Name (Last, First) SSN______________________ SID___________________
Your financial aid has been suspended because you have, or will, exceed the allowable timeframe to complete your
degree program with financial aid at CBC. Students must complete their degree program within 150% of the number of
credits required by their degree program for federal aid and within 125% for state aid. For example, if your degree
requires 90 credits to complete, you must earn the degree within 135 credits (150%) for federal aid or 113 credits
(125%) for state aid. To review these requirements go to: www.columbiabasin.edu/finaid/sap. The purpose of this
petition is to request an extension of the timeframe (quarters and credits) to complete your degree program. Your
completed petition (with all attachments) must be submitted at Hawk Central (H Building) or scanned and emailed to
Petitions must include ALL of the following (they should be attached to this form):
1) A personal statement that explains why the initial timeframe to complete your degree program was not
sufficient and why you need additional time and credits now.
2) A current and complete academic plan, signed by you and your advisor or a counselor in our Counseling Center.
You can make an appointment with a counselor by visiting the Counseling Center in the H Building or by calling
(509) 547-0511 (press 2 for Student Services).
Acknowledgment and Signature
I understand that CBC personnel have the right to clarify and verify the information provided in this petition. I
understand that additional information or documentation may be required.
Student’s Signature_____________________________________________________ Date_______________________
Office Use Only: Approved_______ Denied________
Columbia Basin College complies with the spirit and letter of state and federal laws, regulations and executive orders pertaining to civil rights, Title IX, equal opportunity and affirmative action. CBC does not discriminate on the basis of race, color, creed, religion,
national or ethnic origin, parental status or families with children, marital status, sex (gender), sexual orientation, gender identity or expression, age, genetic information, honorably discharged veteran or military status, or the presence of any sensory, mental, or
physical disability, or the use of a trained dog guide or service animal (allowed by law) by a person with a disability, or any other prohibited basis in its educational programs or employment. Questions or complaints may be referred to the Vice President for Human
Resources & Legal Affairs and CBC’s Title IX/EEO Coordinator at (509) 542-5548.Individuals with disabilities are encouraged to participate in all college sponsored events and programs. If you have a disability, and require an accommodation, please contact the CBC
Resource Center at (509) 542-4412 or the Washington Relay Service at 711 or 1-800-833-6384. This notice is available in alternative media by request.
Extension of Timeframe Petition