FINANCIAL AID OFFICE
214 Center Grove Road, SCC-210
Randolph, NJ 07869
Email: finaid@ccm.edu
2020-2021 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.
Families who experience extenuating financial circumstances, which may merit consideration and recalculation of their financial aid
eligibility based on a projected annual 2019 income, rather than the federally required 2018 income information. Appeal requests are
reviewed once the student and/or parent has submitted supporting documentation, which may include and not limited to 2018, 2019 and
or 2020 annual income and assets, and or benefits received, police report, group home/Agency reports, loss of employment from
employer(s) or other relevant most recent documents (preferably no older than two calendar years).
Please be aware that professional judgment requests is a one-time, case-by-case review basis only - All judgment decisions are final
with case review closed.
Attention: Approved appeals may not necessarily qualify the student to receive additional financial aid grants or loans. Denied appeal
will result with no change to your award packet if already awarded. Income/asset change is reported on the following year’s financial aid
application (FAFSA). Appeal response is email to the student by way of their 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.
Provide copies of your most recent medical bills out-of-pocket paid expenses proof for the previous or current calendar year.
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 2020-2021 verification worksheet which can be found on our website under Forms & Worksheet and attach your
2018 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 (indicate CCM ID on all pages) 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 my knowledge. If requested for completion of this appeal
or other financial aid assistance, I/we agree to provide additional documentation and further understand that if such documentation are not
provided, I may not receive consideration for this professional judgment appeal. Additionally, I further understand that if I knowingly give false
information, I may be subject to disciplinary action by the college, further resulting with cancellation or repayment of disbursed financial aid.
_____________________________________________________________ ___________________________
Student Signature Date
_____________________________________________________________ ___________________________
Parent Signature (If parent information is required) Date
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Request for Professional Judgment 20-21
