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 2019-20 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 -2016-2017, 2017-2018, and
2018-2019. 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 visit and click on “financial aid
news” for more details regarding Unusual Enrollment History flags
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
STEP 2: List below the name of all education institutions you attended during the review period -
2016-2017, 2017-2018, and 2018-2019. 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. 8/2019
STEP 3: If you did not earn academic credits at any of the above schools during the review period
-2016-2017, 2017-2018, and 2018-2019, 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
Reviewed Date: Reviewed by:
All transcripts received Credit was earned at each institution
No other concerns Transcript/s missing
Credit not earned Other:
Clear Flag Deny Aid
Rev. 8/2019
click to sign
click to edit