University of Central Missouri
Office of Student Financial Services
P.O. Box 800
Warrensburg, MO 64093-5178
Phone 660-543-8266
FAX 660-543-8080
Webpage:
www.ucmo.edu/sfs
Request to Receive
Financial Aid for
International Study
2018/2019
UCM use only
STDAB
To: Director of International Programs
From: _________________________________________ 700_________________________
Student’s Name (please print) UCM ID Number
Please accept this request for additional financial aid to help pay the educational and living expenses I’ll
incur to participate in an approved program of study outside the
United States. I have filed/will file
the Free Application for Federal Student Aid (FAFSA) for the 2018/2019 school year: ____ Yes ____ No
Name of
school or institution I’ll attend:
____________________________________________________________________________________
____________________________________________________________________________________
Locati
on:
____________________________________________________________________________________
____________________________________________________________________________________
Title/De
scription of program:
____________________________________________
________________________________________
_________________________________________________________________________________
___
____________________________________________________________________________________
Beginni
ng date of program: ________________________ Ending date: _________________________
Enrollment term for study abroad course: Fall 2018 ____ Spring 2019 ____ *Summer 2019
*For summer enrollment, you will also need to submit UCM’s Summer Financial Aid Request,
available on MyCentral on or around March 1, 201
9.
Is this program sponsored by the UCM Office of International Programs? Yes No
Followi
ng are the total estimated expenses I expect to incur to participate in this program:
Tuition and Fees ..................................................................................................... $___________
Application and other required Program Fees ....................................................... $___________
Room (Housing)..................................................................................................... $___________
Board (Meals) ........................................................................................................ $___________
Books and Supplies ................................................................................................ $___________
Transportation ........................................................................................................ $___________
Personal Expenses. ................................................................................................. $___________
Other ..................................................................................................................... $___________
Total
................................................................................................................ $___________
Please proceed to page 2
International_Study_18.pdf Page 1 of 2 NOV 3, 2017
Please note: completion of this form is not a guarantee of increased financial assistance.
0.00
Page 2 Request to Receive Financial Aid for International Study Students UCM ID#: 700___________________
Student Statement (Required)
Following is the primary reason(s) I wish to participate in a program of study outside the United
States (continue on a separate page, if necessary):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Scholarships or grants: I’ve been awarded the following special scholarship or grant assistance
(if any) to help pay the expenses of my study abroad program:
$
$
Student's Signature Date
====================================================================
Before submitting this document to the Office of Student Financial Services,
you must
obtain the following approval.
I approve of this student's plan to participate in a program of study outside the United States.
The student intends to complete and earn _______ credit hours, all of which will apply toward
completion of his/her UCM degree requirements. I believe this program of study represents a
valuable and complementary academic opportunity for this student.
Comments/Clarification: _________________________________________________________
____________________________________________________________________________________
_____________________
______________________________________ ______________________
Signature of Director of International Programs Date
Com
plete this request, obtain approval, then submit this document to the UCM Office of Student
Financial Services in person (1100 Ward Edwards Bldg.) or by mail (Student Financial Services,
P.O. Box 800, Warrensburg MO 64093-5178), or by fax (660-543-8080).
International_Study_18.pdf Page 2 of 2 NOV 3, 2017
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