Financial Hardship Worksheet

Indicates required field

Instructions

This form can only be considered for review if all fields are completed and accurate documentation is provided. This form must also be accompanied by the Housing Exemption Financial Aid Information Form.

Forms with incomplete information will not be able to be used in the review. Note that financial savings are not grounds for an exemption for financial hardship.

Yearly Financial Resources

Yearly Expenses On Campus

Yearly Expenses Off Campus

Monthly Off Campus Expenses

Monthly total x 3 =

Proposed Residence/Landlord Information

Do not sign an off-campus lease. If a lease has already been completed, it should accompany this request. Signing a lease is
not recommended until you have received confirmation of exemption from Housing and Residence Life and does not guarantee
an exemption.
9 months, one year, etc.

Roommates:
more items