Unusual Enrollment History
Student: _________________________________________ ID No. ________________
Address: _______________________________________________________________
City: __________________________ State: _____________________ Zip: _________
Phone Number: ______________________ E-mail address: _____________________
The U.S. Department of Education has flagged your FAFSA application for Unusual
Enrollment History. It appears that you have attended multiple institutions over a period
of time. Continued eligibility for financial aid is determined, in part, by maintaining
satisfactory academic progress toward the completion of a degree program. The Financial
Aid Office must review academic records from each previously attended institution.
Federal regulations allow you to provide a statement and documentation to explain your
academic history.
Please carefully read the instructions before submitting your enrollment history
verification. You must provide proper documentation along with this form in order for
your review to be considered.
Please provide a typed explanation stating reason(s) for your appeal. Some
examples of extenuating circumstances are: serious illness or accident that prevented you
from attending class, domestic violence issues, change in personal circumstances
(divorce, homelessness, loss of income), death in your immediate family, or other severe
personal problems. Please be as detailed as possible.
Transcripts
Official transcripts from each institution attended must be provided to the NCC
Admissions Office.
Acceptable documentation includes:
documentation from a medical professional from whom you have received
treatment
signed statements from a counselor, clergyman, or other social or legal service
professional
copies of death certificates or obituaries
Your review must be submitted no later than 10 days before the beginning of the
term/semester for which you are requesting funding.
PLEASE COMPLETE THE BACK OF THIS FORM
Please indicate the semester you are appealing to have your financial aid reinstated:
Semester__________________ Year _________________
Have you previously submitted an appeal: Yes No
FOR FINANCIAL AID OFFICE USE ONLY
Name of Program: ___________________________________________
Hours Attempted: _________________ Hours Completed: _______________
Completion Rate: _________________ GPA: ______________
Hours required for program: ____________ Maximum: ______________
Notes: ______________________________________________________________
Appeal Approved Appeal Denied Date: _______________