Fillable 2021-22 SATISFACTORY ACADEMIC PROGRESS APPEAL FORM (Andrews University)

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2021-22 SATISFACTORY ACADEMIC PROGRESS APPEAL FORM (Andrews University)

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11/12/2020
NAME ______________________________________________ AU ID NUMBER __________________________
EMAIL ADDRESS _____________________________________ TELEPHONE/MOBILE (_____) _______________
N
OTE: According to the United States Department of Education, all schools are required to follow federal, state and institutional
satisfactory academic progress (SAP) policies when awarding financial aid. If circumstances outside of the student’s control prohibit
attendance and/or successful completion of classes and a student is no longer eligible for financial aid due to failure to meet SAP
(maintaining a cumulative 2.0 grade point average and successfully completing 66.67% of all credit hours attempted), then the student
may appeal the suspension in order to be considered for financial aid.
P
lease complete this form and submit supporting documentation to the Office of Student Financial Services.
REASON FOR APPEAL
CI
RCUMSTANCES
(check one)
Death of an immediate family member that required an extended absence
Medical Emergency for self, legal dependent or spouse
Military activation or deployment
Employer required changes on work schedule
Disaster
Other _______________________________________________
D
OCUMENTATION REQUIRED
(see reverse)
S
UBMISSION INSTRUCTIONS
(see reverse)
A
CADEMIC PLAN --
Meet with the Academic Probation Counselor in the Student Success Center to complete an academic plan.
C
AUTION --
Please note that submission of an appeal does not guarantee reinstatement of your financial aid eligibility.
By signing, I certify that the information provided above and any attachments are true and accurate, and that I may be contacted
for additional information and/or documentation to process this appeal. I take full financial responsibility to pay for all tuition-
related expenses, and am prepared to pay from my own resources pending the outcome of this appeal. I understand that failure to
supply truthful information may result in denial with no further rights to appeal.
Student Signature_________________________________________________ Date______________
OFFICE USE ONLY
T
ERM:
Fall 20_____ Spring 20_____ Summer 20_____
Go to page 2
2021-22 SATISFACTORY ACADEMIC PROGRESS APPEAL FORM
11/12/2020
• Death of an immediate family member that required an extended absence. An In Memoriam card/program is required.
• Medical Emergency for self, legal dependent or spouse that required an extended absence. The patient’s medical provider must provide
a letter stating that you were under their care and this prevented you from attending classes.
• Military activation or deployment that required an extended absence. A copy of orders or call to duty is required.
• Employer required changes to your existing work schedule that required an extended absence where failure to accommodate the work
schedule change would have resulted in employment being terminated. Required documentation includes a signed letter from the
employer or immediate supervisor, with details regarding the schedule change. This letter must include the reason for the change and
effective date. The letter must be on the employer’s letterhead with employer contact information provided for further information.
• Disaster (e.g., fire, flood, tornado). Required documentation includes insurance claims and/or other third party documentation verifying
the date and extent of the disaster.
• To appeal the suspension of financial aid due to failure to meet Satisfactory Academic Progress (SAP) requirements, complete the appeal
form and submit before the first day of class for the next term that you plan to attend.
• Documentation provided will become a part of the student’s record. To expedite processing, submit appeal form at the same time as
supporting documentation.
• Sign and submit completed form and documentation to the Office of Student Financial Services. Contact information listed below.
• Allow up to TEN BUSINESS DAYS from submission of form and all documentation to process your appeal. You will be notified regarding
either a determination or next steps via your Andrews University email address.
Mail to: Andrews University Fax to: 269.471.3228
Office of Student Financial Services Phone: 269.471.3334
4150 Administration Drive Web: www.andrews.edu/sfs
Berrien Springs, MI 49104-0750 Email: sfs@andrews.edu
DOCUMENTATION REQUIRED
SUBMISSION INSTRUCTIONS
2021-22 SATISTFACTORY ACADEMIC PROGRESS APPEAL FORM
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Completed 28 January 2021

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