Northwest State Community College • 22600 State Route 34 • Archbold • OH • 43502
Phone: 419-267-1333 • Fax 419-267-5587 • finaid@northweststate.edu
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Student’s Name NSCC ID number
I previously accepted financial aid funds for the 2020-2021 aid year and now wish to cancel all/or a portion
of those funds. I understand that by checking the box(es) below and signing this form, I authorize the
Financial Aid Office to make changes to my financial aid award. I also understand that these changes could
result in a balance owed to the college that will need to be paid to the Business Office.
I request to cancel ALL aid awarded for 2020-2021 aid year
I request to cancel the following aid for the indicated semesters:
(Check all that apply)
Federal Direct Subsidized Stafford Loan
Summer 2020 Fall 2020 Spring 2021
Federal Direct Unsubsidized Stafford Loan
Summer 2020 Fall 2020 Spring 2021
Federal Direct Parent Plus Loan
Summer 2020 Fall 2020 Spring 2021
Federal Pell Grant
Summer 2020 Fall 2020 Spring 2021
Scholarship ___________________________________
Summer 2020 Fall 2020 Spring 2021
Redistribute cancelled aid between remaining semesters attending? Yes No
___________________________________ ___________________
Student’s Signature Date
Northwest State Community College does not discriminate on the basis of race, color, national origin, sex, gender identity,
disability, religion or age in its programs or activities.
2020-2021 Denial of
Financial Aid
