WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 1 of 2
FA20CUE2/FA20CUE3
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Unusual
Enrollment History Form
Student’s Name: _____________________________________________ Student ID: ____________________
Address: __________________________________________ City/State/Zip____________________________
Phone #: ______________________________________ Email: ______________________________________
Your 2020-2021 FAFSA has been flagged for “Unusual Enrollment History Review” by the U.S. Department of
Education because you received Federal Pell Grant and/or Direct Loan funds at multiple education institutions during the
review period: 2016-2017, 2017-2018, 2018-2019, and 2019-2020.
STEP 1: ENROLLMENT HISTORY
List below the name of any/all education institution(s) at which you received Federal Pell Grant and/or Federal
Direct Loan funds during the review period: 2016-2017, 2017-2018, 2018-2019, and 2019-2020. .
Continue to page 2
Institutions Attended
Academic Year
Credits Earned
Transcripts
Example: Liberty University
2016-2017
21
Attached
Yes
No
Attached
Already Submitted
Yes
No
Attached
Already Submitted
Yes
No
Attached
Already Submitted
Yes
No
Attached
Already Submitted
Yes
No
Attached
Already Submitted
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 2 of 2
FA20CUE2/FA20CUE3
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Unusual
Enrollment History Form
STEP 2: ADDITIONAL REQUIRED DOCUMENTATION
Check each item and submit with this form:
1. Attach a printout of your NSLDS History during the periods of 2016-2017, 2017-2018, 2018-2019, and
2019-2020.
Instructions: (1) Log into nslds.ed.gov using your Federal Student Aid (FSA) ID
(2) Click on Financial Aid Review
2. Attach a separate typed statement explaining the reason(s) for your failure to earn any academic credits at
each institution(s) listed. All schools, at which you received Federal Pell Grant and/or Federal Direct Loan
funds during the review period, must be addressed in the statement. Attach any relevant documentation (i.e.,
medicals bills, hospitalization records, accident reports, etc.).
3. Provide an unofficial transcript for each institution listed above. Please do not provide transcripts that have
already been submitted to the RCC’s Registrar’s Office.
Certification:
I certify that the information is true and correct to the best of my knowledge and belief. I understand that RCC has the right
to require additional proof of the information provided on this form. I agree to submitting further documentation if
requested.
______________________________________ ___________________
Student Signature Date
click to sign
signature
click to edit
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