Fillable Tuition and Fees Adjustment Appeal This form is (Northern Essex Community College)

Fill Online, Printable, Fillable, Blank Tuition and Fees Adjustment Appeal This form is (Northern Essex Community College) Form

Use Fill to complete blank online NORTHERN ESSEX COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Tuition and Fees Adjustment Appeal This form is (Northern Essex Community College)

On average this form takes 8 minutes to complete

The Tuition and Fees Adjustment Appeal This form is (Northern Essex Community College) form is 1 page long and contains:

  • 0 signatures
  • 14 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Northern Essex Community College

BROWSE NORTHERN ESSEX COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Tuition and Fees
Adjustment Appeal
_____________
Student’s Name (Last, First, M.I.) Student NECC ID Number
_______________________________________________________________________________________________________________________
Current Address Phone Number
This form is to be used to request an adjustment of tuition charges due to extenuating circumstances that
affected your ability to complete your class(es) in a given semester.
Term: Appeal DEADLINE
Spring ____ (Jan. – May.) September 1
st
Summer ____ (May.- Aug.) November 1
st
Fall ____ (Sept – Dec.) April 1
st
Reason for appeal: Medical/Accident Death in the familyMedical/Accident (family member)
   Military Deployment Personal Circumstances
Other: ___________________________________________
To submit an appeal, you must:
Complete all of the information on this form.
Submit the following, attached to this appeal form:
Typed, signed and dated Personal Statement explaining what extenuating circumstances prevented you from
completing your course(s).
Any essential documentation to support the appeal (if applicable) Please note: Documentation should be
official/on letterhead from the source.
Course(s) I am requesting an appeal for:
Course Number
Subject Code
Section Number
Course Title
Required acknowledgments (read and check each statement):
I understand that submitting an appeal does not guarantee an adjustment of charges.
I understand that should the appeal be approved I could continue to have a balance that I am responsible to pay.
I understand that if I received Financial Aid I should contact the Financial Aid Office to determine how this request
will affect my eligibility.
CERTIFICATION: By signing below I acknowledge that I have read and understand the requirements of this appeal.
Submission of an appeal does not guarantee approval.
The information provided with this appeal is complete and accurate. Otherwise, it is not accepted.
An incomplete appeal will be denied if additional information is not received by date requested (two weeks).
All appeal decisions will be sent via mail to the above address within 3 weeks of submittal.
Student Signature_____________________________________________________Date____________________________
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Tuition and Fees Adjustment Appeal This form is (Northern Essex Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 17 September 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document