Financial Petition - Mills College printable pdf download

Mills College M Center

Financial Petition Committee

Petition Form

Important Instructions and Notes:

1. Complete all of Section I below.

2. In Section II, explain the nature of your petition and provide any appropriate supporting documentation (including

any medical documentation if applicable). Please provide enough detailed information regarding your

circumstances so that the committee may render an informed decision.

3. The major medical charge cannot be petitioned and petitions for the late waiver must be done directly with Health

Services in Division of Student Life.

4. The Committee meets on a weekly basis as necessary (while school is in session August - May).

5. The weekly deadline to submit this petition is Thursday at noon in the M Center.

6. All Financial Petition Committee resolutions are e-mailed to the student to the address provided in Section I.

7. Students need to submit this form, unless they are physically unable to do so.

Note: All petitions submitted are reviewed as a one-time exception to College policy. Only issues pertaining to the

current semester will be reviewed. Students may not appeal the same charge once a decision has been made unless new

information is presented.

SECTION I.

Name:___________________________________________ ID:______________________ Date: ____________________

Address: ___________________________________________________________________________________________

Street

City

State

Zip

Email address: ________________________________________ Term Admitted: ___________ Level:

REASON FOR PETITION:

late registration fee

late Confirmation of Semester Attendance fee

late payment fee

Other: _________________________________________

TERM FEE WAS ASSESSED:

Fall ____

Spring ____

Summer ____

SECTION II. If more space is needed, feel free to attach additional pages.

__________________________________________________________________________________

___________________________________________________________________________________________________

Student Signature: __________________________________________________________________________________

For Office Use Only

Approved

Denied

Adjusted

Revised Fee Amount: __________

Date: __________

Comments:

C:Documents and SettingsmdiazalvLocal SettingsTemporary Internet FilesContent.OutlookC5HMCD42FPForm Rev -8-10.doc

Financial Petition - Mills College

Related Articles

Related forms

Related Categories