Fillable Reinstatement Petition Form Rev Aug 2019 Financial Aid Office

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Reinstatement Petition Form Rev Aug 2019 Financial Aid Office

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Financial Aid Office
3000 Campus Hill Drive
Livermore, CA 94551
(925) 424-1580
PETITION FOR REINSTATEMENT OR CONTINUATION OF FINANCIAL AID
ALLOW up to 4 weeks for review. PLEASE TYPE ALL STATEMENTS.
Name:
Semester:
Year: 20
SSN/ID:
Date:____
____ Phone (_____) ______________
EMAIL ADDRESS (our response will be via Email_____________________________________________________
My :_____________________________________________________
PLEASE READ: You must first view our online ‘GetSAP’ counseling session at https://lpc.get-
counseling.com/ which is targeted for financial aid disqualified students. You must pass all GetSAP tests and
submit a copy of your test results with this petition as part of the appeal process. A current complete Student
Education Plan must also be attached to petition. If making an appointment in Counseling, please notify
them that you need the SEP for a Financial Aid petition, so that you receive priority for your appointment.
The Las Positas College Financial Aid Office requires that all students maintain the following standards of Academic
Progress for eligibility for Federal and State Financial Aid.
If you do not meet minimum academic progress standards you are ineligible to receive financial aid grants, loans, or
federal work-study, and some scholarships. Please review the Las Positas College Financial Aid Satisfactory Academic
Progress Policy posted on our website for more information.
INSTRUCTIONS:
If there are DOCUMENTED extenuating reasons (i.e., hospitalization, documented serious illness, accident, death in
your immediate family, etc) which prevented you from meeting these standards, and have since been resolved, you must
provide documentation of those circumstances to corroborate your statement. No petition will be approved based on
extenuating circumstances without adequate documentation. A Student Education Plan (SEP) must also be attached to
your petition. Additionally, please make an appointment for a complete (not an ‘abbreviated’) SEP at the Counseling
Department, Building 1600, 424-1400, or if you are a CalWorks, DSPS, EOPS, Veterans student, with your respective
program counselor. Then:
Read, complete and sign this petition form.
Attach the GetSAP worksheets indicating you passed the three required online counseling sessions.
Attach documentation to support your petition (copies of medical or legal documents, etc.).
Attach complete SEP (abbreviated SEPs will not be accepted)
EXCEPTION TO EXTENUATING CIRCUMSTANCES: If in the most recent term you earned at least 6
units and 75% of units attempted with a minimum 2.5 GPA, but you remain disqualified because of a
deficient cumulative GPA or overall completion rate, you may petition by attaching the GetSAP test results
and a Student Education Plan to your petition. Indicate the reasons for your original cause of poor
progress and indicate how they have been resolved. Attach a Student Education Plan (SEP).
Reinstatement based on significant academic improvement may be considered if you meet the criteria.
You may reinstate yourself without a petition, by attending LPC without financial aid and meeting all of the minimum
SAP standards. Once your term and cumulative GPAs are both at least 2.0 and your term and overall completion rates
are both at least 67%, you will be placed back on PROGRESS status and will regain eligibility on your own. .
Remember that submitting a petition does not guarantee it will be approved. Each case is reviewed and a decision
determined on its individual merits. The decision is not subject to further appeal.
Page 1 of 2 ReinstatementPetitionForm rev Aug 2019
AY:
I am appealing based on:
Extenuating circumstances for which I have provided documentation
On the basis of significant academic improvement evidenced by earning at least 6 units and75% of units attempted
with a minimum 2.5 GPA during my most recent term of attendance.
1) I plan to graduate or transfer from Las Positas College as of ___________________________________.
4).
Reason for exception: PLEASE ATTACH A TYPED STATEMENT. Detail the extenuating circumstances
you believe should be considered in reviewing your petition for reinstatement of financial aid and attach
documentation. Describe how you resolved or intend to resolve the circumstances in order to successfully
complete your studies at Las Positas. Be as specific as you can in terms of addressing factors that affected your
ability to complete your classes successfully.
2) My current academic goal is
to complete:
CERTIFICATE
AA/AS DEGREE
TRANSFER/BA DEGREE
3) My major or program
of study is:
I will receive a response by email. If my petition is approved, I agree to any conditions established by the Financial Aid Office and
acknowledge that I understand that future receipt of financial aid depends upon fulfilling all of the conditions required and maintaining
all other aspects of the satisfactory academic progress policy.
Student Signature ________________________________________________
Date
________________
-FOR OFFICE USE ONLY-
Cum GPA:
______
Cum Earned
Units: _______
Cum Att:
Units ______
ROANYUD
Units ______
Overall
Comp Rate ______%
Request Pending: ________________________________________________________________________________
Denied:
Approved:
New SAP
status: _________________________________
Effective for
Term __________
CONDITIONS: Must complete at least _____% of attempted units with ______ semester GPA until student
meets minimum cum GPA of 2.0 AND minimum overall completion rate of 67%.
Student will not qualify for a direct loan until all four minimum standards of progress are met.
OTHER: ___________________________________________________________________________________
COMMENTS:_____________________________________________________________________________________
__________________________________________________________________________________________
FINANCIAL AID OFFICER SIGNATURE:___________________________________ DATE:_________
Emailed response to student: Date_____________ Copy of response entered in RHACOMM
Page 2 of 2 ReinstatementPetitionForm rev Aug 2019
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Reinstatement Petition Form Rev Aug 2019 Financial Aid Office

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Completed 18 November 2019

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