Fillable SPRING 2021 Upload this STA form at tinyurl.com/upload-STA (University of Central Florida)

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SPRING 2021 Upload this STA form at tinyurl.com/upload-STA (University of Central Florida)

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Name ________________________________________________________________ UCF ID__________________________
Address ________________________________________ City ____________________ State _____ Zip Code_____________
Home Phone ( ) ____________________________ Business Phone ( )______________________________
Driver’s License #__________________________________ State _________ Date of Birth _______________________
MM / DD / YYYY
Source of Repayment: (Check one box only.)
Financial Aid (up to $600) $___________ VA___________ (up to $600) $____________
Other (up to $300)
$___________
Required Reference (Preferably closest living relative)
Name__________________________________________________ Relationship____________________________
Address_________________________________________________________________________________________
City ____________________________________________________ State ________ Zip Code _____
____________
Home Phone (_______)___________________________ Business Phone (_______) ___________
____________
-
UCF Short Term Advance SPRING 2021
Revised: 12/2020
First Middle Initial Last
First Middle Initial Last
Amount
Approved:
Application Approved: Application Denied:
NF:
Resubmitted Application:
Date:
SFA Approval
Approving Counselor:
If an emergency exists, please attach a letter of explanation along with supporting documentation, such as unexpected expenses receipts, medical documentation, etc.
*Required VA initials and stamp
Date:
VA Stamp
----------------------------------------------------------------------
Student Financial Assistance Use Only
------
----------------------------------------------------------------
SPRING 2021
Promissory Note
I promise to pay any
amount received under this program, plus any other fees that may become due as provided in this note. I accept responsibility for full
repayment of this note when due. I understand that if I do not pay this note by the due date, I will be charged a late fee, my records will be placed on hold, my
account may be referred to a collection agency, and I agree to reimburse the fees of any collection agency, which may be based on a percentage of the
debt collected, and all costs and expenses, including reasonable attorneys’ fees incurred in such collection efforts. I understand that this is a promissory
note, and I have read and understand the Short Term Advance Instructions and Conditions on page two of this contract. All funds disbursed will be direct
deposited into the account I set up for this purpose or mailed to the current mailing address shown on the myUCF portal. I understand that this is an advance
that must be repaid. I understand that this is an educational loan and may be non-dischargeable in bankruptcy.
The due date for this Short Term Advance is March 12, 2021.
I understand that a $5.00 processing fee will be charged to my account for this advance.
I understand that remaining incomplete items on my myUCF To Do List may delay the processing of this Short Term Advance.
You May Sign This Form Without Printing
1. Open the PDF file in Adobe Acrobat Reader. 2. Click on Fill & Sign in the Tools pane on the right. 3. Click Sign, and then select Add Signature.
4. A pop-up will open, giving you three options;Type, Draw, and Image. Once done, click the Apply button. 5. Drag, resize and position the signature inside your PDF file.
Typed names are not considered valid a signature. You must sign your name to the form either by printing and signing the form or by using a stylus, mouse, your
finger or an uploaded image of your actual signature to sign the form without printing.
Upload this STA form at tinyurl.com/upload-STA for processing.
Your advance will be direc
t deposited or mailed to the current mailing address shown on the myUCF portal, no earlier than one week prior to the first day of classes.
To setup Direct Deposit, go to my.UCF.edu, and click on Student Self Service > Finances > My Account > Student Direct Deposit.
Processing time for Short Term Advances is 5-7 business days. Upload this STA form at tinyurl.com/upload-STA for processing.
Student Signature___________________________________ Date ___________
Short Term Advance
Instructions and Conditions
SPRING 2021
Instructions
1. Read all instructions and conditions. This form is valid for spring 2021 only.
2. Fill out form completely. Print legibly or type in black ink. Incomplete forms will not be processed.
3. Provide your name, complete address, telephone number, and your date of birth.
4. Provide the name, address, and telephone number of a reference, preferably closest living relative.
This is required for all applications
5. Read, sign, and date the Promissory Note.
6. Fax, mail, upload or hand-deliver completed form to the Office of Student Financial Assistance for processing.
7. Check myUCF to confirm the processing of your Short Term Advance.
8. If approved, your Short Term Advance will be direct deposited to your bank account. To setup Direct Deposit, go
to my.UCF.edu, and click on Student Self Service > Finances > My Account > Student Direct Deposit. Otherwise,
your advance will be mailed to the current mailing address shown on the myUCF portal. Check your mailing
address on myUCF for accuracy. Direct deposited funds are usually available 48-72 hours after refunds are
posted to your account. Mailed checks can take up to a week or more.
9. The amount of your advance is based on your source of repayment. (See Short Term Advance Conditions
below.) A $5.00 non-refundable processing fee will be charged to your account by the university.
10. You must be enrolled for the academic term in which you seek the Short Term Advance.
11. Repayment is due March 12, 2021. Late payers will be charged a late fee of $25.00.
12. Supplemental requests must be accompanied by supporting documentation.
Short Term Advance Conditions
(Read Carefully)
1. Amount: The amount of your advance is based on your source of repayment. If the repayment source selected is
Other (such as employment, parents,
etc.), then the maximum advance amount is $300. The advance amount for
financial aid recipients is based on estimated aid for the semester with a maximum amount of $600. There is a
$100 minimum for Short Term Advance request.
2. Service Charge: A $5.00 non-refundable fee will be charged by the university to defray the cost of this program.
3. Repayment: Full repayment of the advance must be made to UCF, at the UCF Cashiers Office located at 109
Millican Hall or online by the due date. Where regulations allow, the Short Term Advance will be deducted from
your financial aid prior to issuing any refunds.
4. Late Payment Charge: Payment of a $25.00 late fee will be required if the advance is not paid in full by the due
date.
5. Default: A default on the payment of the advance may result in the university placing restrictions on your account,
preventing receipt of transcripts of
records, impeding academic progress, placing the advance for collection, and
reporting to the credit bureau. If placed for collection,
you will be responsible for all collection fees, which may be
based on a percentage of the debt collected, and
all cost and expenses, including reasonable attorneys’ fees.
6. No Outstanding To-Do List Items (for Financial Aid): Students must have complete a
financial aid file to to
receive a Short-Term Advance.
Page 2 of 2
Revised: 12/2021
UCF Short Term Advance SPRING 2021
Your advance will be direct deposited or mailed to the current mailing address shown on the myUCF, no earlier
than one week prior to the first day of classes. Processing time for Short Term Advances is 5-7 business days.
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Completed 2 February 2021

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