SATISFACTORY ACADEMIC PROGRESS APPEAL
for current quarter funding if submitted by 5
th
day of quarter (summer deadline 3
rd
day of quarter)
Financial Aid | 12401 SE 320th St, Auburn, WA 98092 | 253-833-9111 (2449) | FAX 253-288-3473 | : finaid@greenriver.edu
Name: ____________________________________________
Last Name, First Name
Program
: __________________________________________
Student ID:
__
______________________________________
Phone Number: _____________________________________
My appeal is based on (choose main reason):
COVID‐19
Medical
Housing
Work Conflict
Legal
Other ____________________________________
Directions:
1)
Email Financial Aid at finaid@greenriver.edu with subject line: SAP APPEAL
2)
Wait for email from Financial Aid, to ensure privacy do not email documents directly.
3)
Respond to secure/encrypted email & attach documents:
a.
Complete, Sign, & attach this form
b.
Attach of copy of an expanded Degree Audit for your program
COVID‐19 impacted me in the following ways (check all that apply):
COVID‐19 related illness of student
☐
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COVID‐19 related illness of family member
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Difficulty moving to online instruction due to COVID‐19
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General disruption from COVID‐19 (childcare, anxiety, quarantine, financial)
Green River College does not discriminate on the basis of race, color, national origin, sex, sexual orientation, disability, marital status, religion, age or any
other unlawful basis in its programs and activities. Please see College Policy HR-22. The following person has been designated to handle inquiries regarding
the nondiscrimination policies: Vice President for Business Administration and Human Resources, 12401 SE 320th Street, Auburn, WA 98092,
(253) 288-3320. To receive this information in an alternate format, please contact Disability Affairs at (253) 833-9111, ext. 2631; TTY (253) 288-335
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Change in work due to COVID‐19 (loss of job or increased hours)
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Other COVID‐19
I had additional unusual circumstances: (Please describe below or attach a signed written statement explaining)
___________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________
______________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________
The steps I have taken to ensure this situation will not affect my future academic success;
explain how the unusual circumstance(s) has been resolved:
___________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________
To strengthen and support your appeal, you are strongly encouraged to provide supporting documentation such as a
letter from a doctor, instructor, advisor, counselor; medical bill/records, police/insurance report; obituary notice. Appeals
will be considered without documentation.
Results of your appeal will be sent to your college assigned mail.greenriver.edu email account.
☐ Degree A
udit Attached Student Signature __________________________________ Dat
e ________________
You can sign using the draw tool if you don’t have Adobe downloaded
