NON‐INSTITUTIONAL SCHOLARSHIP FORM 2014-2015
Please use this form to report any non-institutional or private scholarships you will be receiving. This means
scholarships that are NOT from any state, Federal, or Messiah College sources. Include all
scholarships from your high school, church, private businesses, clubs, or private individuals. (Do not list gifts
from family members or friends.) You should also report interest-free or low-interest loans, called noninstitutional loans (NILN) you will be receiving from private organizations on this form, marked clearly as
loans.
If we know about these scholarships by July, your financial aid award and student bill will be more accurate,
and we won’t need to revise your financial aid award later in the year. This gives you a better idea of the
final amounts of your financial aid (especially loans) earlier in the year.

Federal regulations require schools to include these scholarships as part of your Financial
Aid package, even if the check will be coming directly to you.

You must complete this form annually if you expect to receive any non-institutional or private
scholarships for the upcoming academic year.
Please Print
_____________________________
Student last name
_________________________
Student first name
_______
Middle initial
_______________________
Messiah College ID #
Address: ____________________________________________________________________________________
City, State, Zip:_____________________________________________
Phone: (______)___________________
List all non-institutional scholarships (not from state, Federal, or Messiah College sources) you will be receiving for
the 2014-2015 academic year. Submit copies of award letters or other documentation concerning your scholarships.
This information is important in determining your loan eligibility. ** Important: Messiah’s policy is to split scholarships
for the academic year (half for fall & half for spring) unless specified otherwise by the awarding organization.
Documentation is required from the organization for any one-semester-only scholarships.
Name of Scholarship (indicate if loan)
Report additional scholarships on a separate sheet.
Yearly Amount
Mark which one applies
$
□Year □ Fall only* □ Spring only*
$
□Year □ Fall only* □ Spring only*
$
□Year □ Fall only* □ Spring only*
$
□Year □ Fall only* □ Spring only*
$
□Year □ Fall only* □ Spring only*
*Documentation required Return form to Financial Aid, Messiah College, One College Avenue Suite 3006, Mechanicsburg, PA 17055,
or by FAX to (717) 691-2349 as soon as possible. You may email [email protected] if you include all
of the requested information and the Messiah student ID #.