2017-2018
Unusual Enrollment History (UEH) Appeal Form
Student ID
_____________________________________________ _________________________________________ _______________
Last Name First Name M.I.
Effective with the 2013-2014 academic year, the U.S. Department of Education established new regulations to prevent
fraud and abuse in the Federal Pell Grant Program by identifying students with unusual enrollment history. Some students
with unusual enrollment history, have legitimate reasons for their enrollment at multiple institutions. However, such
enrollment history requires the Office of Financial Aid to review the student’s file in order to determine future federal
financial aid eligibility. If selected by the Department of Education, this must be resolved before a student can receive
federal financial aid.
Based on your unusual enrollment history, it has been determined that you are not eligible for Federal Student Aid (this
includes, but is not limited to Pell Grant, SEOG Grant, Federal Work Study, Perkins Loans, Direct Student Loans, PLUS loans,
etc.). You have the option of appealing this decision by completing and returning this form and supporting documentation
to the Office of Financial Aid for review and evaluation. In addition, attach PCC’s Educational Plan.
You can review your National Student Loan Data System (NSLDS) records by logging in online at
https://www.nslds.ed.gov/nslds/nslds_SA/ .
Please provide the following to the Office Financial Aid:
• Attach a statement explaining your unusual enrollment history
• An updated Educational Plan from your Academic Counselor
Please provide the following to the Admissions and Records Office:
• Official Academic transcripts from all institutions you have attended.
Official transcripts must be submitted to the Admissions and Records Office and you must notify the Office of Financial Aid when you they
are submitted. All transcripts and pending documents must be submitted before your records can be reviewed.
By signing this worksheet, I certify that all the information reported to quali fy for federal student financial aid
is complete and correct. For dependent students, at least one parent must sign this form.
WARNING:
If you purposely give false or misleading information on this
worksheet,
you may be fined,
be
sentenced to jail, or
both.
Student’s Signature
Date
For Office Use Only
Reviewed by:_______________________________________________________________________ Date_________________
Approved/Denied Comments:__
_________________________________________________________________________________
____________________________________________________________________________________________________________
1570 East Colorado Blvd.L-114, Pasadena, California 91106
-
•
-
2003 e
-
•
-
ma
il
:
fi
na
i
d@pasadena
.
edu FAX 626
-
•
-
585
-
•
-
7936
18UEH
