PURDUE
UNIVERSITY
®
NORTHWEST
Undergraduate/Graduate Status 2021-2022
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 both questions. If you answer No to both questions, 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, 2021?
2. At the beginning of the 2021-2022 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.)?
3. Will you complete your Bachelor’s Degree at the end of the fall 2021 semester and be accepted in a
graduate program for the 2022 spring and/or summer semester, working on a master’s program
(such as an MA, MBA, MD, JD, 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: ___NSBG22 (R)
2200 169
th
Street ▪ Hammond, IN 46323
(219) 989-2301 ▪ fax (219) 989-2141
1401 S. U.S. Hwy. 421 ▪ Westville, IN 46391
(219) 785-5460 ▪ fax (219) 785-5653
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