Student Name:
________________________________ GCU Student Number: _____________
Phone Number: ________________________________
GCU Office of Financial Aid may use professional judgment on a case-by-case basis to review
extenuating circumstances that are now affecting the student’s cost of attendance. These extenuating
circumstances may include student teaching, elementary or secondary school tuition, child care costs,
and/or unusual expenses such as medical/dental or nursing home costs not covered by insurance.
Please complete the section below and submit the required document(s) to your GCU Student Services
Counselor for review.
Increase in the Cost of Attendance
If there have been significant changes to your and/or your parent’s/spouse’s cost for the academic
year that you are currently enrolled for, please provide a brief explanation below and submit the
following document(s) that applies to your request:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
If request is for student teaching, please provide the following:
o A letter from the school where student teaching is being completed stating you are
not being compensated while student teaching
Must be on letterhead
o
Receipts for paid Rental/Mortgage payment(s)
If request is for unusually high child care/ tuition, please provide the following:
o
Receipts for paid private elementary or high school tuition expenses that were not
covered by Government or private agency. These are expenses that were paid
during the academic year* for which you are currently enrolled.
If request is for medical/dental/nursing home expenses not covered by insurance, please provide
the following:
o
Receipts for paid medical, dental, and/or any other related expenses not paid by
insurance for the academic year*. These are expenses that were paid during the
ac
ademic year* for which you are currently enrolled.
If request is for course overload:
You must meet the Overload Policy criteria as documented in the University Policy Handbook.
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o
PETITION FOR SPECIAL CIRCUMSTANCES
- COST OF ATTENDANCE -
2021 – 2022
Note: The Office of Financial Aid may increase the student’s budget up to $6,000 for the academic
year* based on approved paid expenses provided by you or your spouse/parent(s). Expenses beyond
the $6,000 limit will not be accepted. Additional information may be requested.
*
Academic Year is a period of enrollment in which the student is scheduled to complete the minimum credit/week requirements in order to
progress to the next academic year (Undergraduate = 24 credits/30 instructional weeks; Graduate
= 12 or 16 credits/32 instructional weeks).
Student Signature: __________________________________ Date: _____________________
HANDWRITTEN SIGNATURE REQUIRED – TYPED/ELECTRONIC SIGNATURE NOT ACCEPTED
