Financial Aid
California College Promise Grant - Action Request
Revised: 7/21/2020
Student Services Room 248
16007 Crenshaw Blvd.
Torrance, CA 90506
(310) 660-3493 | eccfaid@elcamino.edu
Student has a California College Promise Grant (CCPG) for the current term. Request to change from current
CCPG to CCPG “Method A” based on supporting documentation.
Semester: Fall 20____ Spring 20 ____ Summer 20____
Last Name: ________________ First Name: ________________ ECC Student ID: ________________
NEW CCPG BASED ON SUPPORTING DOCUMENTATION:
☐ SBGA1 = TANF/CalWORKS
☐ SBGA2 = Supplemental Security Income (SSI)/State Supplement Program
☐ SBGA3 = General Assistance
☐ SBGA4 = Dependent of U.S. military veteran
☐ SBGA5 = Dependent of National Guard
☐ SBGA6 = Recipient of the Congressional Medal of Honor or a child of a recipient
☐ SBGA7 = Dependent of a victim of September 11, 2001 terrorist attack
☐ SBGA8 = Dependent of a deceased law enforcement or fire suppression personnel killed in the line of duty
FA ASSISTANT INSTRUCTIONS:
1. Complete the “For Office Use Only” section on the CCPG Application
2. Complete the CCPG screen
Requesting FA Assistant/Staff Initials: _________ Date: _________
FA ADVISOR DOCUMENTATION REVIEW:
☐ Approved
Bill Run Date: _________
☐ Denied
Reason:________________________________________________________________________________
______________________________________________________________________________________
Reviewing Advisor Initials: _______ Date: _________