RM 11/13/19
Note: Foster Youth and Former Foster Youth (up to age 26) are exempt from loss of both priority registration and CCPG fee waiver per regulation.
Last Name: ______________________________ First Name: ________________________ Student ID # _______________
RCC Email: _________________________________________________________ Phone: ( ) _______ - ______________
Minimum documents that must be included with this form as well as those identified below:
A typed narrative of your situation AND an RCC Comprehensive Student Educational Plan (2+ semesters SEP)
Enrollment Priority Appeal Reasons: (check one)
Academic/Progress Probation Extenuating Circumstances: verified illness, accident or circumstance beyond the control of the
student. (Examples of documentation are doctor’s notes, accident report, etc.). Official documentation must be attached.
I have been making significant academic improvement by completing my last semester with a 2.00+ GPA, and completed
more than 50% of my semester coursework.
I am a student with a verified disability who applied before the deadline, but did not receive my requested accommodation.
Final Term: I am completing my program during the requested term for this appeal
Please note: a student can only file one successful registration appointment appeal during their RCCD career.
Loss of CCPG Fee Waiver: Attach a typed narrative of your situation AND check one below
Academic/Progress Probation Extenuating Circumstances: verified illness, accident or circumstances beyond the control of the
student or other circumstances that might include documented changes in the student’s economic situation. (Examples of
documentation are doctor’s notes, accident report, loss of job, etc.) Official documentation must be attached.
I have been making significant academic improvement by completing my last semester with a 2.00+ GPA, and completed
more than 50% of my semester coursework.
I am a student with a verified disability who applied before the deadline, but did not receive my requested accommodation.
(Provide verification from the DRC center).
I was unable to obtain essential support services. (Provide verification from the support services
department).
I would like to be granted special consideration as I am a student in one of these programs (check all that
apply). (Written program verification must be attached AND you must also meet one of the other appeal
situations): CalWORKs DRC EOPS Veterans
I have had a change in economic situation. Attach statement explaining change and attach supporting documentation.
I declare under penalty of perjury that all information on this form is true and correct. I understand that this appeal form is void if I
should continue to fail to make academic progress.
Student Signature: ________________________________________________________ Date: ________________________
*****For Office Use Only *****
*****For Office Use Only *****
Loss of Enrollment Priority
Loss of CCPG
Fee Waiver
Approved
Email to Student
Approved
Email to Student
Pending
Email to Student
CCPG
Awarded
Denied
Email to Student
Comment Posted
Pending
Email to Student
Denied
Email to Student
Original Registration Appt Date/Time:_______________ Approved Registration Appt Date/Time ____________
Authorized Signature: _____________________________
Date: ___________________________
FA Staff: __________
Date: ____________
Registration Appeal and/or CCPG Fee Waiver Appeal
This form is to appeal your enrollment priority and/or loss of CCPG fee waiver
RM 11/13/19
Loss of Enrollment Priority and/or CCPG Fee Waiver Appeal Processing Instructions
LOSS OF PRIORITY REGISTRATION:
Per Title 5, Section 58108 Regulations of the California Community College System, your calculated
academic standing will impact your assigned registration date for future semesters. A second consecutive
term (fall/spring semesters) on academic or progress probation will result in the loss of continuing student
priority registration. This will also apply to any student over 100-unit limit (excluding non-degree applicable
and ESL courses and high-unit majors that are over 60 units). This means you would register after all
continuing and new students thereby possibly losing your opportunity for the courses you need to complete
your educational goal.
LOSS OF CALIFORNIA COLLEGE PROMISE GRANT (CCPG):
Please be aware a student that continues on a second consecutive term (fall/spring semesters) on academic or
progress probation will result in the loss of the CCPG Fee Waiver.
1 . Complete the student information part of this appeal form and a typed narrative of your situation. (If
you are Foster Youth you are exempted from this process. Please contact the Financial Aid department.)
2. Submit the completed Appeal form to Admissions & Records with all of the supporting documentation
that is indicated on the form based on your appeal reason (Appeal Form, typed narrative,
comprehensive education plan, and supporting documentation). Any missing information will result in
your Enrollment Priority/CCPG Fee Waiver Appeal request to be denied.
A response will be sent to your RCCD student email address with 3-5 business days informing you of the
appeal’s outcome. Please check your email daily for this response.
Important Notices and Resources:
This appeal does not apply to financial aid other than the CCPG. Students appealing for financial
aid ineligibility need to complete the financial aid Extenuating Circumstances Petition. Refer to
your ineligible email or visit the financial aid counter for more information.
To make an appointment with a counselor for a Student Educational Plan (SEP), call (951) 2228440
or visit the counseling counter in the Student Services Building.
You can find out more information on Admissions and Records online at
www.rcc.edu/services/admissions.
You can find out more information on financial aid at
www.rcc.edu/services/studentfinancialservices.
All Appeal forms and documentation must be received by Admissions & Records/Financial
Aid Department by the established College deadline. Planning ahead is very important!
All applications for financial assistance programs, (i.e., student loans, work compensation, grants, scholarship, special funds, subsidies, prizes, etc.), will be considered by the Riverside Community College District
without regard to ethnic group identification, national origin, religion, age, sex or gender, race, color, ancestry, sexual orientation, physical or mental disability, or any characteristic listed or defined in Section 11135 of
the Government Code or any characteristic that is contained in the prohibition of hate crimes set forth in subdivision (1) of Section 422.6 of the California Penal Code, or any other status protected by law. Alternate
formats for this material are available to individuals requiring disability accommodation. Please contact the office of Diversity, Equity and Compliance at (951) 222-8039.
Todas las solicitudes para programas de asistencia financiera (por ejemplo, préstamos estudiantiles, compensación de trabajo, subvenciones, becas, fondos especiales, subvenciones, premios, etc.), serán considerados
por el Distrito de Riverside Community College independientemente de identificación étnica, origen nacional, religión, edad, género, identidad de género, expresión de género, raza, color, ascendencia, información
genética, orientación sexual, discapacidad física o mental, o cualquier característica listados o definidos en la Sección 11135 del Código de Gobierno o cualquier característica que se encuentra en la prohibición de los
crímenes de odioque requieran alojamiento de discapacidad. Por favo establecidos en la subdivisión (1) de la Sección 422.6 del Código Penal de California, o cualquier otra condición protegida pr comuniquese con oficina
de Diversidad, Equidad
y
Respeto al (951) 222-8039. or la ley.Formatos alternos para este material están disponibles para personas