Request for Early Disbursement of Funds

Name*
First Last
Student ID #:*
Email*
Funds Requested for Semester:*
- Fall
- Spring
- Summer
Year:*
Check all that apply:
- I am enrolled
- My financial aid file is complete
My first course for at least 3 credits begins on:*
Date Format: MM slash DD slash YYYY
*
- I request an early disbursement of my Sierra Nevada University financial aid funds to my student account. By signing this form, I promise to repay Sierra Nevada University any funds due which are the result of a complete withdrawal from classes. I will be held responsible for any tuition changes that are a result of adding or dropping courses, or any additional charges added to my student account after receiving the early disbursement funds.
Signature*