Satisfactory Academic Progress Documentation Form

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Satisfactory Academic Progress Documentation Form
Student Name: _____________________________________________________ Student ID: _________________
Do not complete this form if pages 1 and 2 of the Satisfactory Academic Progress Petition form are not
completed and attached for your review. Please return all pages to the student after completing this form.
This form is also available for completion online at
UND.edu/financial-aid
> Policies > Satisfactory Academic Progress.
The above named student has been placed on financial aid disqualification at the University of North Dakota for failure to
comply with one or more of the federal financial aid Satisfactory Academic Progress requirements (see page 1 of the
Satisfactory Academic Progress Petition Form). This form is part of the student’s appeal for reinstatement of federal
financial aid eligibility. Any information you can provide below will be helpful during the appeal evaluation process.
1. In what capacity do you know this individual?
2. Please provide any information you have pertaining to this individual’s situation (as described on the Satisfactory
Academic Progress Petition Form).
Academic Advisor: Please complete the following section if Box #2 is checked on Page 1 of the Satisfactory Academic
Progress Petition form (Exceeded Maximum Time Frame):
1. Remaining credit hours needed to complete degree requirements (including current semester): ________________
2. Number of semesters needed to complete degree requirements (including current semester): _________________
3. Anticipated graduation date: _____________________
Signature: _____________________________________________________________ Date: ___________________
Print Name: __________________________________ Contact Phone or E-Mail: _____________________________
Title:  Academic Advisor
 Clergy
 Counselor
 Physician
 Other ___________________________
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