FMHAF 01/02/2014
Rose State College
Office of Student Financial Aid
6420 SE 15th Street
Midwest City, Oklahoma 73110
Phone (405) 733-7424 Fax (405) 736-0359
Website http://www.rose.edu Email finaid@rose.edu
Verification of Military Housing Allowance 2014–2015
Student Name: ___________________________________ RSC Student ID#: __________________
Current Address: _________________________________________________________________________
Please provide the information requested below.
□I am living in housing located on a military base or housing for which I or my parent is receiving a basic housing
allowance from the military.
□I (or my spouse if married) am not living in housing located on a military base or housing for which I (or my spouse if
married) am receiving a basic housing allowance from the military.
I certify all information reported on this form is complete and correct.
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both
______________________________________________ ___________________________
Student Signature Date
The RSC Office of Student Financial Aid must, by federal regulations, identify students living in housing
located on a military base or housing for which they receive a basic housing allowance from the military.
Students in this category are only eligible to receive an allowance for “board only” in their financial aid cost
of attendance (COA). This reduction in a student’s COA may reduce eligibility for campus based aid
programs such as Federal Work Study, FSEOG and/or Federal Direct Student Loans.
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