Financial Aid Office
1000 West Austin, Nevada, Missouri 64772
Phone: (417) 667-8181
Fax: (417) 667-8103


Additional Scholarship/Resource Form

Please complete this form indicating any additional scholarships/resources you have been awarded which are not listed on your financial aid award letter.

• Any scholarship checks given directly to the student need to be reported on this form also.
• Outside scholarships reported on this form will be added to the student’s financial aid package and may affect eligibility for federal and institutional aid.
• You may receive a revised award letter, if private scholarships and other resources you report on this form affect aid already awarded.

  * Required fields
Your First Name:*
Your Last Name:*
Last four digits of
Your Social Security number:
*
Your Phone Number:
Please include area code

E-mail Address:*


Our normal policy is to apply 1/2 of the scholarship to fall semester and 1/2 to spring semester. If the scholarship is to be applied to one semester only, please indicate that below in the special instructions area.
Scholarship 1
Name of Scholarship:
Award Amount: $
Where will funds be sent? to Cottey   to Student
Special instructions (if Cottey needs to send verification of enrollment, please provide instructions):300 character maximum
 
Scholarship 2
Name of Scholarship:
Award Amount: $
Where will funds be sent? to Cottey   to Student
Special instructions (if Cottey needs to send verification of enrollment, please provide instructions): 300 character maximum
 
Scholarship 3
Name of Scholarship:
Award Amount: $
Where will funds be sent? to Cottey   to Student
Special instructions (if Cottey needs to send verification of enrollment, please provide instructions): 300 character maximum
 
Scholarship 4
Name of Scholarship:
Award Amount: $
Where will funds be sent? to Cottey   to Student
Special instructions (if Cottey needs to send verification of enrollment, please provide instructions): 300 character maximum

Agreement:*
I certify that I have provided accurate information on this form and I understand the information listed above.
Type the text below.