Fillable APPEAL FORM 2021-2022 FINANCIAL AID MAXIMUM CREDIT (Eastern Arizona College)

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APPEAL FORM 2021-2022 FINANCIAL AID MAXIMUM CREDIT (Eastern Arizona College)

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Financial Aid Office
615 N Stadium Avenue
Thatcher, Arizona 85552
928-428-8287 fax # 928-428-2391
Gila Hank Financial Aid Drop Box
FINANCIAL AID MAXIMUM CREDIT
APPEAL FORM 2021-2022
Instructions to student:
This appeal is required for students who have exceeded the 150% time frame allowed by federal regulations to
complete degree requirements. The appeal must be signed by the student, signifying acceptance of the plan as
outlined. Return completed form and a copy of your degree audit to the EAC Financial Aid Office.
Section I:
Student Information:
1. Name: EAC ID#:______________________________
Mailing Address: __________________________________________________________________________
Street and/or Box #
___________________________________________________________________________________________________
City State Zip
Telephone#: ( )_________ - ____________ Email:____________________________________
2. Are you requesting federal financial aid to complete a firs
t degree/certificate at EAC? No Yes
If yes, what is the degree/certificate you are seeking? _____________________________________________
Please explain the issues that have caused you to exceed the maximum time frame allowed to complete your first
degr
ee/certificate at EAC? An example might be that you completed x number of GIFT courses while in high school.
3. Are you requesting federal financial aid to complete an additional degree/certificate at EAC? No Yes
If yes, what is the degree/certificate you are seeking? _____________________________________________
Please explain why you are seeking an additional degree/certificate? An example might be that you completed x
number
of GIFT courses while in high school.
4. What is your anticipated date of graduation? ____________________
5. Have you declared the degree you are currently seeking on your Gila Hank? No Yes If no, you must do so
before submitting this appeal. To do this, go to:
https://gilahank.eac.edu/GilaHank/SignIn. (You are able to
update your major on the first screen.)
Section II: Courses Required in Order to Complete Degree Requirements.
I have attached my degree audit from the Gila Hank web site at: https://gilahank.eac.edu/GilaHank/SignIn. (Click
on “View completion details for my major” under your Declared major.) Based on this degree audit, I will enroll for
the following required courses:
Fall 2021 Semester
Spring 2022 Semester
Summer 2022 Semester
Total Credits: Total Credits: Total Credits:________________
If you are requesting to take classes that are not required for your degree; but must be taken for a scholarship or in order
to transfer to one of our universities to continue your degree, please list below. Keep in mind these classes will not be
covered under financial aid and will be the student’s responsibility.
Course # Title # of
credits
Reason for taking class
Notes: _______________________________________________________________________________________
Section III: Students Certification:
I agree to take only the courses required to complete my degree requirements as outlined on my appeal approval notification
letter. Additionally, I will complete all courses with a minimum 2.0 grade requirement with the exception of nursing which
requires a 3.0. I understand that failure to meet these requirements is a breach of contract which will result in financial aid
suspension without possibility of further appeals.
Student’s Printed Name Student’s Signature Date
Course Title
# of
credits
Course Title
# of
credits
Course Title
# of
credits
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APPEAL FORM 2021-2022 FINANCIAL AID MAXIMUM CREDIT (Eastern Arizona College)

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Completed 29 January 2021

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