Fillable Appeal Form 120913

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Appeal Form 120913

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Alvin Community College
Financial Aid Appeal Instructions
Appeal deadlines are posted under the Latest News section of the Alvin Community College Financial Aid website
(www.alvincollege.edu/FinancialAid.aspx). Students who do not meet the appeal deadline must use personal funds to
pay for tuition and fees by the payment deadline for the semester. We recommend that students consider setting up a
payment plan with the ACC Business Office.
Only COMPLETE appeals will be considered. A COMPLETE appeal includes all of the following:
A complete, signed, and dated ACC Appeal Form (attached).
Typed responses to the Required Appeal Questions (see the ACC Appeal Form).
Documentation to support your answers to the Required Appeal Questions.
A complete, signed, and dated Academic Plan (attached-see instructions below).
A print out of your ACC transcript from WebACCess (official transcript is NOT required).
A print out of your Program Evaluation from WebACCess.
All required documents and information for your aid application (if not previously submitted).
Academic Plan Instructions:
Complete the student sections of the Academic Plan Form (attached).
Schedule an appointment to meet with the appropriate ACC representative to complete the Academic Plan.
o Students enrolled in technical/vocational programs - Email the appropriate Division/Dept. Chairperson
(email addresses available at alvincollege.edu) for an appointment. Please include your full name, ACC ID
Number, and “Academic Plan” in the subject line of the email. Students will not be seen without an
appointment.
o Students enrolled in academic programs – Email advising@alvincollege.edu for an appointment. Please
include your full name, ACC ID Number, and “Academic Plan” in the subject line of the email. Students will
not be seen without an appointment.
Meet with the Division/Department Chairperson for your major or an Academic Advisor to complete an Academic
Plan. Your Academic Plan must be signed and dated by you and the Division/Department Chairperson of your
major or an Academic Advisor. APPEALS WITHOUT AN ACADEMIC PLAN WILL NOT BE CONSIDERED.
Submit your complete appeal to the ACC Financial Aid Office:
Mail: Fax: Email:
Alvin Community College Attn: Appeals Committee Subject: Appeal Form for the ____semester
Financial Aid-Appeal (281) 756-3840 FA@alvincollege.edu
3110 Mustang Road
Alvin, TX 77511
Updated 12/09/13 – Subject to change without notice
Alvin Community College
Student Appeal Form
Last Name___________________________________________First Name____________________________________
ACC ID_____________________SSN_______________________________DOB________________________________
Current degree/certificate at ACC (major)_______________________________________________________________
Expected date of graduation from ACC (mo/yr) _______________________(hours needed)______________________
Which semester are you appealing to receive aid (semester/year)? __________________________________________
I have read the standards of Federal Satisfactory Progress and I understand that I am no longer eligible for financial aid
because (please check all that apply):
_____ My ACC cumulative grade point average is less than 2.0.
_____ I did not complete 67% of the hours I have attempted.
_____ I have attempted more than 150% of the semester hours required by degree or certificate, and I have
previously completed a degree or certificate (ACC or any other school).
_____ I have attempted more than 150% of the semester hours required by degree or certificate, and I have
not
previously completed a degree or certificate (ACC or any other school).
Federal Financial Aid Regulations only allow students to appeal who have experienced one of the following documentable
circumstances.
APPEALS SUBMITTED WITHOUT SUPPORTING DOCUMENTATION WILL NOT BE CONSIDERED.
• Injury or illness to the student.
• Injury, illness, or death of a relative.
• Other, ONE-TIME, special circumstances
Required Appeal Questions (DOCUMENTATION OF YOUR ANSWERS IS REQUIRED)
1. Describe the circumstances which kept you from making Satisfactory Academic Progress.
2. How the circumstances you described have changed?
3. Describe how the changes you have made will allow you to demonstrate Satisfactory Academic Progress in the
future.
My appeal will be reviewed by the ACC Appeal Committee, and I will be notified via email of the decision.
The decision of ACC Appeal Committee is
FINAL.
_________________________________ __________________
Student Signature Date
Updated 2/26/13
ALVIN COMMUNITY COLLEGE
ACADEMIC PLAN
Last Name_____________________________________First Name_______________________________ACC ID Number_________________________
This Academic Plan applies to which semester? ___________________________
(Can only be applied to one semester, EX: Fall 2012)
To ensure your compliance with the Alvin Community College Financial Aid Satisfactory Academic Progress Requirements please complete the
following:
• Complete the GPA Section and Student Signature Section of this form. Incomplete forms will not be considered for aid.
• Print and attach a copy of your transcript and Program Evaluation from WebACCess.
• Schedule an appointment to meet with the Division/Dept. Chairperson of your program (technical/vocational programs only) or an
Academic Advisor (academic programs only) to complete the Required Courses Section of your Academic Plan.
• Submit a signed copy of your complete Academic Plan to the ACC Financial Aid Office. Keep a copy for yourself.
GPA
– To be completed by the student
What is your current cumulative GPA? __________ (available on your transcript)
If your GPA is a 2.0 or above, skip to the Required Courses Section – to be completed by Advisor/Dept. Chair. If your GPA is below a 2.0, use the Target
GPA Calculator available on the ACC website to determine what your GPA must be for this semester to reach a cumulative 2.0. Complete the
statement below.
To reach a 2.0 (goal), my GPA for my next __________credits (approved from below) must be __________. (attach printed calculations)
REQUIRED COURSES – To be completed with the Dept. Chairperson of your program or an Academic Advisor
The above student is required to enroll in the following courses for the ___________________________ semester (EX: Fall 2012).
Will the student graduate at the end of the semester? YES NO
____
_________________________________________________ _____________________
Academic Advisor, Division/Dept. Chairperson Signature Date
Student Signature
In order to meet the conditions of my appeal, I will do the following:
Please initial each statement.
_____ Enroll in only the above required classes. Please meet with an Academic Advisor or Dept. Chairperson to complete a new Academic Plan
before changing your enrollment. Changes in enrollment may affect your financial aid eligibility.
_____ Complete and pass all of the above required classes. “W”s, ”I”s, “R”s, and “F”s are not considered completions or passing grades.
_____ Maintain a 2.0 cumulative GPA
_____ I have made a copy of this Academic Plan for myself.
Failure to meet all of the above requirements will result in the permanent loss of financial aid at ACC, and may result in owing funds back to ACC.
_____________________________________________________ _____________________
Student Signature Date
Updated 2/26/13
COURSE # COURSE TITLE
CREDIT
HOURS
MINIMUM
GRADE THE
STUDENT
MUST
EARN
REQUIRED FOR
ACC DEGREE
PLAN? (Y/N)
If no, course
may not be
funded.
SUBSTITION
FOR COURSE
#
REPEATED
COURSE?
(Y/N)
MINI TERM?
(Y/N)
If yes, which
term?
Visit the
Learning
Lab for
this
Course?
(Y/N)
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Appeal Form 120913

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Completed 15 November 2019

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