Summer 2 2020
BOOK VOUCHER REQUEST FORM
This form must be turned into Student Financial Services by the first Wednesday of the first week of class to receive voucher funds.
The first disbursement will go out on Monday, June 29
th
2020 and will then be released daily throughout the first week of class.
PRINT Student Name & SSN: ______________________________________________________
Book voucher request for Summer 2 2020. The student understands that:
• Student must be enrolled for Summer 2 2020
• Student must be Pell eligible and must have turned in required paperwork to Student Financial Services (SFS).
• Student will receive a book voucher for no more than $400.00 of my Pell grant award for any term
• If the student’s Pell grant credit balance is below $400.00, they will receive the available balance.
• Loan funds are not eligible for book voucher advances.
• If student is approved for a book voucher, the student authorizes Frank Phillips College to advance a partial Pell grant disbursement to the student
prior to the first day of the class term. The amount will be posted to the student’s portal billing ledger and financial aid ledger.
• Student is responsible for full repayment to Frank Phillips College of the amount advanced as a book voucher if the student does not attend the
Summer 2 2020 term.
Student Signature Date
*SFS Office Use Only*
Original Pell Amount: $____________Voucher Amount: $_______________ Remaining Pell Amount: $_____________
___ ___________________________
SFS Director/Officer Date
Frank Phillips College does not discriminate on the basis of age, race, religion, color, national origin, sex or handicap in its programs, services or activities as required
by Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Education Amendments of 1972; and Section 504 of the Rehabilitation Act of 1973, as amended.
FPC also provides equal access to the Boy Scouts and other designated youth groups. Inquiries regarding compliance and/or grievance procedures may be directed to
the college's Title IX officer, Dr. Shannon Carroll, 1301 West Roosevelt, Borger, Texas 79007, (806 457-4200, ext 732, scarroll@fpctx.edu and/or the Section 504/ADA
Coordinator, Becky Green, 1301 West Roosevelt, Borger, Texas 79007, (806) 457-4200, ext 777, bgreen@fpctx.edu.
Frank Phillips College no discrimina por motivos de raza, edad, religión, color, origen nacional, sexo o impedimento en sus programas, servicios o actividades según
requerido por el Título VI de la Ley de Derechos Civiles de 1964, según enmienda; el Título IX de las Enmiendas de Educación de 1972; y la Sección 504 de la Ley de
Rehabilitación de 1973, según enmienda. FPC también proporciona igualdad de acceso a los Boy Scouts y a otros grupos de jóvenes designados. Preguntas con
respecto al cumplimiento y/o procedimientos de queja pueden ser dirigidas al oficial del Titulo IX , Dr. Shannon Carroll, 1301 West Roosevelt, Borger, Texas 79007,
(806) 457-4200, ext. 732 y/o al Coordinador de la Sección 504/ADA del distrito escolar, Becky Green, 1301 West Roosevelt, Borger, Texas 79007, (806)457-4200, ext
777, bgreen@fpctx.edu.
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