Fillable Suspension Appeal Form printable pdf download

Suspension Appeal Form

DIRECTIONS: Complete this appeal form, attach neutral third party documentation, and return to the

GRCC Financial Aid Office by: August 1 (Fall semester)

December 1 (Winter semester)

April 1 (Summer semester)

Appeals received after these dates will be considered appeals for the following semester.

• Reasons for successful appeals involve serious conditions or events that occurred during previous

semester(s) which prevented you from earning satisfactory grades. Only a small percentage of appeals

are approved.

• If your appeal is approved, there may be other documents you will need to provide to the Financial Aid

office after we receive your Free Application for Federal Student Aid (FAFSA).

• Financial Aid Suspension Appeals will not be considered for students who are on

Academic Suspension.

Print Student Name: ______________________________________________Student ID Number: ______________________________

Address: _________________________________________________________Phone: (______) __________________________________

City: ____________________________________________________________State: _______________ Zip: _______________________

NOTE: Be sure your address is up to date on the GRCC system as that is where the decision letter will be sent.

Name of Neutral Third Party*: ____________________________________Relationship to Student: __________________________

* NEUTRAL THIRD PARTY DOCUMENTATION SUPPORTING THE REASONS STATED BELOW MUST BE ATTACHED

OR THE APPEAL WILL BE DENIED. (If on suspension due to maximum credits, you must include a copy of your academic plan

signed by your advisor.)

• Statements from doctors, counselors, employers (on company letterhead) ARE acceptable.

• Statements from family members or friends ARE NOT considered neutral and will not be accepted.

Please state the reasons why you did not make satisfactory academic progress: (If the appeal is due to maximum credits,

indicate why it is taking so many attempted credits to complete your program.)

__________________________________________________________________________________________________________________

Please discuss actions that you have taken or will be taking to make satisfactory progress in the future: (If the appeal is

due to maximum credits, indicate how you will follow the academic plan you developed with your advisor/counselor.)

__________________________________________________________________________________________________________________

Student Signature (Handwritten): ____________________________________________________ Today’s Date: _________________

You must print and mail OR return this form to: GRCC Financial Aid Office

143 Bostwick Avenue, NE

Grand Rapids, MI 49503-3295

OR FAX this form to:

(616) 234-4091

OR scan/e-mail this form to:

financialaid@grcc.edu

143 Bostwick Avenue, NE

•

Grand Rapids, Michigan 49503-3295

•

ph: (616) 234-3990

•

Accredited by the Higher Learning Commission. GRCC is an Equal Opportunity Institution. GRCC100-11/15

Suspension Appeal Form