Request For Consideration Of Special Circumstances (Page 2 of 2) in pdf

Documentation Required:



2014 federal tax return with Schedule A



Copy of paid medical expenses

_____3. Educational Expenses

Net tuition paid for all siblings in grades K-12, August 2015-June 2016: $_______________________________

Include only amount paid (after financial aid) during the upcoming academic year. Do not include loans used

to pay these costs, instead include in Annual payments to educational loans (below).

Net tuition for parent(s) in college, August 2015-June 2016: $__________________________________________

Include costs for parents who will be enrolled at least half-time for the upcoming academic year. Subtract any

financial aid or employer reimbursement from the published costs.

Annual payment to educational loans borrowed by parent: $__________________________________________

Include loans if parent is the legal borrower and will repay an educational loan between July 2015 and June

2016.

Documentation Required:



Copy of paid tuition statement(s)



Copy of latest loan “Statement of Account” highlighting borrower’s name, principal balance, and

monthly payment.

_____ 4. Other Unusual Expenses: Itemize and explain any major expenses. The following are examples of “unusual

expenses” that we may be able to recognize:



Unreimbursed business expenses supported by IRS Form 2106



Home repairs due to damage



Legal fees



Casualty or theft losses claimed on your tax return



Regular and significant financial support of other family members

Do not include: vacations, athletic camps or equipment, home remodeling costs, credit card debt, or items that are

billed in one year but paid in another year.

*** REVIEW AND SIGN THIS FORM BEFORE RETURNING***

Documentation, such as letters from employers, doctors, State Unemployment Office, paystubs, etc., which

supports the basis of your family’s appeal must be submitted. If you do not submit documentation or leave

sections of this form blank that pertain to your circumstance, the form will be returned as incomplete.

I CERTIFY THAT ALL INFORMATION ON THIS FORM IS TRUE AND CORRECT. I HAVE ESTIMATED

2015 INCOME FROM ALL SOURCES TO THE BEST OF MY ABILITY.

Student: ___________________________________________________ Date: _______________

Parent or Spouse: ___________________________________________ Date: _______________

Return this form and all required documentation to:

Office of Financial Aid

Ripon College

300 Seward Street

PO Box 248

Ripon, WI 54971

920-748-8370 (fax)

Request For Consideration Of Special Circumstances Page 2

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