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Get Student Data Form For Southern University Of Shreveport

Office of Student Financial Aid Scholarships 20- 20 Student Institutional Data Form PLEASE PRINT THE INFORMATION BELOW Name Social Security Number Street Address City State Zip Home Number Cell Number Email Address List the name of any university/college that you have attended prior to attending Southern University at Shreveport University/College City State Do you plan to attend Summer I or Summer II STUDENT CERTIFICATION I certify that the information reported on my Free Application for Federal Student Aid and this form is accurate to the best of my knowledge. If asked by an authorized official I agree to give proof of the information reported on these applications. I understand that if I do not provide proof when requested I may not receive financial aid* I have read the Financial Aid Satisfactory Academic Progress Policy and Refund Policies on the SUSLA website. RETURN OF TITLE IV FUNDS POLICY The Department of Education requires that all students complete 60 of the semester that they are enrolled in* If you are considering WITHDRAWAL please understand that the Return of Title IV Policy will go into effect. This means that if a student withdraws prior to the 60 mark the student MAY be responsible for paying PART or ALL of the financial aid received back to the financial aid program from which it was disbursed* STATEMENT OF EDUCATIONAL PURPOSE I will use ALL Title IV money received only for expenses related to my study at Southern University at Student s Signature Date An Equal Opportunity Employer By Choice Regardless of Race Color Creed Sex Disability or Veteran Status Revised 4/2013. If asked by an authorized official I agree to give proof of the information reported on these applications. I understand that if I do not provide proof when requested I may not receive financial aid* I have read the Financial Aid Satisfactory Academic Progress Policy and Refund Policies on the SUSLA website. I understand that if I do not provide proof when requested I may not receive financial aid* I have read the Financial Aid Satisfactory Academic Progress Policy and Refund Policies on the SUSLA website. RETURN OF TITLE IV FUNDS POLICY The Department of Education requires that all students complete 60 of the semester that they are enrolled in* If you are considering WITHDRAWAL please understand that the Return of Title IV Policy will go into effect. RETURN OF TITLE IV FUNDS POLICY The Department of Education requires that all students complete 60 of the semester that they are enrolled in* If you are considering WITHDRAWAL please understand that the Return of Title IV Policy will go into effect. This means that if a student withdraws prior to the 60 mark the student MAY be responsible for paying PART or ALL of the financial aid received back to the financial aid program from which it was disbursed* STATEMENT OF EDUCATIONAL PURPOSE I will use ALL Title IV money received only for expenses related to my study at Southern University at Student s Signature Date An Equal Opportunity Employer By Choice Regardless of Race Color Creed Sex Disability or Veteran Status Revised 4/2013..

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