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2018-2019 DUAL CREDIT STUDENT INFORMATION FORM This form (Cisco College)

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This form must be completed and turned in to be eligible for any Texas Public Education
funds to be awarded for tuition & fees.
_____________________________________ ____________________________ _______________ __________________________________
Last Name First Name Middle Initial Social Security Number
______________________________________________
_______________________________________________
Address (include apt. no.) Date of Birth
___________________________________________________ ____________________________________________
City State Zip Code Phone Number (include area code)
Have you attended Cisco College previously as a dual credit student?
Yes
No
What high school do currently attend? ________________________________________
What is
your projected year of Graduation? __________________________________
Which semesters do you plan to attend?
FALL SPRING SUMMER
The Texas Public Education Grant (TPEG) is the only award available to dual credit students. The
grant is available on a first-come, first-serve basis. Eligible students may receive up to $450 a
semester towards dual credit. Any balance above the $450 is owed from the student.
2018-2019
DUAL CREDIT STUDENT
INFORMATION FORM
Current high school grade Level: Freshman Sophomore Junior Senior
(circle one)
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Section 2
FERPA
The Family Educational Rights and Privacy Act (FERPA) of 1974 is a federal law designed to protect
the privacy of a student's educational record that are not considered "directory" information.
Educational records, including financial aid and student account records, are considered confidential
and will not be released without written consent from the student, except to the extent that FERPA
authorizes disclosure without consent. For this reason, it is necessary for the Financial Aid Office at
Cisco College to obtain permission from a student in order to release financial aid information not
excluded by FERPA laws. For a full disclosure regarding FERPA, see * below.
When a student reaches the age of 19 or begins attending Cisco College, FERPA rights transfer from
the parent to the student. FERPA does not recognize spouses; therefore, spouses have no rights to a
student's educational or financial aid records. Parents and/or spouses can obtain non-directory
information only with the written consent of the student.
In Accordance with FERPA, I_____________________________ (student’s name) authorize the
release of my financial aid records, to the individuals named below. This release only pertains to my
financial aid records and does not allow the individuals below access to information from any other
department or office except if it impacts financial aid eligibility and charges. The purpose of this
disclosure is for them to assist me with the financial aid process.
I agree to waive my rights under FERPA and allow the below named person(s) access to my financial
aid records effective for this award year. I understand I must complete a FERPA waiver for each award
year. I understand I have the ability to revoke or modify this consent, in writing, at any time.
Name Relationship
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Section 3
Satisfactory Progress
To be eligible for federal Title IV aid at Cisco College, federal regulations require that a student must make
satisfactory academic progress toward his/her degree or certificate in order to continue to receive federal Title IV
aid. Failure to make satisfactory academic progress can result in a Warning period and, if not corrected,
suspension from financial aid.
Satisfactory Progress Standards:
There are three (3) federally mandated standards a student must meet to maintain satisfactory academic
progress:
1. Quantitative Percentage (Attempted Hours/Earned Hours)
2. Lifetime Eligibility Used not to exceed 600%
3. Qualitative Measure (Cumulative Grade Point Average of 2.0)
4. Cisco College allows student to change majors no more than 3 times. The 150% calculation will be
reset once the student has enrolled in and attended classes in the new major and will only include
courses (credit hours) the student has taken that will apply to the new major.
Quantitative Percentage: Students must complete a minimum of 67% of the course work in which they are
enrolled each semester. The chart below indicates the attempted credit hour totals and the number of credits that
must be completed to meet this requirement.
Lifetime Eligibility Used: A student is allowed financial aid only for 12 semesters of equivalent to 600% lifetime
eligibility. (Public Law 112-74) This provision applies to all Federal Pell Grant eligible students beginning with the
2012-2013 award year.
A student may:
Decline all or a part of a Pell Grant Award
Return, during an award year, all or part of a disbursement already made within the same award year
The student must provide a signed, written statement:
Clearly indicating his/her decline/return of Pell Grant funds
Acknowledge that funds may not be available at a later date
Qualitative Standard Grade Point Average: In addition to successfully completing 67% of their coursework
each semester, students must earn a 2.0 grade point average (GPA) and maintain a cumulative GPA of 2.0 each
semester thereafter. The dropping of courses, or complete withdrawal, will not reduce the number of hours that
must be completed each semester to maintain satisfactory progress.
Financial Aid Warning: For students not meeting the academic progress requirements at the end of a semester,
the warning period is the next semester (fall or spring) in which the student enrolls in classes. A student will be
eligible for aid during the warning period, but must achieve satisfactory academic progress during the first warning
period to return to good standing the next semester in which he/she enrolls.
Financial Aid Suspension: A student who does not make satisfactory progress during the first warning period
will be suspended from all Title IV financial aid the next semester of enrollment until all satisfactory progress
standards are met. A student who has financial aid suspended can return to a warning status only and cannot
return to good standing.
How to Remove Warning A student will return to good standing if he/she earns 67% of the same number
of credit hours in which he/she was enrolled when the warning status occurred, if the cumulative grade
point average is 2.0.
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How to Remove Suspension A student will return to warning status if while on suspension from Title IV
aid he/she earns 67% of the same number of credit hours in which he/she was enrolled when the
suspension status occurred, if the cumulative grade point average is 2.0.
Exceptions: A student placed on financial aid suspension due to unavoidable or extraordinary hardships which
may have influenced his/her ability to meet the satisfactory academic progress standards may appeal the
suspension. Examples of unavoidable hardships include illness or injury of student or family member, separation
or divorce, involved in accident or natural disaster, death in immediate family, or other personal problems that
affected class participation and or grades.
Appeal Procedure A financial aid suspension appeals packet must be obtained by the student from the
Director of Financial Aid. The packet must be completed and submitted to the Director, and should
include a written statement by the student with the appropriate supporting documentation explaining the
reasons the minimum satisfactory academic progress standards were not achieved. The appeals
committee and the Director may place conditions upon the receipt of any financial aid for those appeals
where aid is reinstated. Students submitting documentation and completing the appeals process will be
notified by the Director of Financial Aid of the results.
Director of Financial Aid
101 College Heights
Cisco, TX 76437
linda.sellers@cisco.edu
If the appeal is approved the student will be assigned a probation status and aid eligibility will be reinstated.
Students are allowed only ONE appeal while attending Cisco College.
To allow proper time for processing, appeals should be submitted by no later than two weeks prior to the first
class day of the term. For further questions regarding the appeals process contact the Director of Financial Aid.
STUDENT STATEMENT
I understand that a drop, withdrawal, or unofficial withdrawal from my courses may result in a decrease of
cancellation of financial aid awards.
Initials
I understand that I must maintain satisfactory academic progress toward the completion of my program of study
as defined by Cisco College.
Initials
I certify that I have read and understand the above Satisfactory Progress Policy relative to the receipt of financial
aid at Cisco College.
Initials
Certification and Signatures
By entering the information and submitting the form, I certify that all the information reported on it is
complete and correct, if you purposely give false or misleading information on this worksheet, you may
be fined, be sentenced to jail, or both.
____________________________________ ____________________________________
Student’s Signature (Required) Date
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2018-2019 DUAL CREDIT STUDENT INFORMATION FORM This form (Cisco College)

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Completed 6 October 2020

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