AOP Application

AOP Application
Student Name*

First NameLast Name
Student ID Number*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Net ID*
Please indicate your residential college. *
Classification*
Please select your school. *
Select a category that best matches your financial assistance request.*

Career AssessmentsAcademic Course Travel FeeInterview-Related ExpensesGraduation RegaliaFlight and/or Travel Requests (Career/Job Training Related)Graduate School Application FeeConference-Related ExpensesGraduate School Exam FeeProfessional AttireGraduate School Travel AssistanceGraduate School Test Prep MaterialsGroceriesMedical ExpensesSchool SuppliesTextbooks, Course Packs, Class FeesFlight and/or Travel Requests (Personal)Other
Do you currently receive financial aid to fund your Rice education? (i.e. Rice Investment, grants, merit scholarship, loans, scholarship athlete)*

YesNo
If you answered "YES" to the above question, please select your current financial aid award status. For example, for this academic year are you a Questbridge Scholar, a Pell grant recipient, Rice Investment, or have other financial aid? (Please select all that apply). If you answered "NO" to the above, please select N/A.*

Full Rice Investment Grant (Full Tuition, Fees, and Living Expenses)Rice Investment Grant (Full Tuition Only - no room and board)Half Rice Investment Grant (Half Tuition - no room and board)Pell Grant RecipientQuestbridgeAthletic AidOtherN/A
If you answered yes to the above question, please*
Are you an international student?*

YesNo
Describe the situation for which you are requesting financial assistance in detail. Please include any extenuating circumstances that may be relevant.*
Describe what other steps you have taken, or offices you have contacted, to secure funding for this situation. Please note if you have applied for other funding and not received support.*
Please list the amount of funding you are requesting.*
Please provide specific information as to what the money would be allocated towards. (i.e. cost breakdown)*
**Please note, a file upload is only requested for a completed textbook form and contract for textbook and coursepack requests. Please do not upload any documents with sensitive information.**
File Upload

Allowed file types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip
Cancelof
Have you previously been awarded AOP funding? Please list specific details about the funding request, academic year, semester, and funding amount.*
Have you previously applied for emergency or opportunity funding from the Dean of Undergraduates Office, your residential college, or any other University office? If so, please indicate when, which department, and the outcome of that request.*
Please list days/times (Monday-Friday between 9:00 am and 5:00 pm) in the next week when you are free to meet with a member of the Rice Access and Opportunity Portal Committee to discuss your request.*
Did a Rice faculty or staff member refer you to this application? If yes, who?*
How did you hear about this application? Please check all that apply.

DOU WebsiteFriend or peerCenter for Career Development WebsiteOffice of Academic Advising WebsiteStudent Success Initiatives WebsiteOther
By checking this box, I certify that any funds received will be used only for the express purpose stated herein.*

Yes
By checking this box, I acknowledge and confirm that I have reviewed the Access and Opportunity Portal "About" page (https://aop.rice.edu/access-and-opportunity-portal-about and the FAQS https://aop.rice.edu/frequently-asked-questions )*

Yes
By checking this box, I acknowledge that the Access and Opportunity Portal is ONLY for non-emergency support and that full funding of my request is not guaranteed.*

Yes
By checking this box, I acknowledge and understand an AOP application closes within 5 business days from the date the application is received by an AOP representative during business hours. Anything submitted after business hours will be reviewed the following business day.*

Yes
I hereby give consent for the disclosure of my Federal Pell Grant status from my financial aid records to the Access and Opportunity Committee Members in the Office of Academic Advising, Center for Career Development, and Student Success Initiatives. This disclosure is for consideration for the Access and Opportunity Portal financial assistance program only and for no other purposes. This authorization is valid for the 2024 - 2025 academic year.*

Powered by Jotform SignClear
Should be Empty: