Financial Aid Consent Form

Student name*

First Name

Last Name

Permanent address*

Address Line 1

Address Line 2

City

State

ZIP Code

Student ID#*

Student email*

The Office of Financial Aid is permitted to disclose information regarding your financial aid and billing statement to your non-custodial parent that is not listed on the FAFSA form. Please list non-custodial parent name and date of birth below and provide signatures from both the student and the custodial parent.

Non-custodial parent name*

First Name

Last Name

Non-custodial parent date of birth*

Student signature*

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Use your mouse or finger to draw your signature above

Custodial parent signature*

[clear]

Use your mouse or finger to draw your signature above