SOM Financial Aid Inquiry

SOM Financial Assistance Request
Use this form to request assistance with any financial aid, student refund (disbursement), billing, health insurance, and/or scholarship concern/issue.
Date form was submitted

MonthDayYear
Date
Name

First NameLast Name
UIW Identification Number
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
UIW Email Address

Confirmation Email
Select UIWSOM Program
Which area(s) does your inquiry fall within?

SOM Financial Assistance Request