Copy to Conference Office

MISSOURI VALLEY INTERCOLLEGIATE ATHLETIC ASSOCIATION
Hotel Muehlebach . . . Kansas City 6, Missouri
STATEMENT OF FINANCIAL AID

 

 

Name of Institution Name of Student

 

‘Date Parent’s Name

 

e = re Parent’s Address’

I. M.V.LA.A. FINANCIAL AID REGULATIONS .

The Rules of the Missouri Valley Intercollegiate Athletic Association permit aid to athletes in the form of part-time work
and/or grants to the extent of fees, tuition and/or books if not otherwise provided, room and board at dormitory rates or
less, and incidentals.’ Incidentals shall not exceed $15 per month. .

The following are violations of these Rules:

- Any financial aid to an athlete from any source other than the institution, the government, his parents or guardian.
. Any financial aid to any member of an athlete’s family.
. Promises of financial aid beyond an athlete’s normal period of eligibility.

- Summer employment for which a higher scale of pay is received by an athlete than is received by other employees doing
the same type of work.

5. Award of money, gifts, or promises of gifts equivalent to money.

bh w RI

Il. FINANCIAL AID FROM INSTITUTION

This is to certify that the above named student has been awarded financial aid to the extent of:

: Yes No “s Special Conditions
Fees C C 3 a

"Tuition es 6

. Books ei C] .
Room C] C] ,

: Board CO Cc
Incidentals . 3 C]

The above is awarded for the i a aisha hla caleba once and will be
. discontinued during this period only for disciplinary reasons or for-failure to maintain satisfactory scholastic standing.

Signed for Institution:

Chairman Faculty Athletic Committee Athletic Director

 

 

I accept the financial aid under conditions as listed in II above.

I certify that I have read the M.V.I.A.A. regulations as stated in I above and that I have not received financial aid or promises
of financial aid in excess of that allowed under these regulations.

I understand that any erroneous or incomplete statements regarding financial aid may be the basis for my being declared ineligible
for participation in any member institution.

 

an Student