GOUCHER COLLEGE FINANCIAL AID RESTRICTION APPEAL
INSTRUCTIONS: Complete the information below and submit this form along with documentation to our office.
Appeals submitted without documentation will be denied.
1. STEP ONE: Tell us about yourself.
STUDENT ID: LAST NAME: FIRST NAME:
EMAIL: DAY PHONE NUMBER: EVENING PHONE NUMBER:
2. STEP TWO: Tell us why you have been placed on Financial Aid Restriction. Check all that apply.
□ Cumulative GPA □ Cumulative completion rate (Pace) □ Maximum Timeframe
3. STEP THREE: Tell us why you failed to make satisfactory academic progress.
□ Death of a relative.
Please provide name and relationship to you: _____ ___________
□ Injury or illness of student or relative.
□ Other special circumstance beyond the student’s control. Factors such as not studying enough,
classes too difficult, work schedule or hours, sitting out a semester or semesters, or insufficient use of Goucher
support services are not valid reasons for an appeal.
Please explain briefly (If additional space is needed please attach a separate written explanation):