2021 - 2022 Dominican Financial Aid Application
Complete this form only if you are an admitted Graduate or Adult Degree Completion student and received a merit scholarship or you want to apply for financial aid. Applicants who submit this form without first being admitted to the University will not be reviewed.

Note: Financial aid will not appear on your student account balance if the number of intended units indicated on the application does not match actual enrolled units. Please consult the Office of Financial Aid after registering for courses to confirm enrollment.
Student Information
Last Name *
First Name *
Middle Initial
Daytime Phone *
Email Address *
Dominican ID Number (if known)
Have you previously attended Dominican under a different name? *
If you answered yes, what was your prior name?
Housing Plans
Please indicate your housing plans for the 2021-22 academic year. *
Anticipated Units
Please indicate the number of units you will take for the listed semesters. If you do not have the exact number, please use your best estimate. A range of units cannot be used for this form. If you will not attend during a semester, please enter "0" units.

Note: Students must notify the Office of Financial Aid if the units indicated on this form do not match with the number of units in which the student registers. Aid will not appear on your student account statement until the discrepancy is resolved.
Fall 2021 *
Please indicate the number of units you will take for Fall 2021.
Spring 2022 *
Please indicate the number of units you will take for Spring 2022.
Summer 2023 *
Please indicate the number of units you will take for Summer 2022.
Financial Aid Applicant Status
Reminder: If you are planning on applying for federal aid have not yet filed a FAFSA, please submit your FAFSA online at www.fafsa.gov and use Dominican's school code: 001196.
For 2021 - 2022 academic year, please mark the response that best describes your enrollment and aid status. *
External Resources
The Office of Financial Aid is required to know about any resources you will be receiving to assist with your educational expenses.
Do you expect any Americorp Voucher benefits for the 2021-22 academic year? *
Do you expect any Employer Tuition Benefits for the 2021-22 academic year? *
Do you expect any Private Scholarships for the 2021-22 academic year? *
If you answered yes to any of the above, please provide the total amount(s) expected from the external resource(s).
Do you expect any Veteran's/GI Bill benefits?
Clear selection
Which Chapter?
If answered yes to Veteran's/GI Bill benefits.
How many months?
If answered yes to Veteran's/GI Bill benefits.
Children of Fall Heroes Scholarship Act (Adult Degree Completion Program students only)
Did your parent or guardian die in the line of duty while serving as a public safety officer? *
Additional Children of Fallen Heroes Scholarship eligibility questions: *
Yes
No
N/A
Were you less than 24 years of age at the time of your parent or guardian's death?
Were you enrolled at an institution of higher education at the time of your parent or guardian’s death?
Supplemental Information for New Dominican Aid Applicants
Are you a relative of a Dominican University of California alumni? If so, please provide the following information. If more than one relative are alumni, list the relative who is your closest next-of-kin.
Alumni name
Alumni name while attending Dominican.
If different than current name.
Relationship
Alumni Year of Graduation
Student Certification
I agree to notify the Registrar's Office of any change(s) in my own or my family's name, address, or phone number. I understand that I must be admitted into an eligible program of study and attending on at least a half-time basis in order to receive most types of financial aid. I understand that I may be required to submit additional documents to complete my application for financial aid. I understand that I must maintain Satisfactory Academic Progress toward my degree and that I must reapply for financial aid every year. Finally, I understand that if my actual enrollment differs from what is reported on this application, I must notify the Office of Financial Aid and I understand that my aid may change.
Student's Signature. *
Digital signatures are accepted for this form only.
Date of Submission *
Please indicate today's date.
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