Fillable Hathaway Deferment Request (Eastern Wyoming College)

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Hathaway Deferment Request (Eastern Wyoming College)

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A student who has applied for or initiated a Hathaway award and who wishes to put a scholarship payment on hold for one or more
semesters may request a deferment of the award. Hathaway Scholarship rules require a student who wishes to defer his/her
scholarship to notify the appropriate institution of this decision. EWC requires students wanting to exercise this option to meet with
the Hathaway Coordinator and complete a Deferment Request to discuss what deferment means and receive counseling on the
timeframe in which a student must use his/her Hathaway award. Students must complete this request PRIOR to the beginning of
the semester for which deferment is requested.
Students MUST CLEARLY INDICATE DEFERMENT SEMESTERS and detail the reason for the request. STUDENTS ARE
REQUIRED TO COMPLETE A HATHAWAY REINSTATEMENT REQUEST prior to the semester in which Hathaway payments
are intended to resume.
___________________________________________________________________ _______________ _______________
Last Name First Name M.I. EWC Student ID WISER ID:
_______________________________________________________________________________ _____________________
Student Mailing Address, City, State, Zip Date of Birth (mm/dd/yy)
____________________________________________________________________ ________________________________
E-Mail Address Phone number (include area code)
• I am requesting a deferment of my Hathaway award for the following semester(s):
Fall ______ Spring ______ Summer ______ Fall ______ Spring ______ Summer ______
• I intend to resume use of my Hathaway award:
Must complete a Hathaway Reinstatement Request prior to start of term indicated.
Fall ______ Spring ______ Summer ______
• Please indicate the reason(s) you wish to defer your Hathaway award (e.g., have other scholarships I prefer to use):
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
STUDENT INFORMATION
DEFERMENT INFORMATION
RETURN COMPLETED FORM TO:
EWC Financial Aid Office
3200 West C Street
Torrington, WY 82240
p: 307.532.8327 f: 307.532.8222
financialaid@ewc.wy.edu
Hathaway Scholarship
EWC Deferment Request Form
By signing and submitting this form, I understand that I have chosen to defer the use of my Hathaway Scholarship for the
semester(s) indicated above. I also understand that all semesters of deferment count toward maximum scholarship eligibility time
frame, but not toward the six-year maximum allowable payment. I must submit a Hathaway Reinstatement Request prior to the start
of the term in which I would like to begin receiving the Hathaway Scholarship in order to officially terminate the deferment and
recalculate my eligibility. I understand that upon completion of my deferment semester(s) that all Hathaway standards must be met
to resume receiving the award.
Hathaway Scholarship eligibility shall not extend beyond the equivalent of eight full-time semesters, or extend to any semesters that
commence six academic years after initial eligibility. A maximum of four full-time semesters can be received at a Wyoming
community college. Provisional Opportunity Hathaway Scholarships can only be used at a Wyoming community college.
I have spoken with EWC’s Hathaway Coordinator about this deferment and its consequences. It is my responsibility to contact the
financial aid office at the college/university that I am attending with questions or for more information regarding the Hathaway
Scholarship Program.
Student signature: ________________________________________________________ Date: __________________________
Hathaway Coordinator signature: __________________________________________ Date: __________________________
.
10/2017
CERTIFICATION AND SIGNATURE
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Hathaway Deferment Request (Eastern Wyoming College)

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Completed 22 July 2020

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