Spring 2024- Text Book Scholarship Request Form

Fall 2024- Text Book Scholarship Request Form

Please complete the following form to request financial assistance for textbooks and course materials.
Name*

First NameLast Name
Student ID Number:*
Phone Number*
Please enter a valid phone number.
Trine Student Email*
example@my.trine.edu
Major:*
Class Standing:*

FreshmenSophomoreJuniorSenior
Please list the courses you will need text books/course materials for. OR If you need text books/course materials for all courses simply write ALL below.*
Financial Information
Did you have to take out a loan for the semester? (For tuition, room and board, etc.)*

YesNoI tried to take out a loan but did not qualify and/or did not have a cosigner
If you did take out a loan, what type is it?*

Public (Subsidized, unsubsidized, Parent PLUS, etc.)Private (Sallie Mae, Discover, SoFi, etc.)Public and privateI don't knowI did not take out a loan
Where do you live?*

On campusOff campus (apartment, rented house, etc.)Sorority or fraternity houseWith parents
Do you have a meal plan on campus?*

YesNoI don't know
Some students do not qualify for full assistance but may be eligible to receive partial assistance. If you are not eligible to receive full assistance, what is an amount that you can contribute to your books this semester?*

$0$1 to $25$26 to $50$51 to $100$101 to $150$151 to $200$201+
Agreements and Return Requirement
This voucher will allow me to receive only books or other required course materials (NO food or clothing). This voucher will be for the designated credit amount for textbooks for the FALL SEMESTER 2024 at Trine University. I understand I must meet the eligibility requirements to receive these funds. Please see Jessica Taylor if you have questions.*

I agreeI do NOT agree
This voucher is up to $600 per calendar year (January 1, 2024- December 31, 2024).*

I agreeI do NOT agree
RETURN REQUIREMENT - I understand that any physical books or electronic equipment I receive must be returned no later than Thursday, December 12, 2024. I understand that not returning these will make ineligible for future assistance.*

I agreeI do NOT agree
Signature- Please sign form below*

Clear
Today's Date*

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Fall 2024- Text Book Scholarship Request Form

Financial Information

Agreements and Return Requirement