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:* 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*
