STUDENT EXPLANATION
You may attach a separate sheet if additional space is needed.
Explain the circumstances that caused you to fall below the minimum academic eligibility
requirements of the SAP Policy. Provide detailed information and dates. Supporting documentation
to strengthen your case (i.e., Doctor’s notes, letter from therapist or social worker, legal documents,
etc.) is recommended, but not required.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Explain the changes that you have made or will make to overcome the circumstances you described in
item 1. List the steps you have taken or will take to ensure that SAP requirements will be met in the
future. Be specific about your goals.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
I understand that the Financial Aid Appeals Committee will review my appeal and notify me of their decision,
and until a decision is made, I know I am responsible to pay for my tuition, books/supplies, and other
educational expenses.
Student Signature: _______________________________________________________ Date: _______________
University of Hawai'i institutions do not discriminate on the bases of age, race, sex, color, national origin, or disability in its programs and
activities. For more information or inquiries regarding these policies, please contact the individual campus Title IX Coordinator. UH Title IX
Coordinators' names and contact information are available at: https://www.hawaii.edu/titleix/help/coordinator/