COMMUNITY COLLEGE OF ALLEGHENY COUNTY
Allegheny Campus Boyce Campus North Campus South Campus
808 Ridge Avenue 595 Beatty Road 8701 Perry Highway 1750 Clairton Road
Pittsburgh, PA 15212 Monroeville, PA 15146 Pittsburgh, PA 15237 West Mifflin, PA 15122
Ph: 412.237.2589 Ph: 724.325.6602 Ph: 412.369.3656 Ph: 412.469.6241
FAX: 412.237.3171 FAX: 412.237.3173 FAX: 412.237.3175 FAX: 412.237.3177
Notifications of nondiscrimination and contact information can be found at www.ccac.edu, search keywords “notifications of nondiscrimination.”
FINANCIAL AID ACADEMIC PROGRESS APPEAL
Page 1 of 2
Dear Student: To be considered for further financial aid, you MUST complete a Financial Aid Academic Progress Appeal and Degree Audit. DO NOT
submit this petition until Sections I, II, and III are completed. INCOMPLETE petitions will not be processed. Return completed petitions to the Financial
Aid Office at the campus you are attending along with a degree audit. Degree Audits can be obtained by meeting with an academic advisor. Complete
petitions will usually be evaluated within ten (10) business days. You will be notified of the outcome of your petition by mail. Petitions must be received
before the end of the add/drop period for it to be considered for the current term. Petitions received after the add/drop period will not be considered. Should
you decide to register prior to receiving your appeal decision, it is your responsibility to make payment arrangements to secure your courses.
Section I: GENERAL INFORMATION (to be completed by student)
Student Name: __________________________________________________________________SS# or ID#: ___________________________________
Current Address: ________________________________________________________________ Birth Date: ____________________________________
Home Phone: ___________________________________________________________________ Mobile Phone: _________________________________
Email: _________________________________________________________________________ Campus: _____________________________________
Major/Program: __________________________________________________________________ Expected Graduation Date: ______________________
Cumulative GPA: ___________________________
Financial Aid Academic Appeal is only valid for the major/program listed above. Students who change their major/program must submit a new appeal once
admitted to the new major/program.
SECTION II: STATEMENT OF APPEAL (to be completed by student)
Please consider my request for financial aid reinstatement for the following term__________________
I am appealing the following financial aid academic progress requirements (check all that apply):
___ Successful completion of 67 percent of all credits attempted
___ GPA less than 2.0
___ Maximum timeframe for degree, certificate or diploma
For example, if a program requires 30 credits to graduate, the certificate must be earned within 45 attempted credits. If a program requires 60
credits to graduate, the degree must be earned within 90 attempted credits.
In support of your petition, state unusual or specific extenuating circumstances that warrant a review of your petition to continue receiving federal
financial aid. Use additional paper if necessary and provide any supporting documentation pertinent to your case. Please submit copies of
supporting documents; originals will not be returned. Please consult CCAC’s Satisfactory Academic Progress policy at www.ccac.edu
for guidance
on academic criteria.
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
COMMUNITY COLLEGE OF ALLEGHENY COUNTY
Allegheny Campus Boyce Campus North Campus South Campus
808 Ridge Avenue 595 Beatty Road 8701 Perry Highway 1750 Clairton Road
Pittsburgh, PA 15212 Monroeville, PA 15146 Pittsburgh, PA 15237 West Mifflin, PA 15122
Ph: 412.237.2589 Ph: 724.325.6602 Ph: 412.369.3656 Ph: 412.469.6241
FAX: 412.237.3171 FAX: 412.237.3173 FAX: 412.237.3175 FAX: 412.237.3177
Notifications of nondiscrimination and contact information can be found at www.ccac.edu, search keywords “notifications of nondiscrimination.”
FINANCIAL AID ACADEMIC PROGRESS APPEAL
Page 2 of 2
SECTION III: STUDENT ACADEMIC PROGRESS (to be completed by student)
R
emaining credit hours needed to complete degree/certificate requirements (including the current semester) ________________________
P
roposed schedule of classes student will register for next semester. Indicate whether these classes count toward the student’s graduation requirements.
Course Required
____________________________________________________________________________________________________________ ______Yes ___No
____________________________________________________________________________________________________________ ______Yes ___No
____________________________________________________________________________________________________________ ______Yes ___No
____________________________________________________________________________________________________________ ______Yes ___No
____________________________________________________________________________________________________________ ______Yes ___No
____________________________________________________________________________________________________________ ______Yes ___No
A
Degree Audit Evaluation must be submitted to the Financial Aid Office along with the Academic Progress Appeal Petition. The Degree Audit
Evaluation may be obtained from an Academic Advisor. Please contact the Advising Office to schedule an appointment to meet with an Advisor.
You may also visit: www.ccac.edu
and click Appointment Central to schedule an advising appointment.
S
tudent Signature_______________________________________________________________________________Date ________________________
P
rint Name_________________________________________________________________________________________________________________
S
ection IV: Academic Progress Committee Action (to be completed by Academic Progress Appeals Committee)
A
pproved ___________________________ Denied __________________________ Incomplete ________________________
N
otes:
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
click to sign
signature
click to edit
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