Office of Financial Aid
26000 SE Stark St, Gresham OR 97030
FinAid.Mail@mhcc.edu
Phone: 503.491.7262
Fax: 503.491.7379
Financial Aid Appeal
Student Name: _____________________________________________ MHCC ID Number: ______________________
This form initiates an appeal process for you to request a reinstatement of your financial aid eligibility if your aid has been
denied due to not meeting Satisfactory Academic Progress (SAP). You can appeal on the basis of the reasons listed below in
Section A. NOTE: For more information about SAP and financial aid, please visit www.mhcc.edu/KeepMyAid.
Please follow all instructions on this form carefully and complete all sections. Sign and date the bottom of this form
and attach all required documentation; without documentation, your appeal is likely to be denied. Please return
requested documentation to the Office of Financial Aid via email, fax, or mail (see contact information above).
A. REQUESTED APPEAL CATEGORIES (check one):
Death in immediate family. Please submit a copy of death certificate and/or obituary.
Serious illness/injury extending over a period of three consecutive weeks or more. Please submit a written
statement from your physician and/or counselor that provides the following information: Your diagnosis,
the dates/timeframe you were unable to attend school, and your current ability to return to school.
You have completed an “incomplete” graded class. Please specify term and class: _________________________
You have completed at least 6 credits and earned a 2.0 GPA in a term at MHCC without financial aid (i.e. at your
own expense). Please specify term: _________________________
You have completed at least 6 credits and earned a 2.0 GPA in a term at another school. Please provide an
unofficial transcript.
OTHER (Please specify below or on an attached page)
B. EXPLANATION
In the space below and/or on an attached page, please give the reasons why satisfactory academic progress was not
achieved and why you feel your situation merits the reinstatement of your Federal financial aid. Explain what has
changed that will allow you to be a successful student – be specific and clear.
I certify that all information reported in this appeal and accompanying documentation is complete and accurate to
the best of my knowledge and ability. I understand that any false statement or misrepresentation may be cause for
reduction and/or repayment of federal, state or institutional financial aid. I also agree to provide additional
documentation of the information provided, if requested by the Office of Financial Aid.
NOTE: Only a handwritten signature will be accepted. Digital signatures will NOT be accepted.
___________________________________________________________
Student Signature
______________________________________
Date
