Financial Aid Appeal Form - Kamehameha Schools
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4FINANCIAL AID & SCHOLARSHIP SERVICES RECONSIDERATION REQUEST FORM
Parent(s)/Student have the opportunity to request a reconsideration of the application status or decision if an application has
been denied, award has been cancelled or reduced, or changes in personal circumstances have occurred no later than 30 days
after a program deadline.
Process:
1.
Complete and submit the reconsideration request form with required supporting documentation (refer to attached list)
within 30 calendar days from the date of your KS notification or decision letter.
•
Reconsideration request form submitted with no supporting documentation will NOT be processed.
•
Reconsideration request form submitted after the submission period will NOT be reviewed or processed.
2.
The reconsideration request form with change in circumstances must be submitted no later than 30 days of the change
occurrence.
3.
A decision notification of your reconsideration request will be mailed in approximately 30 calendar days from the receipt
of the reconsideration request form and ALL required supporting documents.
Required Applicant Information
Last Name _______________________________________________
First Name ______________________
MI ____
Date of Birth (MM/DD/YYYY) _____________________________
KS Student ID # (if applicable) _______________
Address _________________________________________________
Email Address: ______________________________
City, State, Zip ___________________________________________
Contact phone # (____) ______ - _________
Program
Pauahi Keiki Scholars
KS Pre-School
KS Campus (if applicable):
Kapālama
Kipona (Non-KS K-12)
KS K-12 Program
Pukalani Maui
Nā Ho‘okama a Pauahi
Summer School
Kea‘au Hawai‘i
‘Imi Na‘auao
Other: ______________
KS Preschool
Name of Non-KS Preschool, K-12 or Post-High Institution: _____________________________________________________
CERTIFICATION: By signing this form, I/we certify that all information provided on this form and supporting
documentation submitted is true and complete to the best of my/our knowledge.
Applicant’s Signature ____________________________________________________
Date ________________________
(if over 18 years of age)
Parent’s Signature _______________________________________________________
Date ________________________
Parent’s Name
________________________________________________________
Contact phone # (____) _____- ________ Email Address: ______________________
Document No. 65
Rev. 12/17/2015
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