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School ID # 002660 4601 College Blvd., Farmington, NM 87402 Phone: (505) 566-3572/3323 Fax No.

: (505) 566-3568

FINANCIAL NEED ANALYSIS


Student's Name: Mailing Address: Social Security #: Class Level Freshman Sophomore Full-time Three quarter- time Half-time Less than half-time Major

Enrollment Status for Term Submit to :

2009 & 2010 Academic Year


Expenses:
Tuition/Fees Expected Family Contribution (EFC):

Resources:
Room/Board Pell Grant Books/Supplies SEOG/SSIG/SCAG Transportation Work Study Personal Loans Child Care Tribal Scholarships Miscellaneous Other (specify) TOTAL EXPENSES Other (specify) TOTAL RESOURCES

Student's Need Recommended for Scholarship/Financial Assistance: Scholarship Request will cover expenses for the period:
To

Month San Juan College Institution


Email: gonzalezb@sanjuancollege.edu 505-566-3086

Year

Month

Year

Signature of Financial Aid Officer Bernice Gonzalez

Date

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