2021-22 Financial Aid Information Form

Name*

First Middle Initial Last

Last Four Digits of Social Security #*

MCC Student ID#*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Cell Phone

Home Phone (if applicable)

Can we text you?*

Yes
No

Email*

While attending MCC, I will live:*

with parents
off campus
in student housing

I am taking classes at MCC for the purpose of earning a degree or diploma:

Note: Non-degree/diploma seeking students are not eligible for federal aid.

Yes
No

Is this your first term of enrollment at MCC?

**If Yes, complete an Admissions Application

Yes***
No

Indicate your status:

If you are a high school graduate please indicate what year you graduated.

If you completed your GED/HSED please indicate the year you completed.

I will be enrolled for (check all that apply)...

Fall (August 2021)
Spring (January 2022)
Summer (May - July 2022)

Student Status (check one)

(Your financial aid award will be calculated based on the enrollment level that you indicate on this form unless you are enrolled at the time of awarding at a different level).

Full-time (12 + credits)
¾-time (9-11 credits)
½-time (6-8 credits)
Less ½-time (3-5 credits)

Initial that you understand that financial aid is subject to change based on my enrollment level at time of disbursement.*

I will be taking my classes at (check all that apply):*

MCC Campus
Grinnell Campus
Online

Major (course of study) and code*

Have you earned a Bachelor’s (4-year) Degree?*

Yes
No

Have you attended any other college between July 1, 2020 and June 30, 2021?*

Yes
No

If yes, name of college attended:

Signature Authorization*

By checking the box, I authorize MCC to apply my financial aid to tuition and fees, books and supplies, room and board charges, library fines, or other charges incurred at MCC. Any remaining financial aid funds in excess of the amount owed to MCC will be disbursed to me provided I have maintained eligibility at the time of cash disbursement.

Name

Your application will be processed in the order it is received. Please do not submit multiple applications, duplicates will be discarded. If there are other documents not received your financial aid will not be processed.

Phone

This field is for validation purposes and should be left unchanged.

Indicate your status:

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