Financial Aid Request Form

Please complete the following information and click Submit to create a new account.

1. Your Information











   Yes
   No


   Yes
   No



   Yes
   No


   Yes
   No



   Yes
   No


   Food Insecurity (e.g. loss of employment)
   Housing Disruption (e.g. moved off campus, rent, loss of employment, etc.)
   Lack of Adequate Course Materials
   Lack of Adequate Technology
   Loss of Health Care (e.g. loss of health insurance due to unemployment or furlough)
   Loss or Lack of Adequate Child Care (e.g. need additional childcare due to daycare closure or child's school moving to remote instruction)
   Other (e.g. caring for sick family member, etc.)
   Financial hardship due to additional child care expenses
   Financial hardship due to additional housing expenses
   Student or family member has been working less due to furlough or job loss
   Student or family member was diagnosed with COVID-19
   None


   Yes
   No



   Senior Citizen Tuition Waiver (Must be 60 years or older)
   Social Security Disability Waiver
   Foster Care Recipient
   Homeless Youth
   Not Applicable (N/A)


   Yes
   No




2. Financial Aid Opportunities Available




3. Continuing Education Financial Aid Rules and Guidelines




   I have read the guidelines listed above and agree to follow them.
   I have additional questions and concerns and would like to request someone contact me for further details.





4. Maryland Higher Education Commission Drug-Free Pledge


   By checking this box I certify I am the person identified in this application, and have read and agree to the conditions above.
   I do not agree to the conditions above. (Will disqualify you from receiving MHEC funds)


5. Signature and Acknowledgement





For security purposes, please complete the following: