Title IV Authorization

Federal Aid Authorization Form

The purpose of this form is to obtain student permission to use Title IV funds (Federal Direct Loans, Perkins, Pell, SEOG, etc.) to cover miscellaneous expenses (examples listed below) charged to your student account in the Bursar's Office. This form is required by the US Dept of Education to cover miscellaneous costs if there is an excess after the standard costs are paid in full (tuition, general fee, room and meals, degree fee).

Fields labeled with * denote a required field.

Term Charges

Current Term Charges




Prior Term Charges (Cannot Exceed $200)



Note: Checking both boxes will cover current and previous terms and may speed up the refund process. I understand that this authorization is valid for the entire period of my enrollment and can only be revoked by submitting in writing to the Bursar's Office.

Contact Information
Agreement