4303 Diamond Head Road `Ilima 102
Honolulu, Hawai’i 96816-4421
Telephone: (808) 734-9537
Facsimile: (808) 734-9896
Email: kapfao@hawaii.edu
Website: www.kapiolani.hawaii.edu
An Equal Opportunity/Affirmative Action Institution
Rev 02/2020
Summer 2020 Financial Aid Request Form
STUDENT’S NAME: UH ID/USERNAME:
PHONE NUMBER:
Expected Enrollment for Summer 2020:
1
st
Summer Session: # (credits) list course(s)
2
nd
Summer Session: # (credits) list course(s)
IF YOU DO NOT COMPLETE, DO NOT ATTEND, OR WITHDRAW/DROP THE COURSES WHICH YOUR SUMMER AID
IS BASED, YOU MAY BE REQUIRED TO REPAY ANY AID THAT WAS APPLIED TO YOUR ACCOUNT.
All students MUST answer the following questions (please circle):
YES / NO I filed a 2019-20 Free Application for Federal Student Aid (FAFSA) and included KCC as a school.
(You must file a 2019-20 FAFSA to be considered for Summer aid)
YES / NO I am repeating a course I already passed. If yes, what course?
(You may not be eligible for repeating a course you already passed, this includes transfer courses.)
YES / NO I will be graduating (meeting degree requirements) in Spring 2020
(If you are graduating Spring 2020 you are NOT eligible for summer financial aid.)
YE
S / NO I am receiving the following outside resources (examples: scholarships, tuition waiver, etc.)
during the Summer 2020 (list here)
Please check appropriate boxes:
I WANT TO BE CONSIDERED FOR THE FOLLOWING (please check):
Federal Pell Grant: I received a Federal Pell Grant for the Fall 2019 and/or Spring 2020
semester. If awarded, it will count toward your Federal Pell Grant Lifetime Eligibility of 600%
(monitor your usage at www.nslds.ed.gov)
Federal Direct Stafford Loan(s): Must enroll at least 6 credits.
(You MUST attach the Federal Direct Stafford Loan Request form to this application).
I
AM A CURRENT KAPʻ
IOLANI COMMUNITY COLLEGE STUDENT
I AM A NEW/TRANSFER STUDENT FOR SUMMER 2020 (you are not enrolled at KCC for Spring 2020)
I am a TRANSFER student. Provide name of school:
I read and understand the Kapiʻolani Community College – Summer 2020 Financial Aid Information document. I understand
that if I do not complete, if I do not attend, or if I drop/withdraw from the courses upon which financial aid is based I may be
required to repay any aid that was awarded, applied and/or refunded to my account.
Student’s Signature: Date: