You must have JavaScript enabled to use this form. UCM Student ID # (9 digits) * Last Name * First Name * UC Merced Email * Contact Phone Number * Briefly state your current financial hardship * Have you been offered financial aid from the University? * Yes No I certify I'm the person indicated above and the information I have provided is accurate and true * I Agree Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. reCAPTCHA response
