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Haskell Indian Nations University Phone: (785) 7498468
Financial Aid Office Fax: (785) 8326617
155 Indian Avenue, Box 5027
Lawrence, KS 66046
Satisfactory Academic Progress Appeal Form
First Name (please print) Last Name
MI
Haskell ID Number
Current Phone Number to Contact You: Personal E‐Mail Address:
It has been determined that you are ineligible to receive financial aid because you did not meet the University’s
requirements for Satisfactory Academic Progress (SAP). If you have mitigating circumstances, you may appeal to the
Office of Student Financial Aid and Scholarships within three weeks of date listed on your Academic suspension letter. All
appeal applications received after this date, will not be accepted.
1. Submit a Letter of Explanation
Check the reason (s) for which you are appealing and have been placed on Financial Aid Suspension.
Maximum Timeframeexplain why you have exceeded the number of credits required for graduation from your
program of study. One Example: (A student has 95 credit hours and is not enrolled in a four year degree program)
Minimum GPAexplain why you do not have the minimum cumulative GPA of 2.0
Completion Rate (Pace) explain why you were unable to complete at least 67% of all of your hours attempted at
Haskell and/ or other institutions.
2. Submit Supporting Documentation:
You will need to type a letter addressed to: Financial Aid Appeals Committee
Haskell Indian Nations University
155 Indian Avenue
Lawrence Kansas, 66046
(Submission by fax or Mail will not be accepted. Please hand deliver your packet to Financial Aid.)
In your letter, you should further outline what actions that you have taken to resolve your SAP issue (s). Suggestions to
support your request for the committee to consider your appeal are listed below as a demonstration of your
commitment to improve your overall academic standing.
Completed Grade check (Required)
Contacted Trio support services or the student success center and completed a contract (optional)
Letter of support from an Instructor (optional)
Transcript (Required)
Degree Checklist (Required)
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3. Appeal information
In your letter, it should include the nature of your situation which resulted in your Financial Aid suspension. If you have
suffered a hardship listed below, please list them below and submit the supporting documentation. Examples of
acceptable documentation and circumstances are listed below.
Severe illness, medical condition or injury
Signed and dated letter from a Physician on an official
office letterhead verifying medical problems and the
treatment received.
Death of a family member
Death Certificate and/or dated obituary from the
newspaper
Traumatic lifealtering event such as a fire, tornado
Evidence of the event such as an insurance claim or
FEMA application
Other circumstances not listed above:
Documentation that will verify situation.
Indicate if your withdrawal or failed courses are due
to challenges due to COVID19
4. Academic Advisor Documentation
Please have your Advisor complete this portion of your form. He/ She will need to sign and date the document.
Yes
No
Is it mathematically possible for this student to achieve the required 2.0 Term/CGPA by the end of
the current term?
Yes
No
Is it Mathematically possible for this student to achieve the required Completion rate of 67% by
the end of the current term?
Yes
No
For Students who have 90 credit hours, have they been accepted into a four year program? If not,
they need to complete an academic plan.
Advisor Name
Signature and
Date
First Last Signature
Date
Each person signing this worksheet certifies that all of the information reported is complete and correct. The student and one
parent whose information was reported on the FAFSA must sign and date.
Print Student’s Name Student’s ID Number
Student’s Signature Date
WARNING: If you purposely give false or misleading information you may be fined, be sentenced to jail, or both.
5. Certification and Signature
click to sign
signature
click to edit