SUMMER 2021 FINANCIAL AID SAP APPEAL FORM
DIRECTIONS: Re
view each section for instructions. All three sections must be completed and Section II signed.
Please see PCC SAP Appeal Guidelines and PCC SAP Appeal Policy that is attached.
Section I.
Please
check which box applies to your situation. This information can be found in your Student Self Service
Account. (Please write legibly)
My cumulative GPA is below 2.0
My passing rate is below 67%
Both GPA and Pass Rate is below the required levels
I have exceeded 150% maximum timeframe (contact pccsap@my.pittcc.edu on how to complete this appeal for 150%)
Student ID: _________________
Last Name: ____________________________ First Name: _____________________ MI__________
Address ______________________________City_______________________State__________________Zip___________________
Appeals should be submitted the semester before you plan to return. If you do not plan on attending
SUMMER 2021, do not submit an appeal at this time.
Please note: you are still required to submit your FAFSA for 2020-2021 and complete any required documents.
Section II.
DIRECTIONS: An appeal can only be submitted if a student’s failure to make satisfactory academic progress is based
upon events beyond their control. Please indicate which circumstance below best applies to you (must check at least
one). Documentation of checked circumstances must be provided.
Illness or Injury (myself or immediate family member) which prevented my attending class( Immediate
family is spouse, parents, step-parents, children, step-children, grandparents, siblings, step-sibling)
Pregnancy alone is not an appealable reason UNLESS unforeseen pregnancy complications occur,
which results in bedrest or extended hospitalization. Documentation is required.
Death of Immediate Family Member (Immediate family is spouse, parents, step-parents, children, step-
children, grandparents, siblings, step-sibling )
Required Court Dates (please attach court documents)
Childcare or Transportation issues (Car repairs must be major, costly repairs, not routine maintenance.)
Unavoidable Work Conflict (excessive work hours (40+ consistently or unavoidable schedule changes)
o COVID 19 related reason (illness, mandatory quarantine, quarantine outside of state/locality)
__________________________________________________________________________________________
Financial Aid SAP Appeal Consent
I have read the Financial Aid Satisfactory Academic Progress Appeal Request form including the SAP Appeal
Policy attached. I understand that the Financial Aid Appeals Committee WILL NOT review my appeal if this form
is incomplete. I understand that I must provide documentation for each unsuccessful term. I also understand
that I will be notified of the decision through my Pitt student email account at the end of this Spring term on May
21st 2021.
Signature______________________________________________________ Date: ______________________
Deadline: April 30
th
, 2021 by 5:00PM
click to sign
signature
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SUMMER 2021 FINANCIAL AID SAP APPEAL FORM
Deadline: April 30
th
, 2021 by 5:00PM
Section III.
DIRECTIONS: In the following section, you will address the semesters of poor performance. This includes ALL W’S,
OW’S, F’S, R’S and IP’s. Please refer to your unofficial transcript to determine which semesters need to be addressed.
REMEMBER: YOU MUST DISCUSS AND DOCUMENT EACH SEMESTER YOU DID NOT PASS/EARN ALL
ATTEMPTED CLASSES. YOU MUST ALSO PROVIDE APPROPRIATE DOCUMENTATION FOR EACH SMESTER
ADDRESSED OR YOUR APPEAL WILL BE DENIED. (WE’s and/or IE’s do not need to be addressed/documented)
Semester_________ Year ________
Please describe the circumstance(s) that was beyond your control: (Attach documentation)
How has this issued been resolved?
Semester_________ Year ________
Please describe the circumstance(s) that was beyond your control: (Attach documentation)
How has this issued been resolved?
Semester_________ Year ________
Please describe the circumstance(s) that was beyond your control: (Attach documentation)
How has this issued been resolved?
***If you require additional space, print this section again and attach with your finished appeal.
SUMMER 2021 FINANCIAL AID SAP APPEAL FORM
Deadline: April 30
th
, 2021 by 5:00PM
SAP Appeal Policy
Appeal Process
1. Students may appeal their suspension/termination of eligibility for financial aid only for “extraordinary
circumstances: to the Financial Aid Appeals Committee. See below for example of extenuating circumstances:
a. Serious Illness
b. Accident
c. Death of an immediate family member
d. Act of Nature (Flooding, hurricane, fire, tornado, etc. causing extensive damage to home)
2. Appeals must be on the official appeals form and MUST have appropriate documentation attached.
3. Appeals must be submitted before the deadline date.
4. Appeals will be limited to a total of 3 appeals if for GPA or Pass Rate
5. Appeals will be limited to 1 appeal if for 150% Maximum Timeframe
6. Appeals are reviewed once each semester after final grades for the term have posted.
7. The decision of the appeals committee is final.
Appeal Process for GPA or Pass Rate
1. A SAP counselor will review appeals to determine if they meet certain criteria. If criteria is not met, then appeal
will not be reviewed.
