Fillable Professional Judgment Request (Strayer College)

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Professional Judgment Request (Strayer College)

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Country of origin: US
File type: PDF

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Professional Judgment Request
Student Name: ______________________________________ Diamond ID: ___________________________
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.
Business Office 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 Campus Business Office
Term of Submission: ________ Submission #: ________
Selective Service
Please submit this form to your Campus Business Office
Dependency Override
Please submit this form to your Campus Business Office
Professional Judgment
Please submit this form to your Campus Business Office
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
Selective Service Appeal
Revised March 2013
Student Name: _________________________________ Diamond ID: __________________________
Campus: ______________________________________ Submission Number: ___________________
A Selective Service Appeal is not necessary if you meet one of the following conditions:
I have a Selective Service Status Information Letter (with codes E1 – E8, NM).
I have a DD-214 “Certificate of Release or Discharge” proving a Discharge (other than dishonorable) from Active Duty.
I am a female.
I was over the age of 26 upon entry into the United States.
I have already registered and can provide a copy of my Selective Service Registration.
I have had a Legal Name Change conflicting with the name used to originally register with Selective Service.
If you would like to receive federal financial aid assistance, please complete all pages in this document.
Per the Federal Student Aid Handbook, any man (aged 18-25) is required to register with Selective Service to receive Federal Student
Aid (FSA). This requirement covers men residing in the United States who are U.S. citizens or non-citizens, except a lawful
nonimmigrant who maintains that status. The Central Processing System (CPS) performs a match with Selective Service to confirm a
student’s registration status.
The student will complete all sections of this form, supplying any additional required documentation indicated within the form. This form
and the additional documentation will then be uploaded to the “Selective Service Registration” document requirement in Diamond.
Step 1: Read the complete Reason for Selective Service Appeal chart below. Check the type of special circumstance you are claiming
in your Selective Service appeal, as well as the type of supporting documents you will be supplying to document the special
circumstances. Then, in the space provided, give a concise statement explaining why you failed to register for Selective Service
between the ages of 18-25.
Step 2: All documents must be uploaded into the Diamond Financial Aid Management System for review and processing.
Reason for Selective Service Appeal
Supporting Documentation Required:
Entered the U.S. before the age of 26
Please submit one of the following:
I-94
Passport or United States Citizenship & Immigration Services (USCIS) letter
Incarceration
Please submit one of the following:
Inmate records
Letter(s) from prison/jail/institution
Homeless
Please submit one of the following:
Letter(s) from shelter on letterhead
Letter(s) from police/counselor
Hospitalized
Please submit one of the following:
Medical Records
Hospital Records
Letter(s) from Doctor
Detailed Insurance Records
Selective Service Appeal
Revised March 2013
Please note that this is not a complete list of possible reasons for a student to appeal a Selective Service Registration. If you have
questions regarding a specific situation, please contact your regional SFS Team for further guidance. The SFS Operations team may need to
request additional documentation or information pertaining to a submitted Selective Service Appeal.
Please also note that the submission of an accurate and complete Selective Service Appeal is not a guaranteed approval.
In the space provided below, give a typed, concise statement explaining why you failed to register for Selective Service between the
ages of 18-25.
Attach additional pages if necessary.
Be sure to include all supporting documentation, when submitting this Selective Service Appeal.
Student Signature:
Date:
Business Office Signature:
Date:
Special Circumstance:
Supporting Documentation Required:
Disabled
Please submit one of the following:
Letter(s) from Doctor
Detailed Insurance Records
Institutionalized
Please submit one of the following:
Letter(s) from Doctor
Letter(s) from Institution
Transgender
Please submit one of the following:
Medical Records
Letter(s) from Doctor
Outside of the U.S. (ages 18-25)
Selective Service Status Information Letter
Passport
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Professional Judgment Request (Strayer College)

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Completed 24 April 2021

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