Fill - Free fillable Form 7079957923: A O 20202021PELLLIFETIMEELIGIBILITYUSED(LEU)ACKNOWLEDGEMENT F (Woodland Community College) PDF form

YubaCommunityCollegeDistrict

inancial

id

ffices



2020‐2021PELL–LIFETIMEELIGIBILITYUSED(LEU)ACKNOWLEDGEMENT



_________________________________________________  _______________________________

LastName    FirstStudentID



TheU.S.DepartmentofEducationenactedanewregulationeffectiveJuly1,2012,whichlimitstheamountof

FederalPellGrantastudentmayreceiveoverhisorherlifetimeto600%orsixfull‐timeyears(oritsequivalent).

TheeligibilitycalculationincludesallPellGrantsyouhavereceived

atanycollegeoruniversity.



BasedonrecordsprovidedbytheU.S.DepartmentofEducation,youhave receivedatleast 500%orfiveyears

of Pell Grant funding. Therefore, you may not have full Pell Grant eligibility remaining for the 2020‐2021

academicyear.YourPellGrantawardwillbeadjusted

accordinglybasedoninformationavailableatthetime 

yourfinancialaidfileiscompleted.



IfyouarefoundtobeineligibleforthePellGrantthathasbe endisbursedtoyoubecause youarereceivingaid

atanotherinstitutionand/orhaveexceededthe600%LifetimeEligibility,youmayberesponsible

forrepaying

anyfundsforwhichyouwerenoteligible.



Onceyoureachthe600%PellLEU,youwillbeineligibleforanyadditional PellGrants. TheU.S.Departmentof

Educationdoesnotallowanappealofthisdecision.



YoumayviewyourPellLEUatnslds.ed.gov.Youwillneed

yourFAFSAFSA‐IDtoviewyourPellLEU.



STUDENT:Pleaseindic atebel owwhichoptionyouwouldliketochoose.

IwanttoreceivetheremainingamountofPellGrantthatIameligibleforatYubaCollegeor

WoodlandCommunityCollegeduringthe2020‐2021academicyear.

 Iunderstandthetotalamountmaybelessthan

100%ofthenormalaward.



 IunderstandImayhavelittleorNOPellGranteligibilityinthefuture.



 IunderstandIamresponsibleforrepaymentofanyPellGrantreceivedinexcessof600%during

theacademicyearorthereafter.

IunderstandIamclosetomyPellLEUof600%.IDONOTwanttoreceivemyremainingPellGrantat

YubaCollegeorWoodland

CommunityCollegeforthe2020‐2021academicyear.



Certification:Ihavereadandunderstandtheinformationstatedinthisacknowledgement.





_________________________________________________  _______________________________

StudentSignatureDate



9/30/19

YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999



WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725



LakeCounty Campus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923

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Form 7079957923: A O 20202021PELLLIFETIMEELIGIBILITYUSED(LEU)ACKNOWLEDGEMENT F (Woodland Community College)

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