Instructions: fill out form, choose ‘print’ icon then ‘save as pdf’ and email form from your device to financialaid@rpcc.edu
Financial Aid Appeal Form
Summer Priority Deadline May 21, 2020 / Summer Final Deadline June 18, 2020
Fall Priority Deadline August 6, 2020 / Fall Final Deadline September 18, 2020
Spring Priority Deadline January 4, 2021 / Spring Final Deadline February 12, 2021
Student Name: _________________________________________ Student ID#: _________________________________________
Student Mailing Address: __________________________________ Telephone Number__________________________________
Email Address: _______________________________________________________________________________________________
Semester you are requesting an appeal: Year ___________________________________
Fall ___________ Spring _____________ Summer ____________
ATTENTION STUDENTS: Submitting this form does not guarantee reinstatement of financial aid or academic standing. The student is responsible
for any charges incurred during periods of ineligibility even if the appeal is not approved. You will be notified of the outcome of your appeal by
email once a decision has been made.
INSTRUCTIONS: Complete steps 1-4 below, and submit this completed form with all supporting documentation to the Office of Financial Aid.
Submission of the appeal without documentation WILL BE DENIED.
Unacceptable reasons to submit an appeal:
∙ lack of knowledge that your financial aid was in jeopardy
∙ lack of knowledge relating to your major, courses scheduled and class attendance policy
∙ lack of transportation
∙ lack of focus or commitment to your education
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For Office Use Only
Previous Appeals: ___Yes ____ No Reason for Appeal □ GPA □ Pace of Progression □ Maximum Timeframe
Approval Conditions:
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Denial Reasons:
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Committee: ___ Approved: ___ Denied: Signature: ___________________________________________________ Date: __ /_ _ /__
___ Approved: ___ Denied: Signature: ____________________________________________________________ Date: _ _/_ _/_ _
___ Approved: ___ Denied: Signature: ____________________________________________________________ Date: _ _/_ _/_ _
___ Approved: ___ Denied: Signature: ____________________________________________________________ Date: _ _/_ _/_ _
Office of Financial Aid & Scholarships
Gonzales-Westside-Reserve Campuses
Financialaid@rpcc.edu