2017-18 Memo of Assistance (MOA)
Enrollment Information to complete financial aid record for 2017-18

Dear Student:

Please provide enrollment information for summer 2017, fall 2017, and spring 2018. You must enroll in a minimum of 3 credit hours (half-time) each semester to receive federal student loans. It is important that you be as accurate as possible. Students enrolled in all intensive courses are not eligible for federal student loan.

Along with this form, you must:
• Complete the 2017- 2018 FAFSA (Free Application for Federal Student Aid) at www.fafsa.ed.gov.
• Complete the online Case Financial Aid Application using the My Financial Aid link at http://financialaid.case.edu/

Please check your My Financial Aid portal for all required documents. Other documentation may be requested.


1. Last Name, First, MI
Your answer
2. Email
Your answer
3. Case Network ID *
Your answer
4. Daytime Phone #
Your answer
5. Degree Program *
6. Are you enrolled in the Nurse Anethesia Program?
7. Are you employed with Cleveland Clinic, University Hospitals, or Metro hospitals? If yes, please provide a copy of a recent pay stub. You may send a copy via fax to 216-368-0124 or email ddh6@case.edu *
8. When do you expect to graduate? *
Your answer
9. How many credit hours do you plan to enroll for summer 2017? *
Your answer
10. How many of the credits listed in #9 are intensive credits?
Your answer
11. How many credit hours do you plan to enroll for Fall 2017? *
Your answer
12. How many of the credits listed in #11 are intensive credits?
Your answer
13. How many credit hours do you plan to enroll for Spring 2018? *
Your answer
14. How many of the credits lised in #13 are intensive credits?
Your answer
15. Use the space below to explain special circumstance. (if applicable)
Your answer
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