This Is A Request For Financial Aid To Cover Child Care Fees As printable pdf download

This Is A Request For Financial Aid To Cover Child Care Fees As

340 DeKalb Pike Blue Bell, PA 19422

101 College Drive Pottstown, PA 19464

To:

Financial Aid Office

From:

Phone:

Date:

Re:

Child Care Fees

CC:

This is a request for financial aid to cover child care fees as follows.

Weekly fee

Multiplied by number of weeks*

X 16

Total tuition for the semester

Less payments**

Total transfer

*Must be the number of weeks from the financial aid payment start date to the end of the semester.

Partial semesters not permitted.

**Financial does not cover the $30 registration fee and $15 insurance fee. This must be paid at the

time of registration. Payment for any additional hours, not included above, is the responsibility of

the student/parent. The payment transfer will occur approximately 5 weeks after the start of the

semester.

No changes may be made to this form. If a change is requested a new form must be completed with

all signatures.

I approve the transfer of financial aid funds indicated above to pay for child care. I understand that I

remain responsible for child care tuition charges if financial aid is cancelled or decreased for any

reason.

________________________________ ________________________________ Date:

Student/Parent Signature

Printed Name

Approved by:

_________________________________________________________________ Date:

Deborah Ravacon/Children’s Center

_________________________________________________________________ Date:

Juanita Maniscalco/Business Office

This agreement becomes effective when all signatures are complete.

This Is A Request For Financial Aid To Cover Child Care Fees As