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Independent Learning
Financial Aid Agreement

In order to receive Financial Aid for Independent Learning courses, you must complete the following form. After answering all questions please press the Submit button. Your request will then be submitted to the Student Financial Assistance Office. SFA will contact you via the email address you provided of any further requirements, the required completion date for the Independent Learning course(s) and your eligibility for financial aid.

Contact the Independent Learning Office at 270-745-4158 if you have any questions regarding Independent Learning registration.
 
COMPLETING THIS FORM DOES NOT REGISTER YOU IN THESE COURSES.


Semester: 

Fall 2008
Note: Last day to enroll in Fall Independent Learning is October 3.
Completion date for Fall Independent Learning is December 1.

Name: 

 

 
WKU ID #:


Social Sec #:
(for financial aid purposes only)

Email:

 

 

Phone Number(s):


 (where you can be reached during the day)
The Independent Learning course(s) I am taking are: 

 Course ID                       Course #                 Section #               Credit hours




example:
Math                        116              900                3
Number of regular, in-class hours I am taking:

In addition to regular tuition and fees I plan to charge:
 

Housing

Books

 


Meal Plan

Other:

 

Yes  No

I am a graduate student AND the Independent Learning course(s) listed are required for my degree.

Yes No

I am interested in a student loan if I do not have sufficient grant aid (or am not eligible for grant aid) to pay for my Independent Learning courses
By submission of this form, I verify that I understand each of the following statements: 
1.


I understand that for the purpose of receiving financial aid I must take an equal number of regular class hours -- in classroom, web, or telecommuntations -- to the number of Independent Learning hours I am taking.
2. 






I understand that if Independent Learning courses are counted in my enrollment hours used for financial aid I must complete my course work and have taken the final exam by the end of the semester in which the hours are counted.

NOTE:
For academic progress pursposes, if you do not complete the Independent Learning courses courses by the end of the semester you may not be eligible for financial aid for future semesters.
3. 


I understand that it is my responsibility to contact both the offices of Student Financial Assistance and Independent Learning if, for any reason, I withdraw, drop or fail to participate in my Independent Learning course(s).

4. 


I understand that if I have sufficient aid to cover 100% of my Independent Learning course(s), the Independent Learning Office will invoice Billings for my Independent Learning tuition so it can be paid from my financial assistance, scholarships, or other applicable aid.

5. 

I understand that if I do not have sufficient aid to cover 100% of my Independent Learning course(s) I must pay Independent Learning at the time of enrollment.

6.

 

I understand that by the submission of this form I am indicating my intent to enroll in the course(s) listed above and authorize the Independent Learning Office to immediately invoice, upon confirmation from Student Financial Assistance of 100% coverage of Independent Learning tuition, my billings account for this/these course(s).

Please print a copy of this form for your records before you submit.

 

  

Student Financial Assistance
317 Potter Hall
Western Kentucky University
1906 College Heights Blvd. #11018
Bowling Green, KY 42101-1018
Phone: 270-745-2755
Fax: 270-745-6586

Email: fa.questions@wku.edu