CUNY Revocation of Student Grant Agreement
This document allows students to revoke the permission granted to apply HEERF III - Federal ARPA Student Grant to their outstanding balance. It provides essential instructions for students to take control of their financial aid. Important for those reconsidering how their grants are used at The City University of New York.
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How do I fill this out?
To fill out this form, start by entering your first and last name as printed in the designated fields. Then, sign the document to authorize the revocation of permission. Lastly, indicate the date and your college along with your EMPLID for proper identification.

How to fill out the CUNY Revocation of Student Grant Agreement?
1
Read the instructions carefully.
2
Fill in the required personal information.
3
Sign the document acknowledging your revocation.
4
Date the form accurately.
5
Submit the completed form as directed.
Who needs the CUNY Revocation of Student Grant Agreement?
1
Students who have previously authorized the use of their grant funds.
2
Individuals who wish to manage their financial aid proactively.
3
Students encountering unforeseen circumstances due to Covid-19.
4
Those intending to use their grants differently or for other expenses.
5
College administration requiring updated permission records.
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What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure to check for any updates from The City University of New York regarding due dates for submitting the revocation form. Be mindful of specific deadlines associated with your grant to avoid any adverse effects. It’s essential to act promptly to maintain control over your financial assistance.

What is the purpose of this form?
The primary purpose of this form is to allow students the autonomy to revoke previously granted permission for their Federal ARPA Student Grant application. It serves to empower students to manage their financial aid responsibly, especially in the context of changing personal circumstances. This flexibility is crucial for ensuring that grants are utilized according to the students' current needs and situations.

Tell me about this form and its components and fields line-by-line.

- 1. First Name: Field for entering the student's first name.
- 2. Last Name: Field for entering the student's last name.
- 3. Signed: Field for student's signature.
- 4. Date: Field for entering the date of signing.
- 5. College of Attendance: Field for specifying the college where the student is enrolled.
- 6. EMPLID: Field for entering the student's unique identification number.
What happens if I fail to submit this form?
If the form is not submitted, The City University of New York will automatically apply your grant funds to outstanding charges. This could affect your account balance and result in a loss of control over how your funds are used. Therefore, it is critical to submit the form by the designated deadline to ensure proper processing.
- Application of Funds: Unintended application of grant funds to your account.
- Loss of Control: Inability to redirect grant funds for personal needs.
- Administrative Issues: Potential conflicts or issues with the college regarding finances.
How do I know when to use this form?

- 1. Change of Intent: When a student decides they want to use their grant funds differently.
- 2. Financial Reevaluation: If personal financial circumstances have changed.
- 3. Emergency Situations: In response to unexpected costs related to Covid-19.
Frequently Asked Questions
How can I revoke my grant application permission?
You can revoke your permission by completing the revocation form and submitting it as instructed.
What is the purpose of this form?
This form allows you to formally revoke permission for the application of your Federal ARPA Student Grant to your outstanding charges.
How do I submit the completed form?
Once completed, you can submit the form via email or in person to the designated university office.
Can I edit this PDF before submitting?
Yes, you can use PrintFriendly to edit the PDF easily before finalizing your submission.
Is there a deadline for submitting the revocation?
Yes, be sure to submit the form before the stated due date to ensure your wishes are honored.
What happens if I miss the deadline?
If you miss the deadline, the university will apply your grant towards your account balance automatically.
Do I need to provide my EMPLID?
Yes, your EMPLID is required for identification purposes on the form.
Can I change my mind after revoking permission?
Yes, you can grant permission again before the new due date if you change your mind.
How does Covid-19 impact the use of my grant?
Due to Covid-19, you may need to consider emergency costs; this form allows you to manage how your grant is applied.
Who should I contact if I have questions?
For any inquiries, contact the financial aid office at your college.
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