ATTENDANCE VERIFICATION
(2019-2020 Academic Year)
2800 S Lone Tree Rd Flagstaff, AZ 86005-2701 PH: 928-226-4219 FAX: 928-226-4110 finaid@coconino.edu
FA570-ATTND 20181003
Student Instructions: In order to receive financial aid you must be
attending your in-person classes and participating in your web
courses as per CCC procedure
http://www.coconino.edu/resources/files/pdfs/presidents-
office/policies-and-procedures/303-02.pdf. You have received this
form because we have learned that you are not attending at least
one of your classes or that you have poor attendance. You are
required to bring this form or email all of your instructors in order to
confirm that you are attending your classes. If you are not attending
a class that you are registered for, drop the course on Banner Self
Service or in person with the Office of Registration and Enrollment
Services. Your financial aid will not be disbursed until you have
completed this form.
STUDENT COMPLETES THIS: INSTRUCTORS COMPLETE THIS:
(example) Dr.Dillon
Landon
STUDENT SIGNS THIS SECTION:
I certify that the information provided on this form is complete and
accurate to the best of my knowledge. I understand that submission of
false information may result in a delay or denial of federal financial aid
and may subject me to criminal charges. I understand that purposely
giving false or misleading information may result in a fine of up to
$20,000, being sent to prison, or both.
Student Signature Date
*Attendance Status:
1. Excellent: Student has attended all my classes and will
not be dropped from my class at this time.
2. Ok: Student has attended most classes, but not all.
Student is at slight risk of being dropped in the future.
3. Poor: Student is at risk of being dropped from my class
at this time due to poor attendance.
4. Not Sure: Student has not attended my class, but I am
not ready to drop the student yet.
5. Drop: Student has not attended my class and will be
dropped for non-attendance.
6. Drop: I don’t know this student or this student is not on
my roster.
7. Other: Please email finaid@coconino.edu
CCC ID# Last Name First Name MI
Mailing Address City ST Zip Code
Telephone No. (include area code) Email Address
Instructor Instructions: Please fill out your
section of the table below with this student’s
attendance status. If you are an on-line
instructor, or prefer to respond by email,
please email us at finaid@coconino.edu. This
form is purely for financial aid purposes.
Please be sure to report enrollment through
Banner Self Service as you normally do.
