: Phone Number:
Bright Futures Program (please check one):
Florida Academic Florida Medallion Florida Gold Seal
Please indicate which of the five situations listed below pertains to this request:
Attend another institution other that IRSC during Summer (year) semester (Hours must be
listed on IRSC transcript.)
Attended IRSC during Summer (year)
Grade change for Fall (year) or Spring (year)
Exclusion of high school dual enrollment courses used in the calculation of the overall (must
exclude all or nothing)
Other:
FOR OFFICE USE ONLY
Hours completed during the Fall
Hours completed during the Spring Overall GPA at the end of Spring
Hours completed during the Summer
Total hours completed all Terms Overall GPA at the end of Summer
Date reported to State By
IRSC is an EA/EO educational institution.
