Student Financial Need Application
To the applicant: please complete all required fields on this form. You will need to have an unofficial transcript available for upload to this form. If needed, you may save this form and return to it at a later date.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your MSU Classification
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate Student
Unofficial Transcript
*
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Your permanent address and classification must be clearly visible on the document. For your safety, you can redact your social security number if it is on the document.
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Emergency Contact Person (in case you can't be reached)
*
First Name
Last Name
Emergency Contact's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What Financial Need Do You Have?
*
Please Select
Travel (long distance, to and from school).
Transportation (local, to and from school).
Shelter (rent or temporary housing).
Utilities (electric, gas, etc.).
Outstanding student account balance
Healthcare emergency
Other
Describe Your Need in Detail.
*
Amount Requested
*
Please enter the amount WITHOUT the dollar sign.
Upload Supporting Document
*
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Supporting document can be a copy or photo of the past due utility bill, rental statement, student account statement, invoice or some other proof of the amount owed or requested. A photo of the document is acceptable.
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I certify that the information presented on this form is true and represents an actual financial need. I also certify that my uploaded transcript is authentic and has not been altered in any way. Further, I understand and acknowledge that approval of my application is at the discretion of the Morgan State University Alumni Association, Georgia Alumni Chapter and that all decisions made by the Chapter are final.
*
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