Page 1 of 2
OFFICE OF FINANCIAL AID
AND SCHOLARSHIPS
Check your myClackamas account for all financial aid correspondence and your Award Letter.
Secure submission of documents can be completed in person, by mail, or fax to:
Office of Financial Aid and Scholarships · Roger Rook Hall · 19600 Molalla Avenue, Oregon City, OR 97045
Phone: 503-594-6082 · Fax: 503-722-5864 · e-mail: finaid@clackamas.edu · www.clackamas.edu
Need assistance? Financial Aid Resource Lab hours: Monday-Thursday, 10am-1pm and 1:30-3pm
12/19/18 Rd
2019-2020 SATISFACTORY ACADEMIC PROGRESS (SAP) APPEAL FORM
(Summer Term 2019 Spring Term 2020)
Student Last Name
Student First Name
Student ID#
Date of Birth
SELECT THE REASON FOR APPEAL:
DISQUALIFIED: I had unforeseen, extenuating circumstances that affected my ability to meet minimum
requirements.
THE FOLLOWING DOCUMENTATION MUST ACCOMPANY THIS APPEAL:
A typed and signed statement explaining why minimum requirements were not met (minimum 2.0 cumulative
GPA and/or 67% pace).
Proof of your unforeseen, extenuating circumstance (e.g. death certificate/obituary, medical records/doctor’s
note, police report, letter from a counselor, etc.).
See an Academic Advisor to complete a three-term Academic Plan. Attach the Academic Plan to this
appeal.
LATE GRADE: My late grade is now posted on myClackamas. I have at least a 2.0 cumulative GPA and 67% pace
(attach a copy of your grades).
REINSTATEMENT: Using my own financial resources I passed sufficient credits to bring my GPA and pace to the
federal minimum standards.
I have followed all the steps on this form and the information provided is correct to the best of my knowledge. I
understand that I cannot receive federal financial aid unless my Appeal is approved. I am personally responsible
for all fees and tuition incurred. I am aware that incomplete Appeals will be denied.
_____________________________________________ _____________________________
Student Signature Date
Appeal APPROVED Appeal DENIED (ADY)
Placed on PROBATION
Update PERC End date DQ, add SAPP DENIED - Missing (ADYD)
Statement
Return to GOOD STANDING Documentation
(proof of circumstances)
Ed Plan
Effective SU __ FA __ WI __ SP __ Evaluation Date ____ Initial_____
Cumulative GPA __________ Pace _____/_____ = _____%
FA Signature __________________________________________ Date _________________________________________
Office of Financial Aid and Scholarships Use Only
Satisfactory
Page 2 of 2
OFFICE OF FINANCIAL AID
AND SCHOLARSHIPS
Check your myClackamas account for all financial aid correspondence and your Award Letter.
Secure submission of documents can be completed in person, by mail, or fax to:
Office of Financial Aid and Scholarships · Roger Rook Hall · 19600 Molalla Avenue, Oregon City, OR 97045
Phone: 503-594-6082 · Fax: 503-722-5864 · e-mail: finaid@clackamas.edu · www.clackamas.edu
Need assistance? Financial Aid Resource Lab hours: Monday-Thursday, 10am-1pm and 1:30-3pm
12/19/18 Rd
Student SAP Appeal Directions
STEP 1 Complete SAP Appeal Form
STEP 2 Personal Statement
Describe what occurred during the term that prevented you from meeting the
standards of Satisfactory Academic Progress. Ensure your statement is well-
thought-out and verifiable.
Extenuating circumstances are defined as those where the student has no
control, are significant and documentable, are unforeseeable, and had a
direct impact on the student’s ability to successfully complete the term. Some
examples may include: death in the family, medical/illness, or other situations
which were out of your control.
Personal choices, while they may be well intended, do not constitute
extenuating circumstances for which the student has no control.
If illness was a factor, provide documentation from a doctor indicating the
onset, duration, and severity of the illness and provide the date that you were
healthy enough to return to school.
Multiple appeals for the same reason are not allowed.
Describe the steps you have taken to resolve the issue.
For example, if you had childcare issues, how have you resolved them?
Explain your plan for success this term and in future terms.
Please include changes that have taken place to ensure your future success.
If you need assistance writing your statement, the Writing Center is available in the Dye
Learning Center.
STEP 3 Proof of Extenuating Circumstances
Attach appropriate documentation (e.g. medical bills, statement from doctor, court
documents, and newspaper articles).
Documentation must come from a third-party. Statements from relatives or personal friends
will not be considered.
STEP 4 Complete a three term Academic Plan with an Academic Advisor
STEP 5 Submit Your Completed Application
A SAP Appeal will not be considered until any unearned financial aid debt to the college is
paid in full, and you are in compliance with all financial aid regulations.
Appeal decisions are emailed to the student’s myClackamas account and listed in the
student portal.
Decisions made by the SAP Committee, after review by the Financial Aid Director, are
final.
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