H
ome/Alternate Phone Number (include area code)
Cell Phone Number (include area code)
____________________________________________________
____________________________________________________
____________________________________________________
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________________________________________________________________________ ______________________________
2017-2018 UNUSUAL ENROLLMENT HISTORY FORM
Your 2017-2018 Free Application for Federal Student Aid (FAFSA) was flagged for “Unusual Enrollment History Review” by the U.S.
Department of Education because you received Federal Pell Grant funds at multiple institutions during the academic years
reviewed:2013-2014, 2014-2015, 2015-2016 and 2016-2017. This flag requires SOWELA to review your enrollment history and
determine whether or not you are enrolling only long enough to receive cash refunds of federal student financial aid. In the process
of reviewing your enrollment history, SOWELA will check the National Student Loan Data System (NSLDS) to obtain a complete history
including the name of the institutions you have attended and the dates of attendance. If you have questions, contact us promptly so
your financial aid will not be delayed.
A. S
tudent Information
Las
t Name First Name MI
______________________________ ___________________
SOWELA Student ID Date of Birth
Address (include apartment number, if applicable)
City State Zip
Student’s Email Address
B. C
olleges or Universities Attended
C
omplete the chart below and list all institutions including SOWELA that you attended during the following academic years: 2013-
2014, 2014-2015, 2015-2016 and 2016-2017. Please attach an official academic transcript for each of the schools attended (exclude
SOWELA). For each institution attended attach a separate explanation if you failed to earn any academic credit at that college. Attach
any additional documentation (example: medical bills, hospitalization records, accident reports, etc.) that support your reason for
withdrawal. At the top of each page make sure you include your SOWELA student ID and name.
Name of College or University Dates of Attendance
Types of Aid Received
(e.g. Pell Grant, Loans, etc.)
Your request for financial assistance will not be considered until you have submitted this completed form with all required
documentation to the Financial Aid Office at SOWELA. The documentation and academic transcripts will be reviewed by the Student
Financial Aid Appeals Committee at SOWELA. You must be approved by this committee in order to receive federal financial aid for the
2017-2018 academic year. The decision of the Student Financial Aid Appeals Committee is final and cannot be appealed to the U.S.
Department of Education.
C. Certification and Signatures
WARNING: IF YOU PURPOSELY GIVE FALSE OR MISLEADING INFORMATION YOU MAY BE FINED, BE SENTENCED TO JAIL OR BOTH.
By signing below certifies that all of the information reported is complete and correct.
Student’s Signature Date
One Stop Enrollment Center Phone: (337) 421-6545
3820 Sen. J. Bennett Johnston Ave. Fax: (337) 491-2010
Lake Charles, LA 70615 Email: onestop@sowela.edu
SOWELA Technical Community College does not discriminate on the basis of race, color, national origin, gender, disability or age in its programs or
activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Title: Compliance Officer, 3820
Senator J. Bennett Johnston Ave, Lake Charles, LA 70616 – phone number- 337-421-6565 or 800-256-0483 – Email: complianceofficer@sowela.edu
click to sign
signature
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