Academic And Financial Aid Appeal Form printable pdf download

Nunez Community College

3710 Paris Road

Chalmette, LA 70043

504-278-6487 fax

financialaid@nunez.edu

Academic and Financial Aid Appeal Form

SAP APPEAL PRIORITY DATES: Fall: August 1, 2017 /Spring: January 1, 2018

Student Name: _________________________________________________ Student ID#: _________________________________

Student Mailing Address______________________________________________________________________________________

City, State. Zip code__________________________________________________________________________________________

Date of Birth: ____________________________________ Phone Number:_______________________________________

Student Email: __________________________________________________________________________________________

Fall

Spring

Summer

I am requesting an appeal for:

of __________ (Year).

ATTENTION STUDENTS: Submitting this form does not guarantee reinstatement of financial aid or academic standing. The student is responsible for any

charges incurred during periods of ineligibility even if the appeal is not approved. You will be notified of the outcome of your appeal within 10-15 business

days.

INSTRUCTIONS: Complete steps 1-4 below, and submit this completed form with all supporting documentation to the Office of Enrollment Services. Submission

of the appeal without documentation will be DENIED. Appeals should be delivered to the Financial Aid Office located in the Administration Building or emailed

to financialaid@nunez.edu

STEP 1: Please Indicate Type of Appeal: (select all that apply)

Financial Aid- Must maintain a 2.00 GPA and complete at least 67%t of the classes attempted

❏

Readmit from Academic Suspension

❏

Academic Amnesty

❏

Retroactive Withdrawal -Course & Section for each class (example MATH 101)

❏

Max Hours

(Provide a list of remaining classes required for your current or second degree signed by your Faculty Advisor.)

❏

Change in major

(Provide change of major form)

❏

Double major

❏

EXTENUATING CIRCUMSTANCES: Extenuating circumstances are considered to be significant life experiences that impacted your emotional and/or physical health

so much that you were unable to make good academic progress while meeting SAP.

Examples of significant extenuating circumstances include:

Medical illness and/or injury (supported by medical documentation)

❏

Death in immediate family: parent, spouse, child, grandparents, siblings, aunts or uncles (supported by copy of death certificate AND/OR obituary)

❏

Call to active military duty (supported by copy of military orders)

❏

Legal problems or police matters

❏

Foreclosure or eviction

❏