Fillable Appeals Form Satisfactory Academic Progress Scholarship Appeal (Louisiana College)

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Appeals Form Satisfactory Academic Progress Scholarship Appeal (Louisiana College)

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Appeals Form
Satisfactory Academic Progress
Scholarship Appeal
Louisiana College – Financial Aid Office – 1140 College Dr Box 582 Pineville, La. 71359
Phone (318) 487-7386 – Fax (318) 487-7449 – Email: financial_aid@lacollege.edu
https://lacollege.edu/campus-life/financial-aid/
Page 1 of 3
Name: ______________________________________________________ LC ID#: __________________________
Mailing
Address: ___________________________________ City: ___________________ State:______ Zip: ______________
Telephone #: _____________________________ Email: ________________________________________
Please check the appeal(s) that apply to you:
FINANCIAL AID SATISFACTORY ACADEMIC PROGRESS APPEAL:
If you received a notification stating you’ve been disqualified from receiving federal financial aid for not
meeting satisfactory academic progress, check this box. Follow the instructions carefully as failure to do
so will result in the appeal being denied. To review the Satisfactory Academic Progress Policy please refer
to pages 2 - 3 of the undergraduate data form. If you are submitting this appeal past the deadline
you must also provide a Financial Aid Progress Report.
Federal regulations require a student to meet Satisfactory Academic Progress Standards, please refer to the
undergraduate data form for the complete policy.
SCHOLARSHIP ACADEMIC APPEAL:
If you received a notification stating that you have lost your Louisiana College Scholarship, check this
box. Follow the instructions carefully as failure to do so will result in the appeal being denied. Please
review your Scholarship Agreement for the conditions of your Louisiana College Scholarship, if you do not have a copy please
come to the Louisiana College Office of Financial Aid and request one.
THIS FORM MUST BE LEGIBLE AND COMPLETED IN FULL WITH ALL REQUIRED SIGNATURES.
Office use below for committee notes
Appeals Form
Satisfactory Academic Progress
Scholarship Appeal
Louisiana College – Financial Aid Office – 1140 College Dr Box 582 Pineville, La. 71359
Phone (318) 487-7386 – Fax (318) 487-7449 – Email: financial_aid@lacollege.edu
https://lacollege.edu/campus-life/financial-aid/
Page 2 of 3
1) In the box below, please provide a detailed typed statement listing the reason(s) you experienced difficulty and did not
succeed academically. Examples of legitimate difficulties are: illness or injury, family problems, inability to access
support services, and/or change in financial status.
2) Please attach to this appeal the documents which apply to your situation (as specified in #1). Lack of relevant
documentation will result in appeal denial. Examples of documentation which might apply to your situation include:
• Letter(s) from physician(s), hospital(s), or other health care professional(s), and receipts or bills identifying medical issue(s)
• Letters from advisors, counselors, faculty, and other knowledgeable people who knew the difficulties you experienced
• Letter from your employer verifying a change in work schedule and when it occurred
• Any other documents, statements or receipts that show cause for academic problems
• Death certificate or obituary of deceased family member
• Verified accidents, illness, or other circumstances beyond your control
• Changes in economic situation
• Evidence of inability to obtain essential support services
• Disability accommodations not received in a timely manner
3) In the box below, please provide a detailed typed statement explaining what your plan is to improve your academic
performance.
Appeals Form
Satisfactory Academic Progress
Scholarship Appeal
Louisiana College – Financial Aid Office – 1140 College Dr Box 582 Pineville, La. 71359
Phone (318) 487-7386 – Fax (318) 487-7449 – Email: financial_aid@lacollege.edu
https://lacollege.edu/campus-life/financial-aid/
Page 3 of 3
Academic Advisor/Counselor’s Printed Name
Academic Advisor/Counselor’s Signature
Date
*** OFFICIAL USE ONLY ***
Processed By: _______________ Date: _______________
If this appeal is ONLY for to appeal your Louisiana College Scholarships, skip #4 and proceed to Certification
and Signature.
4) Meet with your academic advisor/counselor to update your Student Education Plan (SEP). Attach a copy of your
updated SEP. The advisor/counselor must sign below.
I hereby certify that I have met with the student and updated their Student Education Plan.
_____________________________________ _________________________________ _______________
Certification and Signature:
I certify that all of information provided is complete and correct.
____________________________________ _________________________________ _______________
Student’s Printed Name Student’s Signature Date
THIS FORM MUST BE SIGNED AND DATED TO BE VALID. ELECTRONIC AND/OR DIGITAL SIGNATURES ARE NOT VALID
RETURN COMPLETED FORM AND SUPPORTING DOCUMENTATION TO:
LC Financial Aid Office
1140 College Dr Box 582
Pineville, La. 71359
Fax: (318) 487-7449
E-mail: financial_aid@lacollege.edu
Original: Financial Aid Office
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Appeals Form Satisfactory Academic Progress Scholarship Appeal (Louisiana College)

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Completed 29 January 2021

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