Get School Clearance Letter Sample

School Withdrawal Clearance Letter Dear Student Please review the following instructions carefully before completing this form. In order to determine your federal loan eligibility at Averett University we are required to review your student loan history. As a result of our inquiry into the National Student Loan Database System it appears that you are attending another institution at the same time that you are intending to enroll at Averett University. In order to ensure that you are awarded in compliance with Federal Regulations we will need to obtain the following information from your previous school* Please sign to give authorization to release information* Student Signature Date PLEASE NOTE The remainder of this form will need to be completed by a Financial Aid Administrator from the institution you most recently attended prior to enrolling at Averett. Please fax this signed form to the financial aid office at your previous school to have the document completed and returned to our offices here at Averett. The following information must be completed by a Financial Aid Administrator at your previous school* Student Information Student Name Print Social Security Gross Stafford Loan Amounts Disbursed Sub Unsub Most Recent Award Period Pell Grant Disbursed If Applicable Future Disbursements Cancelled Yes No Official Last Date of Attendance School Certifying Official Name Print Date Institution Name Address City Telephone Email Address Signature of School Certifying Official This form may be used for certification* Thank you for your cooperation* Please fax to 1-434-791-5647 Updated 6/8/12. As a result of our inquiry into the National Student Loan Database System it appears that you are attending another institution at the same time that you are intending to enroll at Averett University. In order to ensure that you are awarded in compliance with Federal Regulations we will need to obtain the following information from your previous school* Please sign to give authorization to release information* Student Signature Date PLEASE NOTE The remainder of this form will need to be completed by a Financial Aid Administrator from the institution you most recently attended prior to enrolling at Averett. In order to ensure that you are awarded in compliance with Federal Regulations we will need to obtain the following information from your previous school* Please sign to give authorization to release information* Student Signature Date PLEASE NOTE The remainder of this form will need to be completed by a Financial Aid Administrator from the institution you most recently attended prior to enrolling at Averett. Please fax this signed form to the financial aid office at your previous school to have the document completed and returned to our offices here at Averett. Please fax this signed form to the financial aid office at your previous school to have the document completed and returned to our offices here at Averett. The following information must be completed by a Financial Aid Administrator at your previous school* Student Information Student Name Print Social Security Gross Stafford Loan Amounts Disbursed Sub Unsub Most Recent Award Period Pell Grant Disbursed If Applicable Future Disbursements Cancelled Yes No Official Last Date of Attendance School Certifying Official Name Print Date Institution Name Address City Telephone Email Address Signature of School Certifying Official This form may be used for certification* Thank you for your cooperation* Please fax to 1-434-791-5647 Updated 6/8/12.