Fillable IRSC Enrollment Pattern Review Form

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IRSC Enrollment Pattern Review Form

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The IRSC Enrollment Pattern Review Form form is 2 pages long and contains:

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  • 6 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Indian River State College

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Indian River State College
Office of Financial Aid
3209 Virginia Avenue Fort Pierce FL 34981
Phone: (772) 462-7450
Fax: (772) 462-4606
Enrollment Pattern Review Form
Student Name: Last: First: Middle:
IRSC Student ID:
Your 2018-19 Free Application for Federal Student Aid (FAFSA) has been flagged for “Unusual
Enrollment History” by the U. S. Department of Education because you received Federal Pell Grant
funds at multiple education institutions during the review period -2015-2016, 2016-2017, and
2017-2018. This flag requires IRSC to review your enrollment history and determine your eligibility
to receive federal student aid. In the process of reviewing your enrollment history, IRSC will check
the National Student Loan Data System (NSLDS) to obtain a complete history: the name of
institutions you have attended, and the dates of attendance.
Please complete the steps below. Your application for financial aid will not be considered until
you submit this completed form and required documentation. You will be notified via e-mail of our
decision within 30 days of completing these requirements.
STEP 1: Submit or request for an official sealed academic transcript for any colleges previously
attended to be sent to the IRSC Admissions & Records office. PLEASE DO NOT TURN THIS
FORM IN UNTIL ALL TRANSCRIPTS HAVE BEEN RECEIVED.
STEP 2: List below the name of all education institutions you attended during the review period -
2015-2016, 2016-2017, and 2017-2018. If you need additional space, please attach a separate
page. Include your name and ID# at the top of each page.
1. 2.
3. 4.
5. 6.
Rev. 8/2018
STEP 3: If you did not earn academic credits at any of the above schools during the review period
-2015-2016, 2016-2017, and 2017-2018, attach a statement explaining the reason for your failure
to earn any academic credit at that institution. Attach any relevant documentation (i.e., medical
bills, hospitalization records, accident reports, etc.) and include your name and ID# at the top of
each page.
By signing below, I certify that the information submitted on and with this form is accurate
and complete.
Student’s Signature: Date:
Return this form and supporting documentation to your local Financial Aid Office
FOR OFFICE USE ONLY
Reviewed Date: Reviewed by:
All transcripts received
No other concerns
Credit not earned
Credit was earned at each institution
Transcript/s missing
Other:
Rev. 8/2018
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IRSC Enrollment Pattern Review Form

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Completed 10 April 2020

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