CCL Short Plan Course List
Last Name
First Name
MI
Social Security Number
Student ID Number
XXX-XX-
Maricopa Email Address
Certificate (CCL) Program Name
@maricopa.edu
Instructions:
Federal regulations require that loan limits be prorated for enrollment in programs that are shorter than an academic year. Any program at
Phoenix College that is less than 24 credit hours in length meets this definition. The following information is required to in order to continue
to process your financial aid application.
Meet with an academic advisor and complete this short plan course list showing the courses that you have remaining for this certificate
Attach a copy of your evaluated CCL program check sheet
NEEDED or IN PROGRESS: Only these courses may be used to determine your financial aid eligibility
Advising Notes
Credits
Financial Aid Notes
TOTAL HOURS TO BE COMPLETED:
PC Academic Advisor Signature (REQUIRED)
Date
Your signature below acknowledges that you have READ and UNDERSTAND that you will not be funded for courses other than those listed and
approved on this form. If you receive funds for classes other than those listed and approved on this form, your award may be reduced or
cancelled.
Student’s Signature (electronic signature NOT accepted)
Date
.
Non‐Discrimination Statement
The Maricopa County Community College District (MCCCD) is an EEO / AA institution and an equal opportunity employer of protected veterans and individuals
with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender
identity,
age, or national origin. A lack of English language skills will not be a barrier to admission and participation in the career and technical education
programs of the
District.
The Maricopa County Community College District does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs or
activities. For Title IX / 504 concerns, call the following number to reach the appointed coordinator: (480) 731‐8499. For additional information, as well as a
listing of all coordinators within the Maricopa College system, visit http://www.maricopa.edu/non‐discrimination.