University Of Cincinnati-Blue Ash College-SSS-Grant Aid Application

STUDENT SUPPORT SERVICES
GRANT AID APPLICATION

***You can’t spell success without SSS***

Name*

First NameLast Name

M#*

Email*

example@example.com

Contact Phone #

(999)999-9999

Do you reside on campus?*

YesNo

If yes, please list location

Current Address (if not residing on campus)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

All applicants must complete the following to be eligible for grant aid

Fall Semester Advising (2 Contacts)Fall Semester Financial Literacy Session (Workshop or Online)Fall Semester Financial Aid WorkshopVisit to the Academic Support Labs (Minimum One)

Date of Academic Support Labs Visit*

mm-dd-yyyy

Financial Information

Are you a Pell Grant Recipient*

YesNo

How much aid are you requesting?*

Are you currently working*

YesNo

Do you have a work study award*

YesNo

Are you a Cincinnati Pride Grant Recipient*

YesNo

Requested Amount of Grant Aid ($)*

In order to be considered for grant aid you must attach a copy of your financial aid award letter to this application

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My signature bears witness that any and all related information submitted with this SSS Supplemental Grant Aid Application is 100% accurate and truthful. I have attached a copy of my financial aid award letter. I understand that completion of this application and requirements does not guarantee I will be awarded SSS Supplemental Grant Aid. It is also testament to my understanding that students having under 45
credits will be given priority grant aid awards. Awards are based on the availability of funds among other factors. I also understand that, if at any time this information is found to be contradictory to this statement, this violates the Student Code of Conduct and the SSS Grant Aid will be revoked.

SSS TRIO Student Signature*

Date*

mm-dd-yyyy