University of Southern Indiana

2021-2022 Forms and Handouts

Most USI Student Financial Assistance forms are Acrobat files (PDF format). In order to view or print, you will need Adobe Acrobat Reader installed on your computer.

***IMPORTANT*** If you choose to email documents, please see our handout on Sending a Secure/Encrypted Email

2021-2022 Forms (Fall 2021 - Summer 2022 Forms)

Annual Student Loan Acknowledgement (ASLA)

Appeal of Financial Assistance Ineligibility

The deadline to appeal for summer 2022 is July 1. All appeals received after July 1 will be considered for future terms of enrollment.

Budget Adjustment Appeal

Only adjusts the budget (not the bill). Please read the entire form and submit all requested documentation.

Cancel Aid Form/Not Attending Form

Child Support Worksheet

Child of Disabled/Deceased Veteran Application

Dependency Override 

Please read the entire form and submit all requested documentation.

Dependency Override Renewal

Submit only if you've had a Dependency Override approved in a previous award year

Entrance Counseling

Exit Counseling

Free Application for Federal Student Aid (FAFSA)

File by April 15 to maximize aid eligibility. Be sure to add USI's School Code - 001808

Identity and Statement of Educational Purpose

**If you cannot appear in person, due to distance education, contact the Student Financial Assistance Office for further instructions.

Loan Adjustment Form

**The Loan Adjustment Form is used for students who are graduating in the fall or for students who are needing to make an adjustment to a loan that has already been accepted/processed.**

Marriage Override Application

Submit only if you (the student) married after filing FAFSA and your marriage date is prior to your first day of enrollment during the 2021-2022 academic year.

Master Promissory Note (MPN)

Parent PLUS Loan Request/Parent PLUS Pre-Approval

We recommend completing the Parent PLUS Loan Request/Parent PLUS Pre-Approval online at, however, paper applications may be downloaded and printed after July 1. Note that paper applications will take longer to process.

Private Educational Loan Applicant Self-Certification

This is NOT an Alternative/Private Loan Application. View more information about Alternative/Private Loans online.

Proof of Dependent Support Form

Senior Citizen Tuition Exemption

Special Circumstance Form

The deadline for the 2021-2022 academic year has passed.

Statement of Assets Worksheet

Summer 2022 Direct Loan Request Form

Unusual Enrollment History Worksheet

Untaxed Income/Additional Financial Information Worksheet

Verification Worksheet

Work Study Resume


Checking Your myUSI Instructions
Financial Aid Timeline
High School Completion Status
Return of Title IV Federal Funds Institutional Policy
Satisfactory Academic Progress Policy
Tax Documentation
Transferring Financial Aid
Unaccompanied Homeless Youth Documentation
Verification Information
Work Study FAQ

Contact Financial Assistance


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