a. Student must be appealing for the following reasons
i. Illness or injury (student or immediate family member)
ii. Death of immediate family member
iii. Transportation issues
iv. Unavoidable Work Conflict
v. Other Unavoidable Event
2. A SAP counselor will determine whether or not student can regain satisfactory academic progress (2.0 GPA and
67% pass rate) within the required timeframe. This timeframe is one year or 32 credits.
a. If student will not be able to regain eligibility within timeframe, the appeal will be denied.
b. If student is able to regain eligibility within time frame, the appeal will go to the Financial Aid Appeals
Committee.
3. If approved, appeals will give a time frame of 1 year (3 consecutive semesters) from the date of approval to regain
satisfactory academic progress. At that time, if a student is unable to meet satisfactory academic progress (2.0 GPA
and 67% pass rate) within that 1-year timeframe (3 consecutive semesters), the appeal will be canceled and the
student will be responsible for the amount of their tuition, fees, and books.
4. If denied, a student will be responsible for the amount of their tuition, fees, and books.
Appeal
Process for 150% Maximum Timeframe
1. A SAP counselor will review appeals of students who violate the 150% maximum timeframe to determine if they
meet certain criteria. If criteria is not met, then appeal will not be reviewed
2. Students must have the following included in their appeal:
a. Student must have their academic advisor to determine their expected graduation date
b. Student must attach their SEP (Student Educational Plan)
3. A SAP counselor will determine whether or not student can complete the program within the required timeframe
a. If student will not be able to complete within the allowable timeframe, the appeal will be denied.
b. If student is able to complete the program within the allowable timeframe, the appeal will go to the Financial
Aid Appeals Committee.
4. If approved, appeals for 150% Maximum Timeframe will give a timeframe of 1 to 3 semesters. It is imperative that
the student graduates at that time, as there will not be any opportunities to appeal for 150% Maximum Timeframe
again.
SUMMER 2021 FINANCIAL AID SAP APPEAL FORM
Deadline: April 30
th
, 2021 by 5:00PM
PCC SAP
APPEAL GUIDELINES
1. Log in to your Self Service to determine why you need to do an appeal – GPA below 2.0, pass rate
below 67%, Both GPA and pass rate below the required levels, or have exceeded the maximum 150%.
2. Identify which circumstance applies to you – (Illness/Injury, death, court dates, transportation, etc.)
3. Identify the semester and year of poor performance (use the unofficial transcript)
4. Briefly explain why you failed to make satisfactory academic progress – repeat for each term that you
had poor performance or withdrawals. Make sure you print clearly. If the appeal committee cannot
read it, it will be sent back to you.
5. Attach and label the documentation. The documentation should have the semester and year written at
the top of the document. For example, if you are explaining why you withdrew from the 2017 fall
semester your documentation should have ‘2017 fall’ written at the top of the document. (Do not submit
your entire medical history – only the pertinent documents.)
6. Documentation is mandatory. Failure to provide documentation for all semesters of poor performance
will lead to denial of your appeal.
7. For poor performance 10 years old or more, documentation is recommended but not required. This
is the only scenario where having no documentation is acceptable.
8. Submission of this appeal does not guarantee approval. Having your appeal reviewed before submission
also does not guarantee approval.
9. Decisions for students not currently enrolled will be emailed to your PCC email in 7-10 business days.
Currently enrolled students will receive their decision via PCC email by May 21
st
, 2021 by 5:00 PM.
________________________________________________________________________________________
Submit via email, fax or mail by 5:00pm, April 30, 2021.
APPEALS CAN BE SUBMITTED IN THE FOLLOWING WAYS:
EMAIL: PCCSAP@MY.PITTCC.EDU
FAX: 252-321-4201
MAY ALSO BE MAILED TO:
Pitt Community College
ATTN: Financial Aid
P.O. Drawer 7007
Greenville, NC 27835
*Postmark date must be on or before the April 30
th
deadline*
*Submit all supporting documentation at the same time as appeal.*