UEHA20 Rev. 2/25/19
Student’s Name: ___________________________________________ SCCID#: ____________________________
Section 2: Educational Goal
Federal regulations require that a student receiving financial aid must be enrolled in, and actively participating in, a course of study
leading to an associate degree, an eligible vocational certificate, or a transfer program to a four-year college or university. Please
indicate your current program of study at Solano Community College.
What is your current Academic Major/Educational Goal? _______________________________________________________
Section 3: Personal Statement
Please provide a detailed statement of the circumstance(s) which resulted in your unusual enrollment history. Make sure your
information is clear and concise. Avoid vague statements such as “I had personal problems.” You must indicate what has changed
and/or what circumstances are different now that will allow you to complete attempted courses and maintain satisfactory academic
progress. IF YOU FAILED TO EARN ACADEMIC CREDIT AT OTHER COLLEGESWHILE RECEIVINGFEDERALFINANCIAL AID,
YOU MUST EXPLAIN "WHY" AND ATTACHSUPPORTING DOCUMENTATION.
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Section 4: Conditions of Appeal
Please READ, INITIAL and SIGN below. Your signature indicates your understanding of the conditions of your
appeal and that all information reported on this form and any attachments are true, complete, and accurate.
________ I understand that while receiving Federal financial aid, I must make Satisfactory Academic Progress toward my
educational goal.
________ I understand that false statements and/or misrepresentations will result in denial, reduction, withdrawal, and/or
repayment of aid disbursed and student disciplinary action may be taken.
Student Signature________________________________________________________ Date________________