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20-2021 UNUSUAL ENROLLMENT HISTORY APPEAL FORM
Based on the submission of your recent FAFSA, it has been determined that you have an unusual enrollment history while receiving Federal Student
Aid. An unusual enrollment history is defined as having attended multiple institutions in the past four aid/award years. If, upon review of your
academic records, it is determined that you did not earn academic credit at one or more of your previously attended institutions, you will need to
complete part C of this form. In this circumstance, our office is unable to award federal Title IV funding until the appeal is received documenting the
reason for your failure to earn academic credit.
If you wish to appeal, please complete this appeal form providing an explanation of your circumstances during the semester(s) in which you did not
earn credit. Attach any supporting documentation to this form.
A.
STUDENT INFORMATION
Student Name: ID Number:
SSN (last four): XXX-XX-________ Phone Number: ______________________________
B.
List all schools at which you attended in the last 4 years
Name of Schools and terms attended: Did you submit Did you
Transcripts? Earn credit?
Yes No Yes No
If you answered “yes” to having earned credit at all of the schools listed above, and have submitted transcripts showing your
grades from all of these semesters, you may sign here and submit this form to request that we review your transcripts and Federal
Student Aid history. If we can confirm that you earned credit at every school each year you received Federal Aid, you will not need
to provide explanation or documentation:
I earned credit at every school each year I received Federal Aid. Please review my records.
Student Signature: Date:
I
f you answered “no” to having earned credit at any of the schools listed above, you must:
1. A
ttach 3
rd
party documentation that supports your explanation for each school where credit was not
earned.
2. Explain in part C documentation why credit(s) were not earned at each school.
I
f you answered “no” to having submitted transcripts to the Admissions Office, you must do so before we can
review your appeal. We are required to review your academic transcripts from the schools before granting your
financial aid.
OFFICE OF FINANCIAL AID
2020-2021 UNUSUAL ENROLLMENT HISTORY
APPEAL FORM
PHONE: 318-345-9005 MAIN CAMPUS FAX:
318-345-9006 MAIN CAMPUS
EMAIL: FINANCIALAID@LADELTA.EDU
click to sign
signature
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