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3094 Colonial Ave SW, Roanoke, Virginia 24015 855-874-6690 Fax: (540) 857-6208 virginiawestern.edu
Committed to Equal Opportunity/Affirmative Action and Diversity
FINANCIAL AID AND VETERANS’ AFFAIRS
Appeal for Reinstatement of Financial Aid
If you wish to appeal the loss of your eligibility for financial aid, please complete this form and attach
supporting documents. Appeals submitted without supporting documents will be rejected. If you
need to discuss possible forms of documentation due to your circumstances, please contact the
Student Support Center.
Student’s Name:
Empl ID#
Program
of Study
I have completed a
FAFSA for this year
Yes No
This is my first appeal to have my financial aid reinstated. Yes No
I would like my financial aid eligibility re-evaluated for the
semester checked below:
Fall 20____
Spring 20____ Summer 20____
Priority Deadline
Final Deadline for term
Summer 2020
May 20, 2020
June 24, 2020
Fall 2020
August 14, 2020
October 9, 2020
Spring 2021
January 8, 2021
March 12, 2021
If you submit an appeal after the deadline, it will automatically apply to the next semester.
Reason for Appeal:
Students may appeal the loss of their financial aid eligibility if it was caused by unusual mitigating
circumstances. This appeal is based on the situation(s) checked below:
Personal illness or illness of an immediate family member. (Attach a statement from a
family physician attesting to the medical condition.)
Death of an immediate family member. (Attach a copy of the obituary or death certificate.)
Relationship:
Other unusual mitigating circumstances. (Please provide a written explanation and
supporting documents i.e. court records, police reports, letter from another unbiased
third party who is not a family member, etc.) Letters from VWCC Professional Advisors
are not permissible documentation.
Updated Spring 2018
Name
EMPLID #
Explain in detail the reason you failed to make Satisfactory Academic Progress.
This section must be typed. Appeals with spelling, mechanical, or grammatical errors
will be rejected.
Explain in detail
what circumstances have changed so that you will be successful.
This section must be typed. Appeals with spelling, mechanical, or grammatical errors
will be rejected.
Updated Spring 2018
If your documentation will be arriving via a third party, please note on the lines
below who will be sending it and how. It must be received within one week of
receipt of your appeal in order to be considered.
Who is sending it? _____________________________________
By email? By mail? By fax?
Your appeal will not be considered without your initials to show you have read and
understand the following conditions.
By submitting this appeal, I certify that I have read and agree to the following. Initial on the line
following each statement:
I understand that appeals turned in without supporting documents will be denied. ____
I understand that handwritten appeals will be denied. ____
Decisions on appeals are processed on a case-by-case basis. ____
Appeal decisions will be communicated to students via Message Center in SIS. ____
I understand that the decision is final and not subject to reconsideration by any party.
____
If approved, I will be expected to read, complete, sign, and comply with the SAP
agreement form. ____
I understand that I may have to provide more information to the financial aid office to
complete the processing of my aid application, even if this appeal is granted. ___
Signature: ______________________________ Date: _______________
Once you complete this appeal form, you can submit it to our office using one of the following
methods:
Upload documents through our support center
website. Log in with your MyVWCC
information. Select the option to ‘Create a Case/Submit Document(s).’
Fax documents to 540-857-6208.
Mail documents to our office at 3094 Colonial Ave, SW, Roanoke, VA 24015.