V2.29.2016
Post Baccalaureate
Professional Judgment
Request
2016–2017
This form must be completed by students who have a 4 year degree but which to receive aid to pursue
a 2 year undergraduate degree or certificate.
Allow 2-3 weeks for processing.
All transcripts must be received and evaluated by LSC before request is reviewed.
STUDENT INFORMATION
Student Name
Student ID#
Phone
Bachelor’s Degree
• Post baccalaureate students are not eligible for Pell Grants.
• If approved, post baccalaureate students will be considered undergraduates and loan awards are based on
undergraduate loan limits. Note: Students who have exceeded the undergraduate loan limits will not be
eligible for aid.
Initial below indicating that you have read each statement:
_______
The department of education requires all students to complete a program of study on time and within
maximum time frame.
_______
Transfer hours are included in the maximum timeframe calculation.
_______
Most associate degrees/certificates are 60 credit hours (max-time=90hrs); students who have a 4
year degree have exceeded max-time (for a 2 year school) before they start their programs at LSCS.
_______
An extenuating circumstance must exist for the request to be considered.
_______
ATTACH A TYPED SUMMARY OF YOUR EXTENUATING CIRCUMSTANCE ALONG WITH SUPPORTING
DOCUMENTATION.
Are you currently employed?
Yes
No
If No, last date of employment
Job Title:
Date started:
Are you unable to work in your chosen career field due to medical reasons? Must provide medical documentation if yes.
Yes
No
College Attended:
___________
Degree Type:
___________
Date Earned:
___________
_
Which LSCS Degree Are You Pursuing? ________________________________
Hours in Degree Plan ________
__
STUDENT CERTIFICATION
I certify that the information provided herein is true and correct to the best of my knowledge. I also understand that if I purposely give
false or misleading information in connection with my application for federal aid, I may be subject to a fine up to $20,000, sent to prison,
or both.
Student Signature:
Date: