Office of Financial Aid | 500 Salisbury Street, Worcester, MA 01609 |Tel: (508) 767-7158 | Fax: (508) 519-1286 | fa@assumption.edu
Outside Scholarship Reporting Form 2020-2021
Instructions
Please complete this form to notify the Office of Financial Aid of the receipt of an outside scholarship or resource that you have not yet
reported to us, or to inform us of any changes or new information related to your outside scholarship(s).
When you have completed the form, please submit it to the Office of Financial Aid by email, fax, or mail, using our contact information
at the bottom of this letter.
Student Information
Name: ___________________________________ Assumption Student ID: _____________________
Scholarship Information
Name of Outside Scholarship and
Awarding Organization or Employer
Amount to be
paid for the fall
semester
Amount to be
paid for the
spring
semester
Indicate if the
check will be
payable to the
College OR to
Student OR to
Both
Is this scholarship
(check all that apply)
$
$
College
Student
Both
a new scholarship
a change to a
reported scholarship
a cancellation
$
$
College
Student
Both
a new scholarship
a change to a
reported scholarship
a cancellation
$
$
College
Student
Both
a new scholarship
a change to a
reported scholarship
a cancellation
$
$
College
Student
Both
a new scholarship
a change to a
reported scholarship
a cancellation
$
$
College
Student
Both
a new scholarship
a change to a
reported scholarship
a cancellation
Student Signature: _________________________________________ Date:______________________
Outside aid/scholarships will reduce the original self-help portion of your financial aid award (work study/ subsidized loans) before any need based
Assumption scholarship funding. Please visit
https://www.assumption.edu/admissions-financial-aid/undergraduate-admissions-and-financial-
aid/policies-and-guidelines for full details.
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