UEH Review Form 22-23

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2022 - 2023 Unusual Enrollment History Review Form

Office of Financial Aid

LAST NAME

FIRST NAME

MI

STUDENT ID#

SUNY Erie must review the grades you received at your previous schools. This will be used to determine if you are eligible for Federal student aid at SUNY Erie. You must submit: • •

completed Unusual Enrollment History Review Form Unofficial transcript from ALL prior colleges you attended in the last 4 years (or official transcript to Admissions)

You may view your Federal student aid history at studentaid.gov. You will need to login with your FSA ID and password. Academic Year

Name of College(s) Attended

Dates of Attendance

Transcripts

Unofficial Attached

2021 – 2022

2020 – 2021

2019 – 2020

2018 – 2019

Official Transcript Submitted to SUNY Erie Admissions Unofficial Attached Official Transcript Submitted to SUNY Erie Admissions Unofficial Attached Official Transcript Submitted to SUNY Erie Admissions Unofficial Attached Official Transcript Submitted to SUNY Erie Admissions

Certification: I confirm that the information provided is complete and correct. Giving false or misleading information may result in federal fines, jail sentence, or both. ______________________________________________________ Student Signature

______________________________ Date


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