For Financial Circumstances: You must provide documentation which shows that you have experienced an unexpected
change in your financial circumstances which was outside your control. This may include evidence of you or an immediate
family member who was financially supporting you losing a primary job; evidence of large, unanticipated medical expenses;
or a documented change in family status that has reduced your anticipated financial support. Please note that voluntarily
leaving a job, being terminated for cause, choosing not to use financial resources available to you, or irresponsible spending
are not considered to be extenuating circumstances.
For Illness or Injury Circumstances: You must include documentation from a licensed medical or mental health provider.
Documentation must include information about the medical or psychological condition that is necessitating request for re-
evaluation. All medical documentation may be verified with the issuing provider.
For a student injury or illness (Self): A student must provide documentation of an injury or illness which was not
previously known to the student, or which was believed to have been previously treated and resolved or evidence that
they have experienced an escalation, decline or “flare-up” of the condition of its symptoms. On-going conditions which
were known to the student must have documentation of an escalation, decline, or “flare-up” to be considered.
For injury or Illness (Family Member): A student must provide evidence to demonstrate that an Immediate Family
Member has sustained or developed a new Injury or Illness or has experienced an escalation, decline or “flare-up” or
a previously existing condition. Additionally, the student must provide documentation of the impact of this new or
changing condition, such as their role in providing care for the Family Member or care for the minor children of the
For Death of an Immediate Family Member Circumstances: Please include a copy of the signed death certificate as well
as a funeral program or obituary listing you as a surviving relative, or other documentation showing your familial connection
to the deceased. Please be aware that, while FGCU recognizes there is no universal definition of family, federal regulations
limit immediate family to a Parent, Spouse, Sibling or Child for financial purposes. The Florida Board of Governors defines
Immediate Family as a Child, Grandparent, Parent, Sibling, or Spouse. The committee may also choose to consider persons
who are similarly situated, such as a domestic partner, person with a custodial interest in the student (foster parent, aunt or
uncle with whom the student permanently resides, etc.) or a minor person for whom the student serves as a guardian.
For University Error: An appeal due to university error must be submitted with supporting documentation signed by a
dean, department chair, or other university official confirming that there was an error which caused the student to have not
complied with the aforementioned requirement of the Soar in 4 program.
For Other Circumstances Not Described: Are you requesting a re-evaluation based on a type of extenuating circumstance
not listed on this form? If so, describe clearly in the box below and attach appropriate supporting documentation. These
appeals will be reviewed on a case-by-case basis by the committee.