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Financial Aid
6800 Wydown Blvd; Saint Louis, MO 63105 | Phone: (314)
889-1414 | Fax: (314) 889-1457 | FinAid@fontbonne.edu
ID#: ____________________________ Name: ________________________________________
This authorization is valid from the date of signing through the date of graduation. Student has the
right to rescind the following authorizations at any time by submitting a withdrawal of consent in
writing to the Financial Aid Office. This form must be submitted before aid will disburse to your
account.
(1) PRIOR YEAR CHARGES AU
THORIZATION:
Federal Title IV financial aid funds are restricted to payment of current period tuition, fees, room and board.
Students may authorize use of these funds for prior period expenses. To enable Fontbonne University
offices to use your Title IV financial aids funds in this manner, please indicate your choice below.
Please check one:
______
______
I authorize Fontbonne University to use Federal Funds/aid for prior year charges
(not to exceed $200 for prior year charges)
I do not authorize Fontbonne University to use Federal Funds/aid for prior year charges.
.
(2) FEDERAL FUNDS AUTHORIZATION:
Program regulations permit students to authorize use of Title IV financial aid funds for
non-institutional expenses such as books and supplies, parking fines, or campus debit systems
such as the debit Card program. If you are eligible for Federal financial aid in excess of tuition and
fees, and you wish to use this excess to cover other charges (e.g. books, insurance, parking,
laptop fees, resident life fines, etc.), you must authorize Fontbonne University to pay these
charges from your account balance. You may rescind this authorization at any time prior
to incurring such charges, but you may not cancel it once such charges have been made
on your behalf. This authorization is valid for funds in excess of tuition and fees, based on your
financial aid eligibility and enrollment status.
Please check one:
______
______
I authorize Fontbonne University to apply the credit balance derived from Federal funds/
aid to charges to my student account for other goods and services.
I do not authorize Fontbonne University to use the credit balance derived from Federal
Funds/aid to charges to my student account for other goods and services.
Student Federal Authorization Form
(3) CREDIT BALANCE AUTHORIZATION:
Once Federal Title IV financial aid funds are disbursed to your student account to be applied to
tuition, fees, room and board, those funds may exceed those charges. Students may choose to
leave those funds on their student account for future charges. Please indicate your choice below.
Please check one:
______
______
I authorize the Financial Aid Office to apply any credit balance that may result on my
student account from application of Federal aid, loan funds, scholarships, or other
payments to be applied to future charges. I understand that I will not be given a refund for
this amount, and that the credit will be applied toward future charges including those,
which may arise from next semester’s tuition and fees. I also understand that I may
make a written request that this authorization be revoked at any time. All credit
balances will be refunded at the end of each award year.
Please refund any credit balance remaining on my account after current semester charges
have been applied against available funds.
_________________________________________________ ____________________________
Student Signature Date
(Must be signed in ink)
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Financial Aid
6800 Wydown Blvd; Saint Louis, MO 63105 | Phone: (314)
889-1414 | Fax: (314) 889-1457 | FinAid@fontbonne.edu