Academic And Financial Aid Appeal Form (Page 2 of 2) in pdf

IF YOU HAVE FINANCIAL AID, ACTION TAKEN VIA THIS APPEAL COULD RESULT IN YOUR HAVING TO REPAY A PORTION OF THOSE FUNDS TO THE COLLEGE. FOR

CLARIFICATION CONTACT THE OFFICE OF FINANCIAL AID.

STEP 2: APPEAL STATEMENT: Attach a typed statement describing the circumstance that kept you from meeting the established academic standards during

your most recent semester. Also explain how that situation has changed so that you can now meet the standards. You will need to document this situation.

ATTACH A TYPED STATEMENT

STEP 3: REASON FOR APPEAL: Attach a typed statement describing how you plan to keep this situation from affecting your academic progress in future

semesters. Each appeal reason can only be approved once.

ATTACH A TYPED STATEMENT

STEP 4: ACADEMIC PLAN (Financial Aid Only): The requirements within the Academic Plan must be met to regain eligibility. Students will need to meet the

standards of the Academic Plan each payment period until meeting the SAP standards.

Not enrolling in college for a period of time then re-enrolling will not bring the student into compliance with the SAP policy, and may require the student’s

academic plan to be re-adjusted.

At minimum, the Academic Plan will require that the student do the following:

(1) Earn a GPA of 2.25 each payment period

(2) Pass 75% of all hours attempted each payment period

Individual LCTCS colleges may require students to meet additional requirements, such as taking specific courses and/or meeting with academic advisors.

(MUST initial)

___ I must make at least a 2.5 semester GPA in the courses that I am taking each payment period.

___ I must pass 75% of all hours attempted each payment period with a “C” or better. (No D’s, F’s, W’s or I’s will be accepted).

___ I understand that I may be recommended to participate in at least 2 hours of tutoring per week in the Academic Learning Center (ALC) this semester as a

condition of my appeal.

_ I have met with my academic counselor regarding any specific requirements necessary for my individual college.

STEP 5: CERTIFICATION: I certify all the above information submitted is accurate. I further understand that incomplete appeals, including those with missing or

insufficient documentation, will be denied. I fully understand that approved appeals will have conditions established in the approval of the appeal, and that those

conditions must be met to be considered for future aid.

Student Signature: _____________________________________________________________________ Date: _________________________

For Office Use Only

Previous Appeals: ___Yes ____ No

Reason for Appeal □ GPA □ Pace of Progression □ Maximum Timeframe

Approval Conditions:

________________________________________________________________________________________

Denial Reasons:

________________________________________________________________________________________

Committee:

Approved

Denied Signature: ________________________________________________ Date: _ _/_ _/_ _

Approved

Denied Signature: _______________________________________________ Date: _ _/_ _/_ _

Approved

Denied Signature: ________________________________________________ Date: _ _/_ _/_ _

Approved

Denied Signature: ________________________________________________ Date: _ _/_ _/_ _

Approved

Denied Signature: _________________________________________________ Date: _ _/_ _/_ _

Academic And Financial Aid Appeal Form Page 2

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