Financial Aid | email: email@example.com | fax: 636.583.6651 | call: 636.584.6588 | mail: 1964 Prairie Dell Road, Union, MO 63084
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LAST NAME FIRST NAME STUDENT ID # SOCIAL SECURITY # DATE OF BIRTH PHONE NUMBER
Effective with the 2013-2014 school year, the U.S. Department of Education has established new regulations to prevent fraud and abuse
in the Federal Financial Aid Program by identifying students with unusual enrollment histories. Some students who have an unusual
enrollment history have legitimate reasons for their enrollment at multiple institutions. However, such an enrollment history requires a
review to determine whether there are valid reasons for the unusual enrollment history. This must be resolved before you will receive
financial aid. Students may also be selected for this process because they received a Federal Pell Grant and/or a Federal Direct Student
Loan during the last three years, but did not successfully complete the number of credits for which the Federal funds were provided.
To clear this issue take the following steps:
1. Access the National Student Loan Data System (NSLDS) at www.nslds.ed.gov to assist you in filling out the following information. List
information for the 2015-16, 2016-17, 2017-18 and 2018-19 academic years.
2. Request that Official Transcripts from ALL your prior colleges be mailed to East Central College Student Services Office.
3. The transcripts will be reviewed and your continued eligibility for financial aid will be determined within 2 weeks of the receipt of all
LIST NAME OF SCHOOLS DATES OF ATTENDANCE CREDIT HOURS EARNED?
If you answered “no” to the Credit Hours Earned question for any of the schools you attended in 2015-16, 2016-17, 2017-18 or
2018-19, you must provide an explanation of your failure to earn academic credit below and provide third party
documentation to support your explanation.
Death of an immediate family member ( include the relationship of the family member and a copy of the death certificate)
Documented hospitalization or illness of self, child or parent (must include dates and a heath care
provider’s decision, written on official letterhead of the student’s readiness to return to school)
Military obligations (must include documentation from commanding officer)
Victim of a crime or unexpected disaster (must include copy of police report, third-party letters, etc.)
Other (must explain below and include appropriate documentation)
Please explain circumstances below:
FOR OFFICE USE ONLY: