Fillable Santa barbara city college 2019-2020 UNUSUAL ENROLLMENT HISTORY VERIFICATION FORM

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Santa barbara city college 2019-2020 UNUSUAL ENROLLMENT HISTORY VERIFICATION FORM

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721 Cliff Drive • Santa Barbara, California 93109-2394 • Phone (805) 730-5157 • Fax (805) 564-1893
2019-2020
UNUSUAL ENROLLMENT HISTORY VERIFICATION FORM
A. STUDENT INFORMATION
B. ENROLLMENT HISTORY
You have been identified by FAFSA as a student with unusual enrollment history. SBCC is required to confirm your enrollment
history for the last four academic years. The information you provide on this form will be verified with data from SBCC Admissions and
Records, along with the National Student Loan Data System. If you have not already submitted your official transcripts to
Admissions and Records, please do so as soon as possible, otherwise the Financial Aid Office will not be able to move forward with
processing your application for financial aid.
Please list ALL colleges that you attended in the 2015-2016, 2016-2017, 2017-2018, and 2018-2019 academic years. Also, indicate
whether you received Federal Pell Grant or Federal Direct Loans at those institutions, and whether you earned any academic credit. If
you attended more colleges than the table allows, please attach an additional page.
Academic Year Name of College
Did you receive
Pell Grant?
Did you receive
Direct Loans?
Did you earn any
academic credit?
Example: 2015-2016
ABC College
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
C. SIGNATURE
Student’s Signature Date
Last Name (Print) First Name M.I. Student ID (K00 Number)
Pipeline Email Phone Number
Financial Aid Office: www.sbcc.edu/financialaid/
I certify that all the information on this form and any attachments a
nd subsequent information provided to the SBCC Financial
Aid Office is true, complete and accurate to the best of my knowledge. I understand that false statements or misrepresentations
will be cause for denial, reduction, withdrawal and/or repayment of financial aid and referral to appropriate administrators
under AP 500 Standards of Student Conduct.
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Santa barbara city college 2019-2020 UNUSUAL ENROLLMENT HISTORY VERIFICATION FORM

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Completed 7 March 2020

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