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Summer Dental or Pharmacy Rotation: OPTIONAL Request for Additional Aid
If you have filed a FAFSA for the academic year immediately preceding this upcoming summer session, you will automatically be considered for a financial aid award. If, however, you feel your have extraordinary expenses associated with your rotation(s) that are above your calculated financial need, you may submit this OPTIONAL form to request consideration for additional LOAN funds.
I understand that this is an OPTIONAL request for LOAN funds...
*
...to cover costs associated with my rotation(s) that my normal financial aid package will not cover.
Your PID:
*
Name
*
First
Last
Your Official UNC-CH ONYEN Email Address
Enter Email
Confirm Email
NOTE: All electronic correspondence will be sent to your official UNC-CH ONYEN email address. Please be sure to check this address regularly.
Your program:
*
Dentistry
Pharmacy
I will be participating in:
*
2 rotations (please complete information below for Rotations #1 and #2)
1 rotation (please complete information below for Rotation #1))
Rotation #1
Rotation #1 Site
*
Rotation #1 Start Date
*
Rotation #1 End Date
*
Rotation #1 Air Fare
*
Please enter a value greater than or equal to
0.00
.
Rotation #1 Mileage
*
Please enter a value greater than or equal to
0.00
.
Rotation #1 Rent
*
Please enter a value greater than or equal to
0.00
.
Rotation #1 Other Cost
*
Please enter a value greater than or equal to
0.00
.
Enter the amount here and explain this cost below.
Rotation #1 Explanation of Other Cost
Rotation #2
Rotation #2 Site
*
Rotation #2 Start Date
*
Rotation #2 End Date
*
Rotation #2 Air Fare
*
Please enter a value greater than or equal to
0.00
.
Rotation #2 Mileage
*
Please enter a value greater than or equal to
0.00
.
Rotation #2 Rent
*
Please enter a value greater than or equal to
0.00
.
Rotation #2 Other Cost
*
Please enter a value greater than or equal to
0.00
.
Enter the amount here and explain this cost below.
Rotation #2 Explanation of Other Cost
Applicant's certification:
*
By checking this box, I certify that the above information is true and correct to the best of my knowledge.
Email
This field is for validation purposes and should be left unchanged.