Fillable REQUEST FOR PROFESSIONAL JUDGMENT Undergraduates: If there are (Andrews University)

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REQUEST FOR PROFESSIONAL JUDGMENT Undergraduates: If there are (Andrews University)

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11/12/2020
LAST NAME _______________________________________ FIRST NAME ___________________________________
LAST 4 DIGITS OF SOCIAL SECURITY NUMBER ____________ ANDREWS UNIVERSITY ID NUMBER ________________
STUDENT’S EMAIL ADDRESS __________________________ TELEPHONE/MOBILE ____________________________
Undergraduates: If there are special circumstances to be considered, please check the appropriate box and then explain
your situation in further detail below. If more space is needed, attach additional pages. Submit appropriate supporting
documents.
☐ Tuition paid for siblings attending elementary/secondary schools
☐
Household income has substantially dropped below level reported on the FAFSA
☐ Medical expenses paid out-of-pocket
☐ Other __________________________________
Explain fu
rther: _____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
___________________________________________________ __________________________
Student signature Date
M
ail to: Andrews University Fax to: 269.471.3228
Office of Student Financial Services Phone: 269.471.3334
Administration Drive Web: www.andrews.edu/sf
s
Berrien Springs, MI 49104-0750 Email: sfs@andrews.edu
NOTES:
☐ Reviewed on _________________________ (date) by ____________________ (reviewer’s initials)
2021-2022 SPECIAL CIRCUMSTANCE:
REQUEST FOR PROFESSIONAL JUDGMENT
PURPOSE OF REQUEST
OFFICE USE ONLY
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REQUEST FOR PROFESSIONAL JUDGMENT Undergraduates: If there are (Andrews University)

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Completed 28 January 2021

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