Continued on Reverse
2018-2019
Unusual Enrollment History Review Form (UEH)
Your 2018-2019 Free Application for Federal Student Aid (FAFSA) has been flagged for an “Unusual Enrollment History"
review because you received Federal Pell Grant funds and/or Federal Direct Loans at multiple schools in recent years.
Wayne Community College (WCC) is responsible for conducting this review to ensure that federal educational funds are
being used for educational purposes, and that you are making progress toward completing your degree program. The law
requires that the College obtain this information before awarding federal aid. *Your eligibility for financial aid cannot
be determined until this review process has been completed.
INSTRUCTIONS: Complete this form, attach the items listed below, sign, and submit the completed package to the WCC
Financial Aid Office.
A copy of your Pell Grant history and Direct Loan history (available through the National Student Loan Data
System (NSLDS) at www.nslds.ed.gov.
Additional information as required. (see note below)
STUDENT NAME:
____________________________________________________________ WCC ID #: _________________________
ADDRESS: ________________________________________________________________________________________________________________
STREET OR PO BOX CITY STATE ZIP
E-MAIL ADDRESS: ___________________________________________________________ PHONE #: ______________________________
A. COLLEGES ATTENDED enter all colleges attended during the years listed below
~If you need additional space, attach a separate sheet that includes your name and WCC ID.
COLLEGE OR UNIVERSITY ATTENDED*
ACADEMIC
YEAR
DID YOU RECEIVE
FINANCIAL AID?
DID YOU EARN
ACADEMIC CREDIT?
TOTAL
CREDITS
EARNED
2014-2015
Yes
No
Yes
No
2015-2016
Yes
No
Yes
No
2016-2017
Yes
No
Yes
No
2017-2018
Yes
No
Yes
No
* Submit official transcripts from each college/university listed on your NSLDS record to the Office of Admissions and Records.
NOTE: If you earned -0- credits at any of the institutions listed above, you are required to attach a
typed statement explaining why you failed to earn credit during that academic year. The
statement must include specific details related to extenuating circumstances that prevented you from
successfully completing your coursework. Attach relevant third-party documentation to support your
statement.
(Acceptable documentation may include, but is not limited to, medical or legal documents, accident
reports, a death certificate, or letters from medical doctors or mental health professionals).
RETURN THIS COMPLETED FORM WITH REQUIRED DOCUMENTATION TO:
Wayne Community College - Financial Aid Office - PO Box 8002 - Goldsboro, NC 27533-8002
FAX: 919-736-9425
Wayne Community College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award associate degrees.
Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation
of Wayne Community College. The Commission on Colleges may be contacted only if there is evidence that Wayne Community College is significantly
non-compliant with a requirement or standard. Accreditation standards are located at: http://www.sacscoc.org/principles.asp.
Inquiries about Wayne Community College, such as admission requirements, financial aid, educational programs, etc. should be addressed directly to
Wayne Community College and not the Commission’s office.
B. CERTIFICATION AND SIGNATURE
I understand that forms submitted without required information and/or applicable documentation will be denied.
I understand that if I owe any debt to Wayne Community College, or if I am flagged for a debt to another
institution, my Unusual Enrollment History Review form will not be processed until the debt is paid in full or
satisfactory payment arrangements have been made.
I understand that decisions regarding Unusual Enrollment History Review are made on a case-by-case basis.
I understand that submission of an explanation of why no credit was earned and any supporting documentation
does not guarantee that my financial aid eligibility will be reinstated.
I understand that if my Unusual Enrollment History Review is approved, I am required to maintain enrollment
and make satisfactory academic progress to remain eligible in the future.
I understand that the decision made by the WCC Financial Aid Office for Unusual Enrollment History Review is
final.
I, ____________________________________________, understand that my FAFSA has been flagged for a review of
Unusual Enrollment History by the Department of Education. I certify that the information reported on this form, my
accompanying statement, and all documentation provided in support of my statement is true and accurate.
_________________________________________________ ____________________
STUDENT’S SIGNATURE (REQUIRED)
DATE
Official, sealed academic transcripts from each college/university attended have been submitted to the Office of
Admissions and Records.
A typed statement in support of reasons no credit was earned is attached.
Additional, third party documentation in support of reasons no credit was earned is attached.
WARNING: If you purposely provide false or misleading information
to obtain financial aid, you may be fined, sentenced to jail, or both.
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