Chippewa Valley Technical College
Request for Academic or Financial Aid Appeal
All students dismissed from CVTC may appeal their Academic Dismissal to be reinstated to the College. All students may appeal their
Financial Aid suspension to have their Financial Aid reinstated. Please check one:
I am appealing my Academic dismissal (deadlines below)
I am appealing my Financial Aid suspension (appeal immediately)
I am appealing both Financial Aid & Academic (deadlines below)
If you wish to appeal your Academic Dismissal or your Financial Aid suspension, you must submit this form and the following
information/documentation within the timeline indicated:
1. An explanation of the specific circumstance that prevented you from meeting the academic or financial aid standards and how you
have addressed the problem to ensure future academic success.
2. The following third party verification/documentation of the circumstances is attached. Refer to the Academic and Financial Aid
Appeal website to access a training video for completing an academic or financial aid appeal.
You are required to check a box(es) below and attach documentation. If documentation is not submitted and does not
support your circumstance, your appeal for reinstatement will not be reviewed.
Death of an immediate family member (mother, father, sibling, child, spouse, or grandparent). A copy of the death certificate or
obituary is required.
Medical condition which resulted in the inability to attend class or make contact to drop/withdraw. Medical documentation
including the dates of illness, admission to the hospital, or a signed letter from the doctor is required.
Family, financial, or legal situation that impacted your ability to succeed. A statement from a third party (family member,
health care provider, friend, faculty, or other advocate) is required.
Other (career choice, degree focus, time management, etc.) Provide documentation of steps you have already taken to address
your circumstance(s). Refer to the College Planning & Preparation (resources.cvtc.edu) website for CVTC resources.
I have checked with the Cashier’s Office and cleared all account receiveable holds. (Please note an appeal cannot be submitted
until all financial holds are cleared.)
If you were dismissed more than one semester in the past, you may appeal immediately. Appeals will be reviewed and a re-entry
decision will be communicated within 30 days via mail. If you were dismissed the previous semester, please see dates below:
Students May Submit AFTER:
*Deadline for appeal submission is 3 business days prior to the desired term.
The Satisfactory Academic Progress/Academic Standards (SAP/AS) Appeals Committee, is comprised of representatives from College
administration. If your appeal is approved and reinstatement granted, you are obligated to meet the requirements of your success plan.
Your plan will be evaluated at the end of the next term of enrollment to ensure that you met all requirements. If your appeal is denied,
you will be informed of your re-entry options. All committee decisions are final.
Complete the student contact information in the space below, and address the questions/statements that follow.
CVTC Student Identification Number
Home/Contact Telephone Number
Month/Year of Dismissal from CVTC
Program Enrolled in at Time of Dismissal
New Program of Interest if Reinstated
Yes No Academic: Financial:
Is This Your First Appeal? If No, Term of Previous Appeal