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OUTSCH Rvsd: 10/20/20

OUTSIDE SCHOLARSHIP & RESOURCE REPORTING FORM Please complete this form only if you are receiving funds/resources from a source other than William & Mary.

Return the completed form and copies of your any award letter/notification to our office.

Name: W&M Student ID #:

Students are required to report any outside scholarships, tuition benefits, and any other financial resources that they are receiving (even if they are paid directly to the student) - that are not awarded from William & Mary. This includes but is not limited to scholarships from a high school, private club, agency, corporation, organization, or tuition benefits from a parent employer.

Financial assistance from outside sources may affect your eligibility for financial aid. In order to remain in compliance with federal regulations, state requirements and institutional policy, your eligibility for financial aid may be reevaluated upon notification of any outside scholarships, benefits, and financial resources.

Name of Scholarship/Resource Example: Outstanding Young Person of the year

Awarding Organization Example: Anytown High School PTA

Amount: Fall/Spring /Summer Example: ($3000) $1500 Fall/ $1500Spring / $0 Summer

Renewable? (circle)

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

I attest that this information is accurate to the best of my knowledge. Should any information change I will notify the Office of Student Financial Aid.

Student Signature _________________________________ Date: _________________ *Handwritten signatures only. Computer fonts are not acceptable.

All scholarship checks/awards should be mailed to Student Accounts at the address below: William & Mary Student Accounts – 108 Blow Memorial Hall PO Box 8795 Williamsburg, VA 23187 - 8795

** Make sure to include the student’s ID number on the checks that are mailed to W&M **

Use one of the following methods to return this form To protect your data, we do not accept documents via e-mail attachment

Online Upload (preferred) https://www.wm.edu/financialaid/box

Fax 757-221-2515

Mail

Office of Student Financial Aid Office of Student Financial Aid William & Mary William & Mary P.O. Box 8795 Blow Memorial Hall, Room 124 Williamsburg, VA 23187-8795 262 Richmond Road

Williamsburg, VA 23185

I do NOT anticipate receiving any outside scholarship funds for the academic year. I will notify the Office of Student Financial Aid if this changes.