College Connect Locations
Summer Application
SUNO Connect: Miguel Devezin
Bashful Administration Bldg, Rm 210
Phone: 504-286-5007
Fax: 504-286-5213
Email: [email protected]
SUBR Connect: Carey Williams
Stewart Hall, Rm 107
Phone: 225-771-5630
Email: [email protected]
Academic Year 2014-2015
Office of Financial Aid & Scholarships
L. C. Barnes Administration Bldg., Rm A-43
3050 Martin Luther King, Jr. Drive
Shreveport, La 71107
Phone: (318) 670-9221 Fax: (318) 670-6313 Email: [email protected]
Please complete entire form and return to the Office of Student Financial Aid. Processing cannot continue without this form.
DEMOGRAPHIC INFORMATION
9000
Name: _______________________________________________________ Banner ID#: ___________________________________________
Permanent Address: ____________________________________________________________________________________________________
Number & Street
City
State
Zip
Birth Date: ____________________________________________________ Phone: ________________________________________________
What semesters did you attend Southern University at Shreveport? (Circle all that apply):
Fall 2014
Spring 2015
Please keep in mind that you are may not be eligible to receive financial aid for the Summer if:
1.
2.
3.
4.
5.
If you have already received the maximum Pell Grant allowed for the 2014-2015 academic year.
If you have not met Satisfactory Academic Progress (SAP) in accordance with the SAP Policy.
If you are classified as being in a “Special Program” and/or “Summer Only Student” according to your Admission file.
If you have not been admitted as a certificate or degree-seeking student.
If you are enrolling less than ½ time (3credit hrs.)
Will you receive a Fee Exemption, Tuition Waiver, and/or a Scholarship during the Summer I or Summer II 2015 term?
If yes, please specify: ______________________________________________________________________________________
How many credit hours will you be enrolled in for the Summer I term ______ Summer II _______ ?
(Full-time = 6hrs or more, ¾ time = 4-5hrs, and ½ time = 3 hrs)
Have you attended any institutions other than SUSLA (including colleges, universities, trade schools, etc.) between August 2014
to present (i.e., Fall 2014 and/or Spring 2015)? Have all final official transcripts must be submitted and evaluated by the SUSLA
Office of Admissions? No Yes
If yes, list the institution(s):
_______________________________________________________________________________________________________
______________________________________________________________________________________
Student Class Schedule:
Summer Session
Subject/
Course Number
Course Title
Time/Day
Credit
Hours
Instructor
A Financial Aid Advisor will review your eligibility and award you accordingly. If you are eligible for Financial Aid, you may review your
award online at www.susla.edu via your Banner Web for Students account.
CERTIFICATION
I certify that the information on this form is true and complete and that I (1) have read and understand all the information contained in this form
including the information about Satisfactory Academic Progress; (2) do not owe money on a federal grant or have made arrangements to repay it; (3)
am not in default on a federal student loan or have made satisfactory arrangements to repay it; (4) will not receive any type of aid including Federal
Pell Grant and Federal Direct Loans from more than one school for the same period of enrollment; and (5) will use federal student financial aid only
to pay for expenses related to attending Southern University at Shreveport.
________________________________________________________________
Student’s Signature
_________________________________________________
Date
_________________________________________________
________________________________________________________________
Advisor’s Signature
Date
Southern University at Shreveport does not discriminate on the basis of race, color, national origin, gender or disability. Title IX Coordinator &
Revised 04/2015
Section 504 Coordinator: Ms. Jerushka Ellis, Fine Arts Building, Room C04 D, (318) 670-9473.