FINANCIAL AID OFFICE
214 Center Grove Road, SCC-210
Randolph, NJ 07869
Email: finaid@ccm.edu
2019-2020 REQUEST FOR PROFESSIONAL JUDGMENT
Student Name: ____________________________________________________ CCM ID Number:
Last First
Your financial aid eligibility is based on processed results from your filed information on the Free Application for Federal
Student Aid (FAFSA). This information will determine your eligibility for all need-based and most non-need based aid using
the Expected Family Contribution (EFC), computed by Federal Student Aid (FSA); while federal law defines the EFC
calculation, the law does provide some flexibility.
Sometimes families experience special circumstances which merit consideration and recalculation of their financial aid
eligibility based on their projected annual 2018 income information rather than the federally required 2017 information.
Professional judgment appeal requests are reviewed only after the student and/or parent has submitted all necessary
supporting documentation which may include and not limited to 2017, 2018 and or 2019 annual income, benefits received,
police, group home/Agency reports, etc.. Please be aware that professional judgment requests, if approved, are granted on
a one-time, case-by-case basis. All professional judgment request decisions are final. Approved appeals may not
necessarily qualify the student to receive additional financial aid (loans included). The appeal responses will be sent by way
of CCM email.
SECTION I: CIRCUMSTANCES GIVEN CONSIDERATION
A. The student, spouse or parent has experienced a significant change (i.e. loss of job) in total income.
Effective Date: _________. Who has experienced this change in income? _________, due to (indicate reason)
____________________________. If due to current loss of employment (Dept. of Labor proof required), submit
copy of last pay-stub(s) received. Skip this section I, A. If loss was voluntary (quit) or Per-Diem or self-employed.
B. The student, spouse or parent has other significant extenuating, circumstances that should be taken into
consideration. Do not include credit card debt, house payments, car payments, phone bills, etc.
C. The student, spouse or parent has high medical expenses.
Please provide copies of your most recent medical bills out-of-pocket paid expenses proof for the previous or
current calendar year.
SECTION II: INSTRUCTIONS
A. Identify the situation(s) for which you are requesting a professional judgment review. (above)
B. Attach a clear and concise one-page explanation of your circumstances.
C. Attach relevant documentation of your circumstances as listed on page 2. Example- Proof of current Unemployment; Job loss
from employer, etc.
D. Upon review of your appeal, the Financial Aid Office may request additional documentation.
E. Complete the Projected Income Worksheet. (page 2.)
F. Complete the 2019-2020 verification worksheet which can be found on our website under Forms & Worksheet and
attach your 2017 IRS Tax Return ‘Transcript’ and all W2’s for student and spouse (if independent and or married,
filing separately) and parent(s) (if dependent).
G. Return all requested documents to the CCM Financial Aid Office, Room SCC-210.
SECTION III: CERTIFICATION
I/we certify that the information provided on this form is true and complete to the best of our knowledge. If requested for completion of
your appeal or financial aid I/we agree to provide additional documentation and understand that if such documentation is not provided I
may not receive consideration for a professional judgment appeal. I further understand that if I knowingly give false information, I may be
subject to disciplinary action by the college, further resulting in cancellation or repayment of disbursed financial aid.
_____________________________________________________________ ___________________________
Student Signature Date
_____________________________________________________________ ___________________________
Parent Signature (If parent information is required) Date
Page 1 of 2
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Request for Professional Judgment 19-20
SECTION IV: PROJECTED INCOME WORKSHEET
Parent(s)
Student (and Spouse)
Actual 2018 year-
to-date income
(not monthly)
Expected total 2019
income
Actual 2018 year-to-
date income (not monthly)
Expected total 2019 income
1.
$_____________
Father/Stepfather
$_____________
Mother/Stepmother
$_____________
Father/Stepfather
$_____________
Mother/Stepmother
$_____________
Student
$_____________
Spouse
$_____________
Student
$_____________
Spouse
2.
$
$
$
$
3.
$
$
$
$
4.
$
$
$
$
5.
$
$
$
$
6.
$
$
$
$
7.
$
$
$
$
8.
$
$
$
$
9.
$
$
$
$
10.
$
$
$
$
11.
$
$
$
$
12.
$
$
$
$
13.
$(-)
$(-)
$(-)
$(-)
14.
$(-)
$(-)
$(-)
$(-)
15.
$
$
$
$
Page 2 of 2
Request for Professional Judgment 19-20
CCM FAA.Oct.2018
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