Fill - Free fillable Form 5307417999: 20192020UnusualEnrollmentHistoryForm (Woodland Community College) PDF form

YubaCommunityCollegeDistrict

 FinancialAidOffices



YubaCollege

2088NorthBealeRoad

Marysville,CA.95901

530‐741‐7999

WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725

LakeCounty Campus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923

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Rev.12/8/18

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2019‐2020UnusualEnrollmentHistoryForm

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Based upon data provided by the National Student Loan Data System (NSLDS) you may need to provide

additional information to determine your eligibility for Federal Student Aid. Along with this form, we must

review academic transcripts for any campuses you have attended within Yuba Community College District

(YCCD).Pleasecompletethis

formandsubmittotheFinancialAidOffice.Basedontheinformationprovided,

theFinancialAidOfficewilldetermineifadditionaldocumentationisrequiredtodetermineyoureligibilityfor 

financialaid.



_____________________________________________________________________ ___________________________________

LastNameFirstName   StudentID#



_____________________________________________________________________ ___________________________________

MailingAddress(IncludeApt.No.)DateofBirth



_____________________________________________________________________ ___________________________________

CityState ZipCode PhoneNumber(Includeareacode)

Campuscurrentlyattending(checkone):YubaWCCLakeCampusColusaSutterBeale

EnrollmentStatus:Entertheunitsyouareenrolledinnexttothetermyouarecurrentlyattending.

Fall’19___________Spring’20___________Summer’20___________



Campuspreviouslyattendedduri ng2015‐2016,2016‐2017,2017‐2018,2018‐2019(checkone):

YubaWCCLakeCampusColusaSutterBeale

Please submit the following documents:

(Check with your campus financial aid office to determine which of the

followingdocumentsyoumustprovide,ifany)



UnofficialTranscripts:Providecopiesofunofficialtranscriptsforanynon‐YCCDcampusesyouattended

during2015‐2016,2016‐2017,2017‐2018,2018‐2019.Therequiredtranscriptswillbefromschools

listedonthePellGrantPaymentHistoryinthenextstep.

PellGrantPaymentHistory:Printyour

PellGrantpaymenthistoryinNSLDSathttps://nslds.ed.gov.

FederalDirectLoansPaymentHistory:PrintyourFederalDirectLoanspaymenthistoryinNSLDSat

https://nslds.ed.gov .

EducationalPlan:Submitanofficialeducationalplan.Theeducationalplanmustbesignedbyanacademic

counselor.

Statement:Ifyoudroppedorwithdrewfromclassesordidnotearnacademiccredit,submitatyped

statementexplainingwhyyoufailedtoearnacademiccredit.Includeanysupportingdocumentation

to

supportyourclaim.

Bysigningthisworksheet,Icertifythattheinformationreportedistrueandcorrecttothebestofmyknowledge.Iunderstandifthe

Financial Aid Office hasreason to believe that theinformation providedis inaccurate or incomplete,I maybe required to provide

additionaldocumentation.



_____________________________________________________________________ __________________________________

StudentSignatureDate StudentID#

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ToBeCompletedbyFinancialAidOfficeOnly‐UnusualEnrollmentHistoryReview

BringthisformtoyourcampusFinancialAidOffice.Donotcompletethispage

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NameofCollege/University

AcademicYear

Attended

*

PellRec’d

DirectLoan

Rec’d

Academic

CreditEarned

FurtherAction

Required

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