Marquette University FACHEX Certification Request Deadline to request certification for students enrolling in Fall 2021 is December 1, 2020. 2021-2022 (Fall 2021 Admission)

Student Name (first, middle, last): ______Student’s Telephone: ______Student’s Social Security No. (last four only): ______Student’s E-mail: ______Student’s Permanent Address: ______Student’s Date of Birth: ______

Sponsor Parent Name (first, last): ______Parent’s E-mail: ______Parent’s Department: ______Parent’s Job Title: ______Parent: Faculty or Staff? Faculty Staff

Are you filing the Free Application for Federal Student Aid (FAFSA)? Yes No Applying to: Place a check in the box by every school to which you are considering applying. Certification of eligibility will be provided to only those schools indicated.

Boston College Regis University* Canisius College* Rockhurst University* College of the Holy Cross Saint Joseph’s University* Creighton University* Saint Louis University* Fairfield University* Saint Peter’s College* Fordham University* Santa Clara University* Gonzaga University* Seattle University* John Carroll University* Spring Hill College* LeMoyne College* University of Detroit Mercy Loyola Marymount University* University of San Francisco* Loyola University Chicago University of Scranton* Loyola University Maryland* Xavier University* Loyola University New Orleans*  Denotes schools that are also members of Tuition Exchange (certification is automatically included for both FACHEX and TEP at no charge). Are you applying to Marquette University? Yes No

Note that all fields are required. Please complete this form, save as a pdf, and email to Marquette’s outbound FACHEX Coordinator, Debra Reeder, at [email protected] or fax to her attention at 414-288-6400.