2019-2020 Unusual Enrollment History Review– Blue Ridge Community College
The Financial Aid Office has received the results of your 2019-2020 Free Application for Federal Student Aid (FAFSA) indicating that you have
an unusual enrollment history. Unusual enrollment history is defined as receiving federal aid funds at multiple institutions in a four year
period.
Instructions:
Complete this form and submit it to the Financial Aid Office as soon as possible, so that your financial aid won’t be delayed. The Financial Aid
Office can assist you if you have questions. Start by carefully completing this form, then attach any requested items. Incomplete forms will be
returned unprocessed. If you do not know your Student ID number, instructions for looking it up can be found here.
Student Information:
Last Name: _________________________________________ First Name: __________________________Middle Initial: __________
Student ID: __________________________ Date of Birth: _____________________ Phone Number: ______________________
Street Address: ____________________________________________________________________
City: ______________________________ State: ________________________________ Zip: ___________________
Email Address: __________________________________________________________
Enrollment History:
Have you earned credit at each college where you received financial aid in the last 4 years? “Earned credit” for the purposes of Unusual
Enrollment History means that you must have completed at least one clock-hour or credit-hour at each of the colleges you have attended
since the 2015-2016 academic year.
________Yes ________ No
If you checked “yes” above, please attach a transcript from each institution at which you received financial aid in the last four years.
Transcripts are required so that we may document the credit earned at each school.
If you checked “no” above, please attach an explanation of why you failed to earn credit at multiple schools as well as the reasons for
changing schools. Wherever possible, provide documentation to support your claim. Attach transcripts from any college from which you
earned credit.
Please indicate here the total number of pages attached for review, not including this sheet: _______
WARNING: If you purposely give false or misleading information on this form, you may be fined, sentenced to prison, and/or removed from
school and this appeal will definitely be denied.
Signature:
By signing this worksheet, you certify that all the information is complete and correct. You must physically sign this form.
Student Signature: ____________________________________________ Date Signed: ______/_______/_________
Please return this form by fax to 540-234-8189, scanned email attachment to finaid@brcc.edu, or mail to Blue Ridge Community College,
Office of Financial Aid, Box 80, One College Lane, Weyers Cave, VA 24486. Please call 855-844-3631 if you have questions