Please fill out the form below in complete if you wish to apply for textbook assistance.

First Name:(*)

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Last Name:(*)

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Student ID:(*)

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College Email: (*)

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Are you currently registered for the semester in which you are requesting textbook assistance? (*)

YesNo Invalid Input

Have you submitted your FAFSA application?(*)

YesNo Invalid Input

Did you receive full FAFSA/financial aid? (*)

YesNo Invalid Input

Did you receive FAFSA/financial aid for textbooks?(*)

YesNo Invalid Input

Is your FAFSA/financial aid on hold?(*)

YesNo Invalid Input

Other than not receiving financial aid to purchase your books, please write 2 or 3 sentences explaining what financial barrier(s) you have that is preventing you from paying for the required book(s) out of pocket.(*)

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Upload a screen shot of the book(s) and cost(s) you need from the Bookstore website. Your application cannot be reviewed without it. (PDF, JPG, PNG formats only)(*)

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I understand that I have completely read and fully understand the eligibility requirement for the Textbook Assistance Program and certify that all the information I have provided is true and correct to the best of my knowledge. (*)

YesNo Invalid Input

Submit