Fillable Tuition-appeal-form - TUITION APPEAL

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Tuition-appeal-form - TUITION APPEAL

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U.S.A. forms for Mohawk Valley Community College

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!!1101!Sherman!Drive,!Utica,!NY!13501!
!!!!!!!!!!!!!!!!Phone!(315)!792=5336!
!!!!!!!!!!!!!!!!!!Fax!(315)!792=5698!
!!!!!!!!!!!!!!!!!!!!!!www.mvcc.edu!
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Students have one year from the end of any semester to appeal tuition charges.
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PLEASE NOTE: The college will only consider appeals based on circumstances unforeseen and beyond your
control. For example, your decision to accept new employment is within your control and would not be
considered a satisfactory reason for an appeal.
Reason for the appeal: _____________________________________________________________
________________________________________________________________________________
I certify that the above information is accurate: ______________________________________________
Student Signature
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Attach all documentation and submit to:
MVCC Tuition Appeal
c/o Office of Records and Registration
1101 Sherman Drive
Utica, NY 13501
Fax: 315.792.5698 Email: tuitionappeal@mvcc.edu
Any appeals for financial aid, dormitory charges, or grades must be filed separately. Please allow at least three weeks for
a decision regarding your appeal.
CRN
Course
Withdrawal Date
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Valid Reasons for Appeal
Documentation Required
Illness or injury of student
Medical records showing effective dates
Extenuating circumstances involving family
Death certificate, medical records and/or court
papers with effective dates
Legal issue
Court papers with effective dates
Military service
Copy of military orders
Non-attendance of all sessions of all courses
None. Verification will be done by the college.
OFFICE USE ONLY
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Rec eived!By/ D ate!____________________!
Posted!By/Date!____________________!
TUITION
APPEAL
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Student Name _______________________________________ M# ______________________
Address _____________________________________________________________________
Phone ________________________ Email _________________________________________
Semester Being Appealed _____________________ Date of Appeal _____________________
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Tuition-appeal-form - TUITION APPEAL

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Completed 9 February 2020

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