Fall Challenge Weekend Financial Aid Application

Please print out this form and submit it along with your Fall Challenge Weekend Application.

Name: ___________________________________________________________

Check (or circle) the statements which apply:

I am a voting member of Tech Squares
I am an undergraduate student at MIT
I am a graduate student at MIT

Please be aware that you have a better chance of receiving aid if you can contribute a portion of your weekend fee, as smaller requests will be awarded first. This will ensure that more people can attend the weekend.

How much money are you requesting? _____

Please write a statement of need with any additional facts or information, especially financial, supporting your request.

I have read the Fall Challenge Weekend Financial Aid Policy and pledge to contribute back to the program when I am financially able. In addition, I stand by the statements made on this application.

Signature: _______________________________________________________ Date: __________

Revised: $Date: 2005/04/20 19:49:07 $