WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
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OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: email@example.com
F 910.272.3314 Website: https://www.robeson.edu/fa/
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
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.
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
Student Signature Date
Financial Aid Office Use Only
☐ Documentation is acceptable and student is eligible for aid. ☐ Documentation is not acceptable and student is ineligible for aid.
Financial Aid Specialist Date
click to sign
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