Fillable Form 9072620322: PetitionforRefund/ExceptiontoPolicy (Kenai Peninsula College)

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Form 9072620322: PetitionforRefund/ExceptiontoPolicy (Kenai Peninsula College)

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Country of origin: US
File type: PDF

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PetitionforRefund/ExceptiontoPolicy



Letterofexplanationmustbeattachedtoformforpetitiontobe

considered.



KenaiPeninsulaCollege●156CollegeRd.Soldotna,AK99669●Phone:

907‐262‐0330

●Fax:

907‐262‐0322



Name:

 Stud

ID#

ailin

Add

ress:





EmailAddress:____________________________________________________________________________

Semester/Year

Involved: Didyoureceivefinancialaid? □Yes □No

TypeofRequest: □ CourseRefund □ LateFees □Deadline

Cou

rse

(s)



you



sting



excepti

onf

Attachadetailedexplanationdescribingextenuatingcircumstancesthatmayjustifyanexception.

ReasonforRequest



Minimum

Support ing Documentation

Required



□ Advisingerror

Academic

advisor’s

writtenconfirmation

andexplanationofadvisingerror.

□ Crisissituation

Letteron

letterhead

fromlegal,medical,orotherrelevantprofessional. Police

report,courtorder,visa,airlineticket,orotherrelevantdocuments.

□ Deathofimmediatefamily

member*

Datedcopyofdeath

certificate

publishedobituary,or

memorial

folder. (Ifstudent’slastname

differs,

documentationrequired

thatestablishes

immediate

familyrelationshiptothedeceased).

□ Financialdifficulties

Documentation

ofauniversityerrordirectlycausingthefinancialproblem.Please

note: Financial

exceptions

arerarelyapproved,unlesstherearespecial

circumstances;

studentsareresponsiblefor

managing

theirpers onalfinances.

□

Instructional

difficulties

Supporting

information

and

recommendation

by

department

chairordean.

□ Jobconflict

Employer’s

letteron

letterhead

confirmingdateand

necessity

ofjobchanges.Please note:

Voluntaryworkschedulechangesor

commitments

madebythestudentarerarelyapproved

unlessexceptional

circumstances

canbedocumented. Students

areresponsible for

management

of personal scheduling that may impacttheireducational

Medicalcondition



(studentorimmediatefamilymember*only)



Doctor’sletteron

letterhead

verifyingnatureofconditionanddatesoftreatment.

□ Militaryduty

Copyofofficialordertoreportfortrainingoractiveduty.

□ Registrationproblems

Relevantsupporting

documentation,

e.g.emailorother

correspondence

with

university

personnelabout

registration

intentionsordifficulties.

□ Otherreason

Writtendocumentationfromrelevantofficialsorentitiesoncompanyletterheadorsimilar

* Immediatefamilyisdefinedasfather,mother,brother,sister,husband,wife,domesticpartner,sonordaughter.

Signat u

 _ _ D

ate:



OfficeUseO

y

Approved □ Denied □ Amount to be refunded $

Com

ments:



_ _ _ _

Si

re:

__ _ _ D

ate:



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signature

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signature

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Petitionfor

Refund



***InstructionsandOverview

***



ALetterofexplanationandadditionalsupporting

documentation

required.Attachdocumentationfrom

instructors,physicians,oremployerssupportingthefactsstatedinthepetitionrequestisrequiredand

shouldbeattachedtothepetitionform.Petitionssubmittedwithoutsupportingdocumentationmaybe

returnedwithoutconsideration.Personalhardshiporcontradictoryadviceisnotajustifiablereasonfor

approvingarefundrequest.YourpetitionmustbereceivedbyKPCpriortotheendofthesemesterfollowing

thesemesterorsessioninwhichthecourseforwhichyouareseekingarefundwasoffered.Pleasere adall

instructionsonpagetwoofthisformbeforesubmittingthispetition.Pleaseallow3‐4weeksforarequestto

bereviewedandnotificationtobemade.

Incompletepetitionsmaynotbec onsidered.



1. Onlyrequestssubmittedbythestudentorbyapersonwithlegalauthoritytoactonbehalfofthestudent

willbeconsidered.



2.ThedeadlinetosubmitaRequestforRefundisnolaterthanoneacademicyearfollowingthesemester

inwhichthecoursewasoff ered. (Note:Requeststhatarenot receivedwithinthistimeframewillnot

beconsidered.)



3. Decisionswillbemadesolelyonsupportingdocumentationprovided. Inallcasesapersonal

statementfromthestudentisrequiredsummarizingthe

situation

andexplainingtheneedfora

refund.



4.A request will only be approved if the requester can demonstrate unanticipated and unavoidable

circumstances beyond the student’s control that arose or came to light after published deadlines.

Work‐relatedissues,financialhardship,andfailuretoreadUAA’sdocumentsgenerallydonotpresent

justifiablereasonstosupportanexceptionre quest.



5.Appealsofanadversedecisionmustbeinwriting,provideadditionaldocumentationnotpresented

inoriginalrequest and be receivedwithin 10 working days of the day the decision is mailed or

otherwisedistributedtothestudent.



Appealsmaybeemailed,

delivered

inpersonormailedto:



KenaiPeninsulaCollege



Attn:Director,StudentServices

156CollegeRd.

Soldotna,AK 99669

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Form 9072620322: PetitionforRefundExceptiontoPolicy (Kenai Peninsula College)

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Completed 10 October 2020

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