Financial Aid Office
Lommasson Center 218
Missoula, MT 59812-2232
Phone: (406) 243-5373
Fax: (406) 243-4930
faid@mso.umt.edu
2015-2016 Private Loan Only
Name:
UM ID#: 790-
E-Mail:
Phone#:
Enrollment Status (check one for each term):
Autumn 2015:
Not Attending
12 or more credits
9 to 11 credits
6 to 8 credits
1 to 5 credits
Spring 2016:
Not Attending
12 or more credits
9 to 11 credits
6 to 8 credits
1 to 5 credits
Expected college graduation date: (MM/CCYY)
/
Resources:
Answer each question below regarding possible assistance from August 1, 2015 to May 31, 2016. If additional
assistance is received after this form is submitted, notify the Financial Aid Office immediately.
Note: Failure to report or underestimating assistance from other sources may cause delays and possible
repayment of aid received.
Do not leave any question blank. If it does not apply mark “NO” or enter “0” for dollar amounts.
1. Military Payment of Tuition & Fees?
National Guard
Yes
No
Active Duty Reserve
Yes
No
Army Ed
Yes
No
2. List AmeriCorps award amount to be used this year.
$
3. Tuition Assistance from Vocational Rehab, WIA, TAA?
Answer “No” if receiving Military Voc. Rehab - Chapter 31
Yes
(Unless you provide agency documentation, standard amounts will be used)
No
4. List the total of any outside scholarship(s) NOT from UM:
$
(The amount entered should be estimated until the physical checks from the donors are received)
5. Tribal Higher Education Grant?
Yes
No
6. Any UM Tuition Waivers?
(such as athletic, assistantship, Indian, Veterans)
Yes
No
If the tuition waiver is for Graduate teaching or a Research Assistant, check here:
7. While enrolled at UM will you be receiving federal financial aid from any other school?
Yes
No
Notice: If your Out-of-State status changes to In-State, you are required to report this change to Financial Aid.
Warning: If you purposely give false or misleading information to help establish eligibility for federal student aid, you
may be subject to a $20,000 fine, a prison sentence, or both.
Signature:
By signing below I certify that all the information reported is complete and correct. I also affirm that I fully
understand and agree to all of the Rights and Responsibilities (attached to this form).
Student Signature:
Date: