SAVANNAH STATE UNIVERSITY
Scholarship Form: Posting Request
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Requestor's Information
Requestor's Name: _________________________________________________________________________________________________
Department: ___________________________________________________
Phone Extention: _________________________________
Date: _____________________________
Signature: ____________________________________________________________________
Scholarship Information
Scholarship Name: _____________________________________________
Account #: __________________
Detail Code: ______
Purpose of Award: ________________________________________________________________________________________________
Is this a need based award?
Yes
Is this a refundable award?
No
Should other awards be considered before this award is applied?
Yes
Yes
No
No
( If yes, please check below for all that apply.)
Tuition-based Aids
Refundable Scholarships
Refundable Loans
(Hope, NROTC, Zell Miller, etc.)
(Pell, and all other eligible awards)
(Stafford, Subsidized, Unsubsidized, etc.)
Other
Explain: __________________________________________________________________________________________________________________________________
Recipient's Information
Please be advised that all scholarship posting request are for the current academic year. (Fall, Spring, & Summer)
Student ID #
Student Name
(Last name, First Name)
Fall Award
Amount
Spring Award
Amount
Summer Award
Amount
Total Award
1.
$
0.00
-
2.
$
3.
$
4.
$
0.00
0.00
0.00
-
5.
$
6.
$
0.00
0.00
-
7.
$
0.00
-
8.
$
0.00
-
9.
$
0.00
-
10.
$
0.00
-
11.
$
0.00
-
12.
$
0.00
-
13.
$
0.00
-
14.
$
0.00
-
15.
$
0.00
-
0.00
$
0.00
-
Total Scholarship Posting Request: $
0.00
$
0.00
$
For Business & Financial Affairs Use ONLY
Scholarship Processor: _________________________________________________
Notes:
Date: ______________________