Student Prerequisite Self-Certification Form

Completion of this form does NOT guarantee eligibility for financial aid. This information will be used to evaluate whether the student meets the restrictive eligibility criteria for prerequisite students. If eligible, prerequisite students can only receive student loans at undergraduate aggregate and annual loan limits. Per eligibility requirements, a student can ONLY receive loans for one period of 12 consecutive months.

To be completed by student:

I understand that I will ONLY be eligible to receive loans for prerequisite course work for one period of 12 consecutive months. I certify that the information given here is true and correct to the best of my knowledge.

To be completed by Department Head:

Once you (the department head) had signed and dated form, please SUBMIT the form.