Fillable Form 2021: 'iLnRIDA TECH 20202021 Aid Year (Class (Florida Institute of Technology)

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Form 2021: 'iLnRIDA TECH 20202021 Aid Year (Class (Florida Institute of Technology)

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File type: PDF

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Florida Institute of Technology
■
Oce of Financial Aid
150 West University Boulevard, Melbourne, FL 32901-6975
■
321-674-8070
■
Fax 321-724-2778
naid@t.edu
■
oridatech.edu
461-0719
'iLnRIDA TECH
__________________________________________________________________________ ____________________________
__________________________________________________________________________ ____________________________
SPECIAL CONDITIONS REVIEW REQUEST
Name _____________________________________________________________ Student ID ______________________________
This request is for the (select one):
❏ 2020–2021 Aid Year (Class work from July 1, 2020–June 30, 2021)
❏ 2021
–2022 Aid Year (Class work from July 1, 2021–June 30, 2022)
Please indicate the reason/reasons below for which you are requesting a special conditions review:
❏
Loss of employment
❏
Business or farm closure
❏
Loss of untaxed income or benet
❏
Parent/student newly disabled
❏
Parent/student separated or divorced after
❏
Other (please specify):
FAFSA was led _____________________________________________
❏
Death of parent/spouse after FAFSA ling
The household income reflected on the FAFSA was approximately $_______________ and the household income is now
$_______________. Briefly describe the situation and indicate whether or not it is specifically due to the COVID-19 pandemic:
Student’s Signature Date
Parent’s Signature (If applicable) Date
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Form 2021: 'iLnRIDA TECH 20202021 Aid Year (Class (Florida Institute of Technology)

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Completed 29 January 2021

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