Fillable 2020-2021 New Degree Appeal Form (Clark State Community College)

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2020-2021 New Degree Appeal Form (Clark State Community College)

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Financial Aid
1
2020-2021 New Degree Appeal Form
The Financial Aid Oce has established a process to review appeals from students who are seeking a second
degree and have applied for federal student aid at Clark State Community College.
The New Degree Appeal Form cannot be filed if you are not meeting the completion rate and cumulative grade
point average requirements of the Financial Aid Satisfactory Academic Progress (SAP) policy. To review the
SAP policy, refer to: Clark State S.A.P. Policy . If approved, federal aid eligibility will be reinstated for no more
than 150% of the number of credit hours required to complete the new degree program.
Appeals must be submitted 7 days before the start of the semester the student is seeking use of federal
student aid.
Requirements for completing the appeal process:
1. Attach a personal statement explaining your reason for pursuing a second degree at Clark State Community
College (i.e. entering employment in a new field, low employment possibility with prior degree).
2. Meet with a Success Coach to discuss your academic goals, program of study selection, complete the Change
of Information Form and obtain an Academic Plan. The Academic Plan must map out courses required to
complete the new degree program. Include a copy of the Academic Plan with this appeal.
3. Submit the completed Change of Information Form to the Records Oce to update your record to the new degree.
4. Submit the New Degree Appeal form and required documents to the Financial Aid Oce. You will be
contacted by a Financial Aid Representative to review your appeal, remaining federal grant and loan eligibility
and terms of the appeal if it is approved.
All appeals must be signed by the student and a Success Coach and include a complete Academic Plan.
SECTION 1: Student Information
Name: ____________________________________________ Student ID Number: __________________________
Address: ______________________________________________________________________________________
Street City State Zip
Primary Phone: __________________________________
SECTION 2: Provide a statement explaining your decision to pursue a new degree at Clark State Community College
SECTION 3: Meet with a Success Coach to review academic requirements for new program. Success Coach/
Faculty Advisor completes the following:
Previous Degree/Graduation Term: __________________________ /______________
New Degree/Start Term: ___________________________ /_________________
Number of credit hours needed to complete new degree: _________________
Success Coach/Faculty Advisor Signature: _______________________________________ Date: _____________
937.328.6034 | financialaid@clarkstate.edu | 570 East Leel Lane, Spring ield, Ohio 45505
Financial Aid
FAC20NDF
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Financial Aid
2
SECTION 4: Certification Statement
I certify that all of the information on this form and accompanying documents are true and complete to the
best of my knowledge. Furthermore, I arm that I have not knowingly or intentionally provided any false or
fraudulent documentation.
I understand that if my appeal is approved:
a. The Financial Aid Oce will monitor my enrollment to verify I am registered/enrolled in required courses.
b. I must continue to meet the completion rate and cumulative grade point average requirements
of the Financial Aid Satisfactory Academic Progress policy.
c. I will not be able to receive financial aid if I change my degree program again.
d. If I do not meet terms of this appeal, I will not be eligible for financial aid.
Student Signature: ___________________________________________ Date: _____________________
_____________________________________________________________________________________
FOR OFFICE USE ONLY
Appeal Approved Appeal Denied
Appeal Pended
FA Reviewer: _______________________________________________ Date: ____________________
New Degree Program: ________________________________________# Credit Hours Approved: ____
Effective Term: __________
Comments:
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2020-2021 New Degree Appeal Form (Clark State Community College)

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Completed 26 July 2020

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