Sssparticipationagreement2016

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Student Support Services Participation Agreement Form The Office of Undergraduate Admissions will offer you admission to the University of South Florida provided you are eligible to participate in the Student Support Services Program. Due to limited spaces in these programs, please complete the information below and return the form within two weeks. Yes, I will participate in the Student Support Services Program and understand that I am required to reside in on-campus housing during the 2016 Summer Session B, Fall 2016 and Spring 2017 semesters even if I reside in the Tampa Bay area. No, I do not wish to take advantage of the opportunity provided the Student Support Services Program and understand that I will not be able to attend USF. Please provide the following: First Name

U Number

Middle Initial

Last Name

Date of Birth

Have you completed the 2015-2016 FAFSA? (application for summer funds only) ___ Yes ____ No Have you completed the 2016-2017 FAFSA? (application for fall and spring funds) ___ Yes ____ No (Available Online January 1, 2016) *If not please visit www.fafsa.ed.gov and complete the financial aid application as soon as possible. Please complete the 2015-2016 FAFSA first, then proceed to complete the 2016-2017 FAFSA. NOTE: I understand that ALL SSS students are required to live on campus during their first year of enrollment.

Student’s Signature (required)

Date

Parent/Guardian’s Signature (required)

Date

Please return this form in the return envelope provided or fax to 813-974-8208.


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