Fillable 2019-2020 FEDERAL SATISFACTORY ACADEMIC PROGRESS APPEAL Fall 2019

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2019-2020 FEDERAL SATISFACTORY ACADEMIC PROGRESS APPEAL Fall 2019

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  • 27 other fields

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2019-2020 FEDERAL SATISFACTORY ACADEMIC PROGRESS APPEAL
Fall 2019 Deadline: September 16th, 2019
Spring 2020 Deadline: March 9th, 2020
INSTRUCTIONS:
Financial Aid appeals will not be processed without an authorized advisor’s signature.
If you are registered with College Discovery (B-236) or ASAP (BA-22) you must see an academic advisor
from that area to complete the appeal. All other students must meet with an advisor in Student
Advising Services (B-102).
Return your completed form with all supporting documents to C-107.
1. Complete Sections A, B and D of the appeal form. Section C must be completed by an
authorized academic advisor and signed by both the student and the academic advisor.
2. Attach copies of all documentation to support your appeal. If documentation is not included,
your appeal will be denied. Documentation involving a family member must clearly
demonstrate relationship. Documentation should support:
Medical- Personal illness involving hospitalization or extended home confinement under
a physician’s supervision or illness of an immediate family member.
Employment- Change in student’s work schedule beyond student’s control, and upon
which the student and family are dependent.
Military- Submit official documentation of military service.
Legal- Submit official documentation of incarceration, jury duty, court dates etc.
Death- of an immediate family member. Submit copy of death certificate, name of the
deceased and the relationship to you. Date on the death certificate must correspond to
the time period and the semester affected.
________________________________________________________________________
________________________________________________________________________
Name __________________________________ Student EMPLID#_________________
(Print) Last First
Address ___________________________ _______________ ___________ ______
Street City State Zip
Telephone (_____) ________- _______ LaGuardia Email___________________________________
2019-2020 FEDERAL SATISFACTORY ACADEMIC PROGRESS APPEAL
A.
Section 1: TITLE IV APPEAL
In accordance with Federal Regulations, I hereby request that a waiver from the Satisfactory Academic
Standards be granted to me. I understand that if my request is successful, I will be granted a one-term
probation period to improve my academic record to meet the standards of my degree. I understand
that I must adhere to the Academic Plan outlined by the Academic Advisor.
PLEASE CHECK THE REASON FOR YOUR APPLICATION BELOW AND ATTACH ALL SUPPORTING
DOCUMENTATION
Hospital record
Doctor’s note
Birth certificate
Letter from therapist
or social worker
Time card
Letter form employer on
Company’s Letter Head
Official form of Military
Service
Court records
Police report
Passport/Visa
Plane tickets
Letter from Agency
Letter from
religious Clergy
Death certificate
Letter from Funeral
director
Funeral Program
Obituary
B.
Please submit a typed and signed statement explaining the reasons for your appeal. Explain why you
did not successfully pass your classes, and what has now changed in your circumstances that will
enable you to successfully meet satisfactory academic progress standards at the end of the term.
Medical
Legal
Death
All fields below must be completed with an Authorized Academic Advisor
I will attempt a maximum credit load of ______credits in the _________ term.
I will complete (earn) a minimum of ______ credits successfully in the _______ term.
At the end of the _______ term I will earn a cumulative minimum GPA of ________.
Other (if Applicable) ________________________________________________
_________________________________________________________________
_________________________________________________________________
___________________________ ____________
Student’s Signature Date
__________________________________________________
Printed Name of Authorized Academic Advisor
__________________________________ ___________
Signature of Authorized Academic Advisor Date
Date
2019-2020 FEDERAL SATISFACTORY ACADEMIC PROGRESS APPEAL
C.
Student Academic Plan
D. Additional Financial Resources
OFFICIAL STAMP
If you would like to be considered for Public Benefits eg. Food Stamps, Legal Services, Personal Financial
Coaching, please check the appropriate box.
YES
NO
If the “YES” box is checked, a staff member will contact you.
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I acknowledge I am submitting a completed appeal with all required supporting documentation
I am aware that I must register and pay or be enrolled in a Nelnet Payment Plan for the
semester in which I are submitting the appeal. If my appeal is denied, I am responsible for all
tuition and fees.
I am aware an email will be sent to my LaGuardia email account regarding my appeal status
within 4 weeks. The decision of the committee is final.
I acknowledge that fraudulent and altered documentation will lead to an automatic denial.
Student’s Signature ________________________________________________ Date ____________
FOR INTERNAL USE ONLY
Please Note: If your appeal is approved and you fail to meet the above
Academic Plan, you will be ineligible for aid the following semester. You may
file another appeal with new documentation for the following semester.
Student Financial Services Intake Use Only:
_____________________________ ________________________ _______________
Staff Name (Print) Staff Signature Date
__________________________________ _______________
Financial Aid Appeals Committee Approved Denied Date
Authorized Signature
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2019-2020 FEDERAL SATISFACTORY ACADEMIC PROGRESS APPEAL Fall 2019

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Completed 26 July 2020

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