OFFICE OF FINANCIAL AID
AND SCHOLARSHIPS
Check your myClackamas account for all financial aid correspondence and your Award Letter.
Documents can be securely submitted via CCC's Digital Drop-box; or in person, by mail, or fax to:
Office of Financial Aid and Scholarships · Roger Rook Hall · 19600 Molalla Avenue, Oregon City, OR 97045
Phone: 503-594-6082 · Fax: 503-722-5864 · e-mail: finaid@clackamas.edu · www.clackamas.edu
02/28/20 Dp
FAC20CIA
2020-2021 ENROLLMENT STATUS EXCEPTION/REVISION REQUEST
(Summer Term 2020 Spring Term 2021)
Student Last Name
Student First Name
Student ID#
Date of Birth
This form is used to request/appeal an update to your financial aid for one of the following reasons:
1. You want to reinstate your aid.
2. You want to cancel your aid.
3. You had extenuating circumstances that caused issues with your financial aid.
Adjustments will not be made to your financial aid after the end of the second week of the term (census date),
unless circumstances were beyond your control. If you are requesting an increase after you have already
received financial aid you must include a written statement explaining why you registered late. Only extenuating
circumstances will be considered. Decisions made by this Committee after review by the Financial Aid Director, are final.
ENROLLMENT STATUS:
Reduction of credits will decrease aid eligibility.
Credits
12+ (full-time)
9-11 (¾ time)
6-8 (half-time)
<6 (less than ½ time)
Summer 2020
Fall 2020
Winter 2021
Spring 2021
Check this box if you would like your loans reinstated
Please explain below what has caused you to need your financial aid revised; or submit a written statement and
supporting documentation, if applicable:
CERTIFICATION: I understand that these changes may affect my student account balance and that I am ultimately
responsible for timely payment of any balance.
Student Signature ___________________________________________ Date ______________________