Book Voucher Request Form - Spring 2021
Please complete the following information to request a Book Voucher. The voucher is only available for Fleer and Graduate students.
Student ID Number
Salem E-Mail Address
Which Student Population do you belong to?
Graduate (MAT or MED)
I have read and understand the following:
Completion of this request is not a guarantee of a voucher.
I must be enrolled at least part time and receiving financial aid in excess of my tuition costs to be eligible for a voucher.
If I am a new student and I have not completed all required paperwork (master promissory note and entrance counseling) for my loan, I may not be eligible to receive this voucher.
I will not be able to utilize my voucher before January 12, 2021.
My voucher will not be valid after drop/add ends (January 26, 2021).
My voucher amount will not exceed the amount of my expected refund or $600, whichever is less.
I am responsible for all charges at the bookstore if my enrollment or financial aid status changes which reduces my expected refund amount.
Any refund I am expecting will not be available until approximately 3 weeks after drop/add once financial aid and book store charges have been assessed and processed.
Never submit passwords through Google Forms.
This form was created inside of The Salem Academy and College.