PURDUE
UNIVERSITY
®
NORTHWEST
Undergraduate/Graduate Status 2020-2021
STUDENT NAME:
DATE:
The Office of Financial Aid at Purdue University Northwest will request this documentation only if it is needed to complete
your financial aid file.
Based on your Free Application for Federal Student Aid (FAFSA), your Undergraduate/Graduate status was unable to be
determined. Further processing of your financial aid will not occur until the information requested below has been
received by the Office of Financial Aid.
DIRECTIONS: Complete this form and return the signed form to the Office of Financial Aid.
(Note: you must answer all questions. If you answer No to questions 1 and 2, parent data must be
included on your FAFSA. These changes to your FAFSA may generate a request for a full verification.)
1. Will you have your first Bachelor’s Degree before July 1, 2020?
Yes
No
2. At the beginning of the 2020-2021 school year, will you be working on a
Master’s or Doctorate program (such as an MA, MBA, MD, JD, PhD, EdD,
Graduate Certificate, etc.)?
Yes
No
3. Will you complete your Bachelor’s Degree at the end of the fall 2019
semester and be accepted in a graduate program for the 2021 spring
and/or summer semester, working on a Master’s program (such as an MA,
MBA, MD, JD, EdD, Graduate Certificate, etc.)?
CERTIFICATION: (Provide required signature and PUID)
Sign and date this form certifying that the information provided is complete and correct.
Student Signature: __________________________________ Date: _________________
PUID: ___________________________________________
Office Use Only RRAAREQ: ___NSBG21 (R)
Hammond Campus
2200 169
th
Street Hammond, IN 46323
(219) 989-2301 fax (219) 989-2141
Westville Campus
1401 S. U.S. Hwy. 421 Westville, IN 46391
(219) 785-5460 fax (219) 785-5653
finaid@pnw.edu pnw.edu
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