Additional benefits 2023-2024

Student's First Name

Student's Last Name

Phone Number where you can be reached. Example: 940-397-4000

MUSTANGID #

Please enter your Mustang ID Number with the M.

Email Address (Optional)

DEPENDENT/CHILD CARE EXPENSES:

Indicate your total expenses for all dependent's during the months indicated below:

September 2023-May 2024

Of the above amount, how much is being paid by a state and/or federal agency?

SCHOLARSHIPS:

Indicate the amount of academic and/or athletic scholarships you expect to receive. NOTE: You must inform the MSU Financial Aid Office of any ADDITIONAL scholarship(s) you received during the enrolment period(s) that are not reported below. Complete the information below with the actual dollar amount received OR the type of scholarship assistance received (such as FULL AWARD, TUITION AND FEES ONLY, BOOKS ONLY, etc…):

Please select which one?

Based on previous question, if you said you are receiving a scholarship, please indicate the amounts based on what you know.

ADDITIONAL BENEFITS:

Indicate the amount of additional benefits you expect to receive. Complete the information below with the actual dollar amount OR the type of scholarship assistance (such as FULL AWARD, TUITION AND FEES ONLY, BOOKS ONLY, etc…). Examples include: MSU Educational Assistance Program, Workforce Investment Act, DARS, Air Force Society, Americorp, Certified Education Aid Exemption, Early High School Graduation, Foster Care Exemption, Valedictorian Exemption, AFDC/TANF, Commission for the Blind/Deaf, Bureau of Indian Affairs, Military Tuition Assistance, Employer Tuition Assistance, etc…):

If you are receiving additional benefits from one of the agencies listed above, please choose from the list below.

VETERAN BENEFITS:

Will you receive the Hazlewood Tuition Waiver?

Yes

Will you receive other Veteran's Benefits such as (Chapter 30, 31, etc) in additional to Hazlewood Tuition Waiver?

Yes

By typing my name, I certify all the information on this form is correct to the best of my knowledge.