Student Financial Aid Non-Recipient Declaration Form
Please complete this form to declare that you are not receiving student financial aid.
Full Name
*
First Name
Last Name
Student ID Number
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Program or Course Name
Date of Declaration
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Declaration Statement
*
I hereby declare that I am not receiving any student financial aid from any source.
*
I confirm the above statement is true and accurate.
Submit Declaration
Should be Empty: