©2016 Prince George’s Community College. All rights reserved. 16171r4
ID Number
Assigned Advisor
Student Information
Type or Print
Name
Program of Study
SAP Appeal Advisor
Date
My Goals To be completed by student appealing
My academic goal:
Associate Degree
Bachelor’s Degree
Certificate
Continuing Education
Specific Courses
Tra
nsfer
Intended Transfer School
Intended Major
Certainty of my goal:
(
1=Low, 5=High
)
1
2 3
4
5
My concerns about my ability to improve my GPA or completion rate are:
(check all that apply)
Child Care
Financial
Medical/Disability
Transportation
Work Demands
Other Concerns
Answer the following questions (REQUIRED).
1. Please explain the circumstances that caused you to not meet Satisfactory Academic Progress (SAP)?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
advisor,
the items below must be completed.
SAP Video and Quiz
Meet with Academic Advisor
Multi-Semester Plan
Documentation that will support your typed
statement
Please note:
Every student who seeks an appeal of the termination of
financial aid eligibility must meet with an academic advisor
to develop an Academic Plan do SAP Improvement (APSI).
If your SAP appeal is approved, you may modify the academic
plan one time prior to the start of classes for the semester.
If you do not meet the requirements of the plan, your SAP
appeal and your financial aid will be suspended.
The Student Financial Aid Office will monitor your courses,
grades, and completion ration each semester while you are
under the terms of the plan.
Your APSI may be a multi-semester plan. You must adherer
to it each and every semester. Any deviation will make this
plan void.
Be sure to meet with your assigned advisor, if you do not feel
that you can meet the terms of your plan.
©2016 Prince George’s Community College. All rights reserved. 16171r4
2. Explain what has changed and your plan for meeting SAP in the future?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
PLEASE READ
Students must have a 2020-2021 FAFSA application on file BEFORE your SAP Appeal is reviewed.
Students selected for 2020-2021 verification must submit all documents before appeal is reviewed.
Submitting this form does not guarantee that your appeal will be approved and eligible for financial aid.
You must make other payment arrangements for your classes without the use of financial aid in order to
secure your classes.
Students who are repeating courses for the 3
rd
time will be denied as those courses are ineligible for federal
financial aid.
Students will be notified via email within 2 weeks of their appeal submission.
Appeals are granted with the strict understanding that students may not audit, fail, or withdraw from any classes.
Please consider carefully before enrolling in summer session. If you breach your appeal you will become ineligible for
aid for the upcoming semester.
I have met with my academic advisor and agree to the Academic Plan as documented in MYPGCC via Student Planning.
I understand that I have one opportunity to meet with an advisor to modify the original academic plan.
I have read and understand the requirements to stay in good standing for financial aid (Satisfactory Academic Progress).
I understand that this Academic Plan for SAP Improvement is a contract between PGCC and I.
I understand that the Academic Plan for SAP Improvement will not exceed two semesters.
I understand that I must follow the academic plan exactly as stated in this appeal packet to remain eligible for financial aid. I
understand that the Student Financial Aid Office will monitor my progress and this plan is void at any point I do not comply
with the
plan.
I will provide all required forms and additional supporting documentation to the Student Financial Aid Office.
I will take full responsibility to confirm all documents submitted by me or on my behalf are received in the Student Financial Aid
Office.
I must secure payment arrangements if I register for courses during the appeal process.
©2016 Prince George’s Community College. All rights reserved. 16171r4
Student Financial Aid Use Only
Student Name: ____________________________________________________________ Student ID: ___________________
Type of Appeal: GPA __________ Completion ___________Time Frame ___________# of Appeals_______
Current GPA: __________ Completion Ratio: __________
Academic Plan
Course
Credit
Hours
Repeating
Course?
Spring
2021
Course
Credit
Hours
Repeating
Course?
Course
Course
Course
Course
Course
Approved
DeniedIf denied, reviewer must explain below:
Notes:_________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Reviewer Name (print)
Date
Reviewer Signature
Date
Reviewer Signature (if necessary)
Date
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome