Professional Judgment Request
Student Name: ______________________________________
Campus:
__________________________________________________________________________________
Please check the appropriate box:
FOR OFFICE USE ONLY
The decision to exercise professional judgment is based on the following unusual circumstances:
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
The following documents to support the unusual circumstances are attached:
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
I certify that I have reviewed all of the documents attached to this form.
Success Coach Name _____________________________ Signature __________________________
Date ________________
SFS Name _______________________________________ Signature ___________________________
Date ________________
Approved/Denied _________________________________
Reason for Denial ________________________________________________________________________________________________
________________________________________________________________________________________________________________
CHECK
REASON FOR APPEAL
Satisfactory Academic Progress
Please
submit this form to your student success coach
Term of Submission:
Submission #:
Selective Service
Please
submit this form to your student success coach
Dependency Override
Please
submit this form to your student success coach
EFC Adjustment
Please submit this form to your
student success coach
Data element used to calculate Cost of Attendance
Data element used to calculated Estimated Family Contribution (EFC)
Unsubsidized Stafford to a dependent student
Declining to certify Direct Loan (i.e. partially or entirely)
Parent enrolled in college
Other
Strayer ID:
Student Date of Birth:
___________________________
___________________________
12/2018 1