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2020-2021 UNUSUAL ENROLLMENT HISTORY VERIFICATION (Mt. San Jacinto Community College District)

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2020-2021 Unusual Enrollment History Verification Form 20UNENR
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) has been flagged for “Unusual Enrollment History Review” by the U.S.
Department of Education because you received Federal Pell Grant funds and/or Federal Direct Loans at multiple educational institutions during the
review period: 2016-2017, 2017-2018, 2018-2019, and 2019-2020. This flag requires MSJC to review your previous enrollment, academic, and
financial aid records to determine your eligibility to receive additional Federal student aid funds.
We cannot continue processing your financial aid application until your enrollment history has been reviewed. Please provide the required
documentation listed below. Try to complete this process as soon as possible so that your financial aid won’t be delayed.
Part I. INSTITUTIONS ATTENDED
Please list all colleges and universities attended during review period (2016-2017, 2017-2018, 2018-2019, and 2019-2020). Obtain an unofficial
academic transcript for each school that you received Federal Pell Grant funds and/or Federal Direct Loans. Your Federal Loan and Grant history
is available on https://studentaid.gov/
using your FSA ID.
Academic Year
Institutions Attended
(Attach Unofficial Transcripts for each institution)
Transcripts Attached?
Yes or No
If “No”, review Part II.
2019-2020
2018-2019
2017-2018
2016-2017
Part II. ACADEMIC CREDIT
In determining your continued eligibility for Federal student aid, you must have earned at least one academic credit, during each of the four
award years to remain eligible for Federal student aid. Unearned Academic Credit is considered grades of F, EW, W, WF, U, I, IP, NP, NC. If you
did not earn academic credit at an institution you attended during one of the above award years (including MSJC), provide a written statement
that explains why you failed to earn academic credit at each of the institutions where no credit was earned. Attach any additional
documentation such as medical records, accident reports, etc. which substantiate your statement.
CERTIFICATION
I
/WE HEREBY CERTIFY THAT ALL INFORMATION REPORTED ON THIS FORM AND ANY ATTACHMENTS HERETO ARE TRUE, COMPLETE AND ACCURATE.
FALSE INFORMATION OR MISREPRESENTATION WILL BE CAUSE FOR DENIAL, REDUCTION, WITHDRAWAL, AND/OR REPAYMENT OF FINANCIAL AID.
________________________________________________________________ __________________________
Student’s Signature Date
2020-2021 UNUSUAL
ENROLLMENT HISTORY VERIFICATION
STUDENT INFORMATION
Please PRINT clearly with black/blue ink
Last Name
First Name
M.I
Student ID Number
Mt. San Jacinto College Financial Aid Office
Website: https://msjc.edu/financialaid/
Virtual Lobby: https://msjc.edu/hub/
Telephone: (951) 487-3245
Email: Finaid@msjc.edu
P R I N T
C L E A R
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2020-2021 UNUSUAL ENROLLMENT HISTORY VERIFICATION (Mt. San Jacinto Community College District)

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Completed 5 September 2020

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