2. Required: Documentation of Issue
Documentation supporting your statement is strongly encouraged. Examples of this could be
medical records, death certificates, legal documents, etc. Appeals submitted without
documentation may be automatically denied.
3. Required: Academic Advisor Session
Please meet with your assigned academic advisor. If you do not have one, you can meet with
anyone in the Academic Advising Center.
For the advisor to complete:
I, ______________________________________ have met with the student and advised them on
a successful academic path towards graduation. I have spoken with them about their GPA and or
Completion Rate and recommended a course load that will help them obtain Satisfactory
Academic Progress.
Academic Advisor Signature _______________________________________
Date __________________
4. Required: Terms and Conditions
I understand that if my appeal is approved, my aid will be reinstated for only one term, after which
my academic progress will be assessed again. I also understand that if I have not achieved
satisfactory academic progress by that time or not met all the terms of my appeal, my aid will again
be suspended and I may not be eligible for additional aid. I understand that any documentation
submitted with this appeal will become a permanent part of my financial aid file at Durham Technical
Community College. I understand that if a decision regarding my appeal cannot be made during
registration for, or after the start of, the next term, I must bear the expenses for any tuition and fees
charged, as well as books and supplies purchased, prior to any reinstatement of my aid. I understand
that after making these payments, I may not receive aid based on additional qualifications and the
result of this appeal. I understand that I can expect a decision regarding my appeal within ten
business days after submission of this form. I understand that providing any false or misleading
information on this form will result in denial of my appeal. If the appeal has already been approved,
the approval will be rescinded.
By signing below, I have read all terms and conditions and all information provided in this appeal is
accurate to the best of my knowledge.
Student Signature
(must be signed, not typed) _____________________________________________
Date ______________________
OFFICE USE ONLY
Financial Aid Assistant Director / Director Decision
☐ Approve Appeal – Academic Plan ☐ Deny Appeal/ Suspension
Director / Assistant Director Signature: ____________________________________ Date: ______________________
Revised May 2020 Page 2
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
