Book Voucher Request Form Date* Email*Please use the email address where you want the voucher sent. Name* First Last Federal Student Aid*I have completed my FAFSA and VFAO interview.YesNoGrants and/or Loans*I have chosen to take the following types of Federal Student Aid. (choose all that apply) Pell Grant Direct LoansEnrollment Status*I am enrolled for the following amount this upcoming semester:Full Time (12 credits or above)Three Quarter Time (9-11 credits)Half Time (6-8 credits)Less Than Half Time (1-5 credits)Helpful HintsStudents may qualify for Amazon Prime Student (free shipping) using their VBC.edu email addresses.Students may use smile.amazon.com to purchase textbooks and also support VBC! Just click smile.amazon.com and choose Virginia Baptist College as your charity.Amount of Voucher Requested in $*Please put the amount of voucher requested up to $400 per semester. Be sure to calculate shipping costs and tax. This amount is reduced for students only taking Pell Grant.Terms Agreement* I understand that I must be using Federal Student Aid to receive a voucher. I understand that if I have chosen to take Pell grant only (no loans), I will only receive a book voucher for the amount that Pell will cover over and above tuition/fees. I understand that this non-refundable amount will be placed on my account at VBC. I understand that I will still owe this amount even if I withdraw from classes before they begin or before I receive aid. I understand that this amount must be paid by the end of the semester or my account will be locked. I understand that I will be charged a 10% processing fee. I understand that I must submit my Amazon receipt to the college office as verification that I purchased textbooks with my voucher.Authorization*By signing below, I authorize Virginia Baptist College to send me a book voucher and put the amount on my account. This iframe contains the logic required to handle Ajax powered Gravity Forms.