Reason for Request for Reconsideration of Financial Aid
Please check all of the boxes that apply to your family’s situation and provide supporting documentation.
Change of Income, January – December 2019 or January – December 2020
(Example: Loss or change of employment status, death of parent, divorce/separation, etc.)
Is your loss of income temporary or permanent?
Have you applied for unemployment benefits?
Required Documentation:
Personal statement describing the anticipated or actual income change, including dates and reason(s) for the
significant changes. Please be specific. See page 3.
Most recent year-to-date pay stubs
Signed copy of prior year Federal Tax Return, including all Schedules and W-2(s)
Summary of any severance and/or unemployment benefits (if applicable)
Divorce decree or proof of separation (if applicable)
Any other documentation that demonstrates the change/loss of income
2018 or 2019 Health Care Expenses- $__________________
Include only the expenses allowed to be reported as “itemized deductions” (1040 Schedule A, Line 1)
Do not include any expenses that are or will be reimbursed by insurance, paid from a health savings account (HSA),
paid by your employer or billed in one year but paid in another
Required Documentation
Narrative outlining paid medical expenses. See page 3
Signed copy of 2018 or 2019 Federal Tax Return including Schedule A
Documentation of paid medical expenses
Other Unusual Expenses
Itemize, explain, and document other unusual expenses. These may include:
Home repairs due to natural disaster (fire, tornado, earthquake, etc.) damage not covered by insurance
Casualty or theft losses (not covered by insurance) claimed on your tax return
Regular and significant support of other family members under extenuating circumstances
Funeral expenses (family members)
Unusually high K-12 education expenses for siblings of the applicant between August 2020-June2021. Please
include a copy of the paid tuition statement
Other Unusual Circumstances
Itemize, explain, and document other unusual circumstances. These may include:
One-time IRA distributions or inheritances
Debt cancellation that appears as income on the Federal Income Tax Return
Reconsideration of Institutional Financial Aid – based upon financial aid offers from comparable
colleges/universities (for prospective students only)
Include copies of financial aid award letters received from other institutions
Students MUST include a personal statement explaining how additional assistance would be beneficial in assisting
with your college decision
Please continue to page 3 of this application. The following page will provide you with a text box in which you may
write your personal narrative. Please be specific and provide as much detail as possible. Signatures from the student
and parent are required at the bottom of page 3.
