University of Central Missouri
Office of Student Financial Services
P.O. Box 800
Warrensburg, MO 64093-5178
Student’s Name (please print) UCM ID Number
FAILURE TO PROVIDE ALL INFORMATION AND REQUIRED DOCUMENTS
CAN DELAY THE AWARDING OF YOUR FINANCIAL AID.
Please check the box below that best matches your situation:
’ve been fully admitted by UCM to pursue my 1st bachelors degree, beginning with the
_______ Semester, 20 . My degree objective is a Bachelor of ___________________________.
My program major is_______________________________________________________________.
____ 1. I have been fully admitted by UCM to pursue a 2nd bachelors degree, beginning with the
_______ Semester, 20 . My degree objective is a Bachelor of__________________________.
2. My program major is _____________________________________________________________.
3. My expected Graduation/Completion Date is:___________________________________________.
4. My first degree was a Bachelor of __________________________________________________.
5. My program major was __________________________________________________________.
____ I have been fully admitted by UCM to pursue a teacher certification program, beginning with the
_______ Semester, 20_____.
The subject area I’ll be certified to teach is______________________________________________.
____ I am e
nrolling for prerequisite classes required to be admitted to a UCM graduate degree.
____ I am e
nrolling as a visiting or special student and have not been fully admitted to a UCM degree or
teaching certificate program.
____ I have not yet completed my high school degree, but will finish this degree in
____ I h
ave decided not to attend the University of Central Missouri.
Student’s Signature Date
Complete and s
ubmit this form (and the required documents) 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).
Program_Verif_18.pdfc NOV 3, 2017
You DO NOT need to complete or submit this form if you are awaiting acceptance into a
GRADUATE degree program. Student Financial Services will be notified automatically
upon your acceptance or denial and will update the requirement on your MyCentral.