203 Day Hall

Ithaca, New York 14853-2801

t. 607.255.5145
f. 607.255.6329
finaid@cornell.edu
http://finaid.cornell.edu

2010-2011 SUMMER SAVINGS EXPECTATION (SSE) ADJUSTMENT

FOR CORNELL GRANT REIMBURSEMENT
Deadline: September 24, 2010
Standard SSEs for 2010-2011: first year $2,370 – sophomore $2,990 – junior $3,130 – senior $3,350

Name: Cornell ID number:

Local/Cellular telephone number: E-mail address:

This form is for students who have received an outside award that has reduced Cornell Grant in their aid package.
Examples of outside awards include, but are not limited to private scholarships, tuition benefits, and rent free housing
due to resident advisor positions. This also applies to students packaged with excess summer savings.

This form allows you to request that your Cornell Grant aid be reinstated toward your Summer Savings Expectation in
the event that you were unable to earn and save over the summer. Please provide a brief explanation of why you were
unable to earn. If you did earn, but used these earnings for essential summer expenses like rent, food, or gasoline
please also attach a typed summary of these expenses. Receipts are not required.

Check any boxes that are applicable for summer 2010 and provide the corresponding documentation:

I worked or had a paid internship

Required Documentation: Last pay stub or a statement from your employer documenting your
total earnings for summer 2010.

I took classes
Required Documentation: If not enrolled through Cornell Summer Session, please provide a
unofficial transcript or certificate documenting your enrollment.

I had an unpaid internship or did volunteer work

Required Documentation: A signed letter from your internship or site coordinator certifying
the hours you worked and that you were not reimbursed for your services.

Other

Briefly elaborate on reason(s) for lack of earnings:

I certify that all information on this form and attached documentation is accurate to the best of my knowledge.

Student Signature: Date: