Submit this form by February 1, 2022 to receive priority consideration for aid. Applications sent in after February 1 could result in less aid due to limited funding.
Financial Aid
2022 - 2023 Additional Information Form
Use this form, along with a 2022-23 FAFSA, to request financial aid for Fall 2022 and Spring 2023 semesters ONLY.
    Student Full Name:      SSN or Viterbo ID#: 
    Date You Expect to Complete Your Degree/Certificate/Licensure at Viterbo (MM/YYYY):      
Expected Enrollment Fall 2022 Spring 2023
Estimated Number of Credits
(Do not leave blank)
Undergraduate Full-time = 12 or more credits per semester (must attend at least 6 credits/semester to get most aid, 3 credits to get a Pell Grant)
Graduate Full-time = 6 or more credits per semester (must attend at least 3 credits/semester to get aid)
NOTE: Post-Baccalaureate Teacher Licensure program is considered undergraduate for financial aid purposes.
IMPORTANT:Financial aid is awarded using the data you provide on this form and the FAFSA. You must notify the Financial Aid Office of changes after submitting the application. Aid can be adjusted for changes to credit load, course start and end dates, housing (on vs. off), grade level, academic program, or outside aid received. Housing, credit load, and class start/end dates will be verified at the end of the first week of each semester and aid adjusted accordingly.
Outside Assistance
1. Will you receive assistance from any of the sources listed in #2 below, as you are aware at this time?**

  a.          (If Yes, complete #2 below)  (**notify the Financial Aid Office of aid received from any external source after submitting this form)
2. List aid you will receive from external sources that you know at this time. Do not report aid awarded by Viterbo, including athletic, merit, or talent awards, federal/state grants, federal student loans, or work study.
Source of Outside Assistance Fall 2022
Semester Amount
Spring 2023
Semester Amount
Employer Assistance/Reimbursement
Veteran Benefit
Chapter # and Type:
Private Grant/Scholarship
Private Grant/Scholarship
Private Grant/Scholarship
Tuition or other support from non-custodial parent (the parent not required to provide their information on the FAFSA),grandparent or others
Other (specify):
Colleges Attended [Do not include current or prior enrollment at Viterbo]
College/University Name City, State Date of Attendance (MM/YYYY- MM/YYYY)
Scholarship Questionnaire (to be considered for additional scholarships)
Religious Affiliation: City/County/State of High School:
Race:              Will you be on an athletic squad in 2022-23?        
Gender:          What sport(s)?  
Does your family live on and operate a farm?   Select Military Information if applicable:  
Name of High School:   Declared Minors:  
Campus/Community Involvement While Enrolled at Viterbo (list name of agency/club/organization, dates of unpaid service, leadership positions you have held, etc.)
Student Certification and Signature
  • I understand it is my responsibility to notify the Financial Aid Office of changes to information provided on this form or other supporting documents. Changes include, but are not limited to, increasing or decreasing credit load, changing academic program (major), changing housing status (on, off, with parent), and/or receipt of assistance from an outside source (scholarship, employer reimbursement, etc.), all of which could impact the amount of financial aid you receive.
  • I agree it is my obligation to attend class regularly and make progress toward my degree requirements. Failure to attend and/or otherwise make progress toward program requirements will result in reduction and/or cancellation of financial aid and possible suspension from future assistance. A copy of the Viterbo “Standards of Satisfactory Academic Progress for Financial Aid” is available on the Financial Aid homepage or in paper form from the Financial Aid Office upon request.
  • I agree to keep Viterbo University informed of my current address and phone number so I can be contacted as needed.
  • I understand that Viterbo University may share information from my financial aid records with relevant agencies or institutions that provide educational assistance.
  • It is my responsibility to know the consequences of dropping, withdrawing, or failing a course(s).
My signature (actual or electronic) affirms that all information reported on this form is true and complete at the time of submission. My signature further declares my understanding of the certification statements listed above. I agree that my electronic signature is the legal equivalent of my hand-written signature.
  Student Signature:           Signature Date: