Student-Athlete Financial Aid Questionnaire

The purpose of this section is to obtain information about financial aid you are to receive for the 2010-11 academic year.

A. Have you accepted an offer of an athletics scholarship for 2010-11?Yes     No
If yes, what are the terms of that athletics scholarship?
 
B. Have you completed and submitted a Free Application for Federal Student Aid (FAFSA)?Yes     No
 
C. Will you be receiving any scholarships, grants and/or financial aid from an agency, company or organization other than the University of Houston for this academic year? (eg, Rotatry, Kiwanis, 4-H, high school booster club, etc.)?Yes     No
 
If yes, please complete the following:
Name of AgencyName of AwardAmount of Award
 
D. Will you receive a Pell Grant during the upcoming year?Yes     No
E. Have you received notification from the University of Houston that you will be receiving any scholarships, grants, fee waivers, or other financial aid for this academic year? (eg, Texas Grant Program, Undergraduate Tuition Grant, Stafford loans, etc.)Yes     No
If yes, please complete the following:
Name of AwardAmount of Award

Certification:
By entering my name below, I certify that this information is accurate to the best of my knowledge. I understand that any outside scholarships or other types of financial aid provided by the University of Houston may count against individual and team limits and may have to be forfeited due to these NCAA limitations. I also agree to be responsible for updating compliance officials in the event this information changes.

Furthermore, I understand that I must assist the Office of Athletics Compliance in completing documentation necessary to classify any outside sources of financial aid. I stipulate that if I am unable to secure the required documentation from the outside agency, the aid will be deemed "countable" towards individual and team limits.

Full Legal Name:
Date:
UH Student ID Number:
 Sport:

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