05/18/2020
EXHAUSTED FINANCIAL AID APPEAL REQUEST FORM
VICE PRESIDENT OF STUDENT SERVICES OFFICE
170 North Street, Room 229
Dryden, NY 13053
Phone: 607.844.8222, Ext. 4316 Fax: 607.844.6544
Email: VPSS@tompkinscortland.edu
_________________________________________
(Semester/Year for which aid is being requested.)
Name: Student ID #: __ __ __ - __ __ - __ __ __ __
Street
Address: Cell phone #: ( _____ ) _______________________
City, State, Zip: Home/other #: ( _____ ) ________________________
E-mail: @mymail.tc3.edu Date: _______________________________________
(For your security, only your Tompkins Cortland email address will be used for communication regarding your appeal request.)
I understand that I can only get one Exhausted Financial Aid Appeal approval while at Tompkins Cortland.
I am aware that:
1.
) Any outstanding Tompkins Cortland tuition bills must be paid in full (or payment arrangements have bee
n
made) before I can register
2.) I must be officially admitted by the College;
3.) My 2020-2021 FAFSA must be submitted and all financial aid documents must be completed;
4.) The deadline date for completing all of the above is Thursday, August 20, 2020.
________________________________________________________________________________________
PLEASE NOTE:
You must not have exhausted both your Federal Pell Grant and federal student loan eligibility.
You will be notified to your Tompkins Cortland e-mail address of the appeal committee’s decision.
If this one-time-only Exhausted Financial Aid Appeal is approved:
1.
) You must take only courses that are required for degree completion and you must complete your degree
within the specified semester and you cannot change your degree program even if this means attending
part-time;
2.
) You will receive an “Exhausted Financial Aid Plan from the Vice President of Student Services Office;
3.
) Students who fail or withdraw from courses or receive any grades insufficient for meeting degree
requirements will no longer be eligible to receive federal student aid.
**PLEASE COMPLETE THE QUESTION ON PG. 2 OF THIS APPEAL FORM
AND SUBMIT THE COMPLETED FORM TO THE ADDRESS LISTED ABOVE.**
05/18/2020
PAGE 2 EXHAUSTED FINANCIAL AID APPEAL REQUEST FORM
P
LEASE ANSWER THE FOLLOWING QUESTION AND ATTACH RELEVANT SUPPORTING DOCUMENTATION, IF
APPLICABLE:
1. State your academic intentions and explain whether you plan to be full-time or part-time and how you plan to
complete your degree requirements within the timeframe of 18 credits or 2 semesters. Be as clear a
s
p
ossible.
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Student’s Signature Student ID#
Phone Number(s) Date
For Financial Aid Office Use Only
Pell eligible Y or N $_______________
Loan eligible Y or N $_______________
Verified by: ______________________________
click to sign
signature
click to edit
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