FINANCIAL AID PETITION REQUEST INFORMATION SHEET
(PLEASE READ CAREFULLY)
You are requesting special consideration by the Financial Aid Office and the Scholarship and Loan
Committee to have your Financial Aid suspension reconsidered. Reasons for reconsideration may
include special one-time circumstances, such as an emergency, illness, etc., that have affected your
progress toward completion of your education. You must completely fill out the attached petition form;
an incomplete form will not be considered. Additionally, you must show that the problem that caused
your Financial Aid suspension has been resolved, and is not likely to occur again.
Federal and State guidelines are very specific in stating that a student must show constant and
continued progress in completing their educational goal. Special exceptions may be granted in rare
cases where circumstances, beyond a student’s control, have interrupted progress toward the
educational goal. The decision by the Financial Aid Office and Committee is final and cannot be
appealed. You can petition ONCE per Academic Year AugustJuly. (For example, if you petition in
August of one year, you will not be able to petition again until August of the next year).
In order for your petition to be heard, you MUST:
Completely fill out the attached form (leave no blank lines).
Provide documentation of your special circumstance(s) that caused your suspension and
covers all bad semester(s). New Federal Rules dictate that documentation MUST be
provided for all appeal considerations. Documentation is not returned, so please submit
copies only.
Turn this form in to Student Success Services or Financial Aid on Main campus or any campus
site
If approved, you will be required to follow a Financial Aid Plan that will be prepared for you by
an advisor (this does not include Bright Futures recipients).
Notification: After a thorough evaluation of the petition and all supporting documentation, the Financial
Aid Office will notify the student of the decision in writing. An approved petition does not guarantee
a replacement of all previously awarded Financial Aid.
Confidentiality: All students are reminded that information submitted for Financial Aid petitions and
any other information IRSC possesses about a student, is confidential. Information regarding this
petition will only be discussed or released to that student. We reserve the right to request proof of
identification.
Rev. 01/14
PETITION FOR REINSTATEMENT OF
FINANCIAL AID/SCHOLARSHIPS
Appealing for reinstatement of (check all that apply):
Financial Aid Bright Futures Scholarship (Name)
IRSC Student ID #:
Semester appealing for (check one): FALL SPRING SUMMER 1 SUMMER 2
Student Last Name: First Name: Middle Name:
Address:
City: State: Zip:
Program of Study: (check one):
A.A. A.S. A.A.S. Bachelors Certificate Major:
Student Statement- DO NOT LEAVE BLANK (Attach additional sheet if necessary- no more than one page).
Please explain in detail what caused you to lose your Financial Aid. You must provide documentation of any
special circumstances you describe with this petition at the time it is submitted.
Please list below, supporting documents including dates of occurrence submitted with this
petition. This documentation must cover the semester(s) that caused your suspension.
1.
2.
3.
4.
Please explain how your situation has changed and/or what you have done to ensure
that you will meet all Standards of Satisfactory Academic Progress (SAP) in the future
DO NOT LEAVE BLANK.
I understand that if this petition is approved, I must maintain eligibility by following the Financial
Aid Plan that will be developed for me in order to continue receiving Financial Aid for more than
one semester.
Student Signature: Date: Phone Number:
I would like the Decision Letter to be:
Mailed to the address listed above
Emailed to the following address:
FOR OFFICE USE ONLY: Approved
Denied
Pending Comments:
click to sign
signature
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