New York City Housing Addendum
2016 – 2017
To provide the most accurate figures for financial aid calculations, you are required to submit information
regarding your housing costs. Per federal/state/institution regulations, you must be earning credit hours to
receive financial aid. Please complete the information below and return this form to financial aid counselor
Alana Thompson in the Student Financial Aid Office, PO Box 5190, Kent OH 44242-0001. Faxes can be sent
to 330-672-4014, or if you have access to scanning equipment, send to abaudo@kent.edu.
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Please Print Clearly:
Name: ________________________________________________________________________
Banner ID: ____________________________________________________________________
Kent State E-mail Address: _______________________________________________________
Select the Semester for Which This Form Applies:
_____ Summer ‘16
_______Fall ‘16
_____Spring ‘17
NYC Housing Information:
Name of Facility: ______________________________________________________________
Address: _____________________________________________________________________
Room Description (for example: double with kitchen, lofted triple, etc.):
______________________________________________________________________________
Cost of Rent per semester: _________________ Cost of Utilities per semester: _________________
(Include water, gas, electric, sewer, and trash/recycling only)
Please attach a copy of your lease or agreement for your rent and utilities
Student Signature: ________________________________
Date: _________________________
OFFICE USE ONLY
New Budget _____________
RRAAREQ
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Remaining Eligibility _ ___________
ROAMESG
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RHACOMM
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