Student Finance Appeal Form
Financial Appeals Committee I.R.P. (Tennessee Hope Scholarship
Appeal)
Before your appeal will be considered, a student will need to:
Submit a completed appeal form with any supporting documentation.
Meet with your Student Finance Counselor.
If applicable you may need to complete the FAFSA process or the International Student Aid Application; accept all
types of financial aid offered, including parent loans (if eligible) and subsidized/unsubsidized loans; and/or allocate at
at least 75% of your work funds to your student account.
STUDENT INFORMATION
Name: Student ID:
Mailing address:
Phone #:
Cell phone #:
Do you live?
E-mail:
Current class standing:
APPEAL
On Campus Off Campus
Freshman Sophomore Junior Senior Masters
Current major:
Current cumulative GPA:
Current unpaid balance:
What is your request to the committee and the rationale for this request? (Please include your financial plan,
particularly what you and/or your financial sponsor(s) will be doing to help with your situation and any
special circumstances.)
Employed by: Hours Per Week: Wage:
How much have you paid on your account?
How much will you and/or a sponsor contribute for the rest of the semester?
Date auto adds upon printing
STUDENT SIGNATURE:
Student Finance Counselor Signature
Date:
Date:
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