Peralta Community College
District Student Services
Loss of California Community College Promise Grant(CCPG)
Petition Form 2019-2020
Berkeley City College
College of Alameda
This petition is for eligibility reinstatement to
the Community College Promise Grant Program. This “Loss of
Petition” form is not a Financial Aid Satisfactory Academic Progress (SAP) appeal.
Complete the student information part of
this petition form and a typed statement detailing your special
the counseling department
to schedule an appointment for your CCPG petition.
Deadline to submit petition for the 2019-202
0 academic year: June 1
1. Bring this form with you to your appointment with your typed statement of special
circumstances and any documentation to support your special circumstances. If you are a
CalWorks, EOPS, DSPS, or Veteran student you are encouraged to meet with your program
2. Include a copy of your Student Education Plan.
3. If you are requesting a petition for Academic/Progress probation due to extenuating circumstances
such as verified illness, accident or circumstances beyond your control, or documented changes in
your economic situation, please include a copy of supporting documents. (Examples of
supporting documentation are doctor’s notes, accident report, loss of job, etc.)
Submit the completed petition form to the Financial Aid Office with the required and supporting
documentation based on you
r petition re
ason. Any missing information will result in your
Enrollment Priority/CCPG Petition form being denied by the CCPG Petition Committee.
5. Include a copy of your Peralta unnoficial academic transcript.
6. Complete a current year FAFSA, Dream Act application (for AB540 students) or a paper CCPG
Once your CCPG Petition is submitted, a CCPG petition committee will review the completed Petition.
During peak periods (registration periods) there may be an extended longer wait time for the Petitions
Committee decision. The decision of the committee is final and cannot be contested.
*If you are Foster Youth under the age of 24, you are exempted from the petition process. Please contact the
Admissions Office and/or the Financial Aid Office for more information.
Rev. 3/15/2019 KT