Fillable Stmt Of Student Elig 040418 - Statement of Student Eligibility TEOG 040418

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Stmt Of Student Elig 040418 - Statement of Student Eligibility TEOG 040418

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Alvin Community College
Statement of Student Eligibility
Last Name_______________________________ First Name_____________________ ACC ID Number____________
Have you ever been convicted of a felony or an offense under chapter 481, Health and Safety Code (Texas Controlled
Substances Act), or under the law of another jurisdiction involving a controlled substance as defined by Chapter 481,
health and Safety Code? Yes*________ No**________
I hereby certify that the information I have provided is true and correct. I understand that if I fail to provide
accurate information, I may be required to reimburse the institution and penalties may be imposed.
I also accept responsibility for informing the ACC Financial Aid Office if my status changes at any time while
attending Alvin Community College.
Due to limited funds, submission of this form does not guarantee that you will receive additional grant funds.
Student Signature__________________________________________ Date____________________
*If your answer is yes, contact the financial aid office to determine your eligibility to receive a Texas Grant.
**If you answer is no, it is your responsibility to inform the ACC Financial Aid Office if your status changes at any time
while attending ACC.
Updated4/4/18
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Stmt Of Student Elig 040418 - Statement of Student Eligibility TEOG 040418

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Completed 15 November 2019

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