Loss Of Enrollment Priority/ Bog Fee Waiver Appeal Form printable pdf download

Loss of Enrollment Priority and/or BOG Fee Waiver Appeal

Read the instructions carefully before completing this form.

Submit with all required documents to the Office of Admissions & Records.

Last Name____________________________ First Name ___________________ Student ID # __________________

Solano CC Email Address: _____________________________________________ Phone: (_____) _____ ‐ __________

IMPORTANT: You must attach a typed narrative of the reasons for this appeal, required documentation,

and a copy of your approved SCC Comprehensive Education Plan signed by a Counselor.

Enrollment Priority Appeal (check one if applicable)

Academic or Progress Probation due to extenuating circumstances (e.g., verified illness, or other circumstance

beyond your control). Attach verifying documentation (doctor’s statement, police accident report, etc.)

I have been making significant academic improvement by completing my last semester with a GPA of 2.00 or

higher and completing more than 50% of my attempted semester coursework.

I have a verified disability and applied for an accommodation that I did not receive in a timely manner. Attach

verifying documentation from DSP&S.

I have exceeded the limit of 90 earned degree‐applicable units for extraordinary reasons as detailed in the

attached narrative.

Loss of BOG Fee Waiver Appeal (check one if applicable)

Academic or Progress Probation due to extenuating circumstances (e.g., verified illness, or other circumstance

beyond your control). Attach verifying documentation (doctor’s statement, police accident report, etc.)

I have been making significant academic improvement by completing my last semester with a GPA of 2.00 or

higher and completing more than 50% of my attempted semester coursework.

I have a verified disability and applied for an accommodation that I did not receive in a timely manner. Attach

verifying documentation from DSP&S.

I was unable to obtain essential support services. Attach a detailed written statement/explanation.

I request special consideration as I am a student on one or more of these programs: (check all that apply and

attach written verification from each program) ___ CalWORKs ___ EOPS ___DSP&S ___Veterans

I have not enrolled at Solano Community College for two consecutive semesters (fall/spring) since I became

ineligible for the BOG Fee Waiver. Attach unofficial SCC transcript.

I declare under penalty of perjury that all information on this form is true and correct.

If this appeal is granted, I understand that I will again lose enrollment priority

and be ineligible for the BOG Fee Waiver if I fail to make satisfactory academic progress.

Student’s Signature: ____________________________________________________ Date:_____________________

OFFICE USE ONLY Committee Review Date: _________________

Committee Recommendation: Approve____ Deny____ Semester GPA: ________ Cumulative GPA: ________

Recommended Support Services/Follow‐Up: ________________________________________________________________

Authorized Administrator’s Signature: _____________________________________________ Date:___________________

Loss Of Enrollment Priority/ Bog Fee Waiver Appeal Form