Dr. H.A. Miller Student Services Center
417 Schepps Blvd., Clovis, NM 88101
Ph. (575) 769-4060 * Fax (575) 769-4027
Financial Aid Summer Application
2019-2020
STUDENT INFORMATION
CCC ID Social Security Number Name
Street Address City State Zip
Phone Number Email Address Date of Birth
1. Do you have a FAFSA on file for the 2019-2020 academic year? YES
NO
2.
Did you attend full-time (12+ credit hours) in the Fall 2019 semester?
YES
NO
3.
Did you attend full-time (12+ credit hours) in the Spring 2020 semester?
YES
NO
4. How many credit hours will you be enrolled in for Summer 2020?
NOTE: Once enrolled and financial aid has been awarded, a change in credits may alter your eligibility and result
in an adjustment to your financial aid.
Pell Grant
Your eligibility will be determined by the Financial Aid Office.
Student Employment
If you will be enrolled in at least 3 credit hours, you may be eligible for student employment. Applications are available
online.
Loans
If you will be enrolled in at least 6 credit hours, you may be eligible for a loan. Contact the Financial Aid Office for
additional information.
Please READ and INITIAL the following statements:
Financial Aid Satisfactory Progress is reviewed after spring semester grades are processed.
Although you may initially be awarded financial aid, you may become ineligible if you do not meet the
satisfactory progress requirements at the end of spring semester.
I understand that it is my responsibility to check on the status of my summer 2019 aid
application. I am aware I will not be notified of eligibility by the financial aid office.
I realize I must make payment arrangements by the deadline or my class registration will be
voided.
SIGNATURE REQUIRED
By signing this statement you certify that all of the information reported on it, is complete and correct. Warning: If you purposely give false or
misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student Signature:
Date:
Revised 03-14-2019
Date Received:
Staff Initials:
Print
Submit
click to sign
signature
click to edit
For Office Use only:
Students Enrollment:
Fall:
Spring:
Eligible to receive summer aid:
YES: NO
Loan only
Pell only
Loan & Pell
Amount of Award:
Budget: SUM FA/SUM FSSUM SPSUM
EFC: 1920________
File Complete: (RRAAREQ)
Awarded Pell: (RPAAWRD)
Staff Initials:
Date Completed:
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome