Unusual Enrollment Appeal Form 3.13.14
Based on the submission of your recent FAFSA, the United States Department of Education determined that you have an
unusual enrollment history while receiving federal Pell Grant funds. An unusual enrollment history is defined by the
Department of Education as having received the Pell Grant at multiple institutions over the past three award years. Upon
review of your academic records it has been determined that you did not earn academic credit at one or more of your
previously attended institutions. Under federal guidelines our office is unable to award you any Title IV funds until an appeal
is received that satisfactorily explains the reason(s) you failed to earn academic credit.
If you wish to appeal, please complete this form providing an explanation of the extenuating circumstance(s) during the
semester(s) in which you did not receive academic credit. Examples of extenuating circumstances include serious medical
problems, natural disasters, a death in the family, etc. Students should provide supporting documentation (medical reports,
news articles, police or fire dept. reports, etc.) with their letter of explanation.
Appeals are reviewed by the Financial Aid Director. Normally a decision is reached and students are mailed a letter informing
them of the Director’s decision within 14 days.
A. STUDENT INFORMATION
Student Name:___________________________ ID Number: N__________________________
B. EXPLANATION
Name of School: Semester:
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C. CERTIFICATION
I certify that all of the information I have provided on this Appeal Form and all supporting documentation is
true and accurate to the best of my knowledge. I understand that it is a federal crime to purposely give false
or misleading information on this form and if I do, I may be fined, be sentenced to jail, or both.
Student Signature:_____________________________________ Date:________________________
Return this form to:
Financial Aid Office, Southwestern Michigan College
58900 Cherry Grove Road, Dowagiac, MI 49047 or fax to 269-783-2114
Southwestern Michigan College
Unusual Enrollment History Appeal Form
Financial Aid Office, 58900 Cherry Grove Road, Dowagiac, MI 49047
Phone: 269.783.2143 Fax 269.783.2114 Email: finaid@swmich.edu
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