Fillable F21360 Page 1 of 2 Form: Unusual Enrollment

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F21360 Page 1 of 2 Form: Unusual Enrollment

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Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was flagged for Unusual Enrollment History review
by the Department of Education because you received Federal Pell Grant or Direct Loan funds at multiple
educational institutions during the following academic years: 2016-17, 2017-18, 2018-19 and/or 2019-20.
Instrucons, Page 1:
1. Log into the National Student Loan Database (NSLDS) at www.nslds.ed.gov. NSLDS will provide you with your
borrowing history and let you know which academic semesters you received Pell grant.
2. In the chart below, list all schools you received Federal Pell Grant and/or Federal Direct Loan funds during the
2016-17, 2017-18, 2018-19, and 2019-20 academic years. If additional space is needed, please attach additional
schools in a list format to the last page of this form.
3. You must provide transcripts (unofficial or official) for any institution you attended and received Federal Pell
Grant/or Federal Direct Loan that UMGC does not already have on file. Unofficial transcripts must be attached to
this form. Submission instructions for official transcripts are available online at
https://www.umgc.edu/current-students/degree-requirements/transcripts/submit-your-transcripts/index.cfm .
Name of School
Academic
Semester Transcripts
Credits
Earned?
Attached
Already on File with UMGC
Yes
No
Attached
Already on File with UMGC
Yes
No
Attached
Already on File with UMGC
Yes
No
Attached
Already on File with UMGC
Yes
No
Attached
Already on File with UMGC
Yes
No
Attached
Already on File with UMGC
Yes
No
Attached
Already on File with UMGC
Yes
No
Please continue to Page 2.
UMGC Office of Financial Aid | 3501 University Boulevard East, Adelphi MD 20783 USA
F21360
Page 1 of 2
Form: Unusual Enrollment History
Academic Year: 2020-2021
Student’s ID #:
_ Student’s Name: _________________________________________
Please scan and submit this completed form at www.umgc.edu/help/submit-case.cfm.
UMGC Office of Financial Aid | 3501 University Boulevard East, Adelphi MD 20783 USA
All of the informaon on this form is true and complete to the best of my knowledge. If requested, I agree to provide
further documentaon to substanate the informaon provided.
Student’s Signature __________________________________________________ Date __________________
(must be signed by hand, not typed)
Instrucons, Page 2: If you answered ‘No’ for Credits Earned at any of the instuons you listed on the previous
page, please explain in detail why credits were not earned during the parcular meframe. In addion to your
detailed explanaon, federal regulaons require documentaon be submied to support your explanaon. If extra
space is needed, please aach an addional page to this form with your typed explanaon.
Semester & Instuon
Where Credits
Were Not Earned
Explanaon
F21360
Page 2 of 2
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F21360 Page 1 of 2 Form: Unusual Enrollment

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Completed 24 July 2020

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