Student Financial Aid
Germantown Rockville Takoma Park/Silver Spring
Application for Campus Based Educational Assistance Grant
**The State of Maryland offers a one-time grant for full time students who submitted their FAFSA
after the March 1 deadline. Please complete, sign and return this application to the Office
of Student Financial Aid by Friday, February 28, 2020.
Name: ________________________________ MC ID: __________________________
Permanent mailing address: _____________________________________________________
City: _ State: ____________ Zip code: _____________
Preferred phone #: ___________________________
Full time enrollment (12 or more credits) is required in your Program of Study (major) to be
considered for this award. Funds are limited; grants will be awarded on a first come first serve
Pledge to Remain Drug Free
In accordance with §18-111 of the Maryland Education Article, as a condition of receiving student
financial assistance awarded by MHEC, each recipient shall sign a statement pledging to remain drug
“I pledge, as a condition of receiving student financial assistance, to remain
drug free for the full term of the award. Unlawful use of drugs and alcohol may
endanger my enrollment in a Maryland College as well as my Maryland financial
I have read and understand the above statement; and I am aware that failure to comply may result in the loss of my
current and future financial aid funding.
Signature: ___________________________________________ Date: ___________________________
** To be considered in the future for most Maryland State awards, you must submit your FAFSA by the March 1 deadline
date. Apply Early!
Office use only Code: MDCBEA / FA MD CAMPUS BASED EA APPL