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Financial Aid Supplemental Form 2017-2018


  • Student Information

  • Program & Graduation Information

    Indicate your 2017-2018 program at Moraine Park and anticipated graduation date. (You must be admitted into an aid-eligible program in order to receive financial aid.)
  • Prior Degree

  • Enrollment

    Associate of applied science degree or technical diploma program enrollment. If this changes, you must notify our office. If none selected, your financial aid will be processed assuming 12 credits of enrollment each semester.The courses you are enrolled in must be required for graduation (part of your curriculum) from your aid-eligible program to count toward financial aid eligibility.
  • Other Financial Assistance

    Please indicate below if you will receive any of the following for 2017-2018 school year by filling in the amount per year. If you leave a field blank, it is assumed that you are not receiving that benefit.
  • List names and amounts
  • List names
  • Agreement to Terms

    CERTIFICATION STATEMENT BELOW MUST BE READ AND ELECTRONICALLY SIGNEDI certify that all the information I have provided on this application and all supplementary forms is true, correct and complete and, if granted assistance, I will use it only for educational purposes as approved by Financial Aid for the period covered by this application at Moraine Park and only at that institution. I further authorize Financial Aid, or its representatives, to obtain such additional information concerning my education program and financial record as the above-named office may need to complete the processing of this application. It is also my understanding that Financial Aid may, as it deems appropriate, release information concerning the amount of any award I may receive to agencies considering me for financial assistance.IMPORTANT: ALL courses previously taken at Moraine Park Technical College will be included in Satisfactory Progress evaluations.I authorize Moraine Park to credit federal student aid funds for paying tuition, fees, books and minor prior-year charges on my student account, and I understand I am responsible for any charges to my student account. I authorize Moraine Park to communicate with me electronically.By entering full first and last name and student ID number below, you are accepting the Certification Statement above.
  • * indicate required field

WARNING! This form is used in establishing eligibility for federal and state student aid funds. You should know that intentional false statements or misrepresentations may subject the applicant to a fine or imprisonment, or both. Intentional false statements or misrepresentations may also eliminate you from any future consideration for any assistance.

Moraine Park Technical College does not discriminate on the basis of race, color, national origin, sex, disability or age in employment, admissions or its programs or activities. The following person has been designated to handle inquiries regarding the College’s nondiscrimination policies: Equal Opportunity Officer, Moraine Park Technical College, 235 North National Avenue, PO Box 1940, Fond du Lac, WI 54936-1940, 920-924-6355 or 920-924-3495.