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SHIPPENSBURG UNIVERSITY
FINANCIAL AID APPEAL FORM
Name:________________________________________ SU ID #: __________________________
Address:______________________________________ Phone #: __________________________
_____________________________________________
Term of Appeal: FALL SPRING SUMMER YEAR ___________
The deadline
to submit your appeal is the first day of the term. Appeals received after the first day will be
considered late and reviewed on a case by case basis.
SECTION ONE: WHY AM I APPEALING THE LOSS OF MY AID?
Check One: In your letter of appeal provide the following information:
__ Student Injury or Illness
Explain the nature of your illness or injury (including dates) in your appeal letter.
Attach a statement from the attending physician, therapist or counselor. This letter
must be on their office letterhead and signed by the medical professional providing
the statement. We will not
accept medical records or a prescription pad note.
___ Death of an immediate
family member (Parent,
Grandparent or Sibling)
State the relationship of the deceased to you in your appeal letter. Attach a copy of
the death certificate or notice.
___ Illness or Injury of an
immediate family member
(Parent, Grandparent or
Sibling)
State the relationship of the ill/injured person to you and explain the nature of the
illness or injury (including dates) in your appeal letter. Attach a statement from the
attending physician, therapist or counselor. This letter must be on their office
letterhead and signed by the medical professional providing the statement. We will
not
accept medical records or a prescription pad note.
___ Other extenuating
circumstance
These would be circumstances outside of your control. In your appeal letter explain
the reason you failed to make satisfactory academic progress. If available, provide
documentation to support the reason(s) you state in your appeal letter.
SECTION TWO: MY APPEAL LETTER
Typewritten and no longer than one page that includes the following information:
1. Explain the reason (as selected in Section One) that you failed to meet the SAP requirements. Focus on the
particular terms and/or courses for which you registered but did not earn the credits or earned less than the
minimum required GPA. Be specific but concise in your explanation.
2. Describe what has changed in your situation that will allow you to make satisfactory progress at the next
evaluation.
If you have used any academic resources such as (1) the AIM program, (2) tutoring services through the
Learning Center, (3) academic advisement, and/or the SU Counseling Center or Office of Accessibility
Resources, please attach proof that you have registered for and/or used these services.
3. Provide third party documentation to support the claim(s) you make in your appeal letter. Refer to
documentation required for appeal reason in Section One for guidance.
Please note: Appeals based on your need for financial aid and/or being unaware of the academic progress policy
are not
reasons for reinstatement of financial aid.
