Student Information
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CWID*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email*field type email
First Name*field type single line
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Last Name*field type single line
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Expected graduation semester & yearfield type single line
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Are you able to access Degree Works?*field type radio button
(myLeo > Student Resources > UG/G Degreeworks)
Are you able to access Degree Works?YesNo
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Current Term Student Account Charges
(To check your balance or your Financial Aid offers go to myLeo > Student Resources tab and the two bottom links will be LeoPay and Financial Aid. To see any outstanding FA requirements look under the "home" tab in your portal)
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Tuition and Fees*field type currency
Housing and Mealsfield type currency
Miscellaneousfield type currency
Past Due Balancesfield type currency
(Previous term)
Total Due*field type currency
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Current Term Financial Aid Offers
(To check your balance or your Financial Aid offers go to myLeo > Student Resources tab and the two bottom links will be LeoPay and Financial Aid. To see any outstanding FA requirements look under the "home" tab in your portal)
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Student Loansfield type currency
Parent Plus Loanfield type currency
Grants & Scholarshipsfield type currency
Total Financial Aid Offersfield type currency
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Difference = Total Due - Total Financial Aid Offers
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Difference/Remaining Balance*field type currency
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Additional Student Information
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Have you completed your FAFSA/TASFA and met all outstanding requirements in your FA portal?field type radio button
Have you completed your FAFSA/TASFA and met all outstanding requirements in your FA portal?YesNo
Do you have an understanding of the Satisfactory Academic Progress (SAP) standards and eligibility requirements for all of your financial aid?field type radio button
Do you have an understanding of the Satisfactory Academic Progress (SAP) standards and eligibility requirements for all of your financial aid?YesNo
GPA minimum (term & institutional)field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Completion of Hours (term & overall)field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Waivers/Exemptions:*field type radio button
(ex: foster care, Hazelwood, TWC, Valedictorian, GA, etc.)
Waivers/Exemptions:YesNoI don't know
Explain:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Are you employed?*field type radio button
Are you employed?YesNo
What is your current monthly income?*field type currency
Monthly phone expensesfield type currency
Monthly rent expensesfield type currency
Monthly utilities expensesfield type currency
Monthly gas expensesfield type currency
Other monthly expensesfield type currency
Do you have family financial assistance?*field type radio button
Do you have family financial assistance?YesNo
Approximate $:*field type currency
Current Financial Stress level 0-5*field type radio button
(0= no financial stress > 5 = very high financial stress)
Current Financial Stress level 0-5012345
Over the past 2 months, how many times have you considered taking a leave of absence from school due to finances?*field type radio button
Over the past 2 months, how many times have you considered taking a leave of absence from school due to finances?Several timesA few timesOne timeNot at allI have returned from a leave of absence
Is your financial situation causing you to have difficulty focusing on your studies?*field type radio button
Is your financial situation causing you to have difficulty focusing on your studies?YesNo
Top 3 Financial Concerns*field type multi line
What do you hope to gain from meeting with a Money Coach?*field type multi line
Signature of Student*field type signature
Datefield type date
Date will be captured on form submission
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Money Management Center

Student Information

Current Term Student Account Charges

Current Term Financial Aid Offers

Difference = Total Due - Total Financial Aid Offers

Additional Student Information