HVCC Financial Aid Office Phone 518-629-7150 Guenther Room 110
80 Vandenburgh Ave Fax 518-629-7479 Monday-Friday
Troy, NY 12180 financialaid@hvcc.edu 8AM-5PM
Mastrangelo Financial Aid Center
2018-2019 Maximum Timeframe 150% Waiver Application
Deadline for Submission: Noon on the first day of classes (for the semester you’re applying for)
Federal regulations prohibit a student from receiving federal student aid (Pell Grant, SEOG, student loans and work-
study) if they have attempted more than 150% of their degree requirements. For example, if 60 credit hours are required
to graduate in a degree program, a student becomes ineligible for federal student aid after the semester in which they
attempt the 90
th
credit hour (60 x 150%=90). Our records show that you have reached or exceeded 150% of your degree
requirements. You may apply for a waiver to your federal student aid ineligibility by completing this form.
COURSE
SEMESTER
COURSE
SEMESTER
Expected Graduation
Date:
Above is my plan for graduation, as developed with my academic advisor. I will take the courses as outlined above in order to
graduate by the date listed above (list all courses required for graduation). I understand that if I modify this plan to take different
courses or to change my major that this waiver will no longer be valid and I must notify the Financial Aid Office in writing. I
understand that if I withdraw from, stop attending or fail to complete any of the courses (W, Z or F grades), I will lose my
financial aid eligibility permanently at Hudson Valley Community College. Any incomplete (I grades) must be changed BEFORE
noon on the first day of classes for the semester you’re applying for. I also understand that if my degree has core courses, these
courses require grades of “C” or better in order to maintain eligibility for this waiver.
Please provide a DETAILED statement explaining how you accumulated so many credits in excess of 150% of your degree
requirements, your educational goals, and an explanation of why you believe you should remain eligible for federal student aid.
Please attach a separate sheet of paper if more space is needed.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Student Signature
Date
* SECTION 2 ON REVERSE SIDE NEEDS TO BE COMPLETED BY YOUR ADVISOR BEFORE YOU CAN SUBMIT THIS FORM*
Student Name
H00
Students Name: ________________________________________________ H00:_______________________________
Current Major: _____________________________________________________________________________________
Previous Major(s): __________________________________________________________________________________
Prior degree(s) completed: ___________________________________________________________________________
Other Relevant Information: _________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Expected Graduation Date (month/year): ________________________
I have worked with this student and certify that the plan developed for graduation as outlined on this form is accurate to
the best of my knowledge. I certify that based on the above schedule this student will be able to finish their degree by the
expected graduation date listed above.
Advisor Signature
Date
Reviewed by:
Date:
File
NSLDS (Loans/Grants)
Attempted Credit Hours
Earned Credit Hours
Transferred Credit Hours
Budget
Program
Degree Completion Date
STATUS
APPROVED
Through:
DENIED
Additional Waivers?
MAY APPLY
MAY NOT
APPLY
SECTION 2: TO BE COMPLETED BY ADVISOR
SECTION 3: TO BE COMPLETED BY FINANCIAL AID OFFICE
SECTION 4: TO BE COMPLETED BY WAIVER COMMITTEE