SECTION 1—TRANSCRIPTS *****This secon is required*****
Please aach a copy of ALL your college transcripts during the 2015‐16, 2016‐17, 2017‐18, and 2018‐19 academic years.
Transcripts are required from all instuons you aended even if you did not earn academic credit. Transcripts may be oﬃ‐
cial or unoﬃcial. In the chart below, please list each school you aended.
I have aached copies of ALL my transcripts or submied oﬃcial transcript to COCC’s Admissions Department.
SECTION 2—PROVIDE AN EXPLANATION FOR ANY TERM OF ENROLLMENT WITH NO EARNED ACADEMIC CREDIT
If you aended but did not earn credit at one or more of these schools, please provide a transcript or enrollment veriﬁca‐
on and an explanaon of any unusual or extenuang circumstances which prevented you from earning academic credit at
the school. Aach documentaon to support your explanaon of unusual or extenuang circumstances.
SECTION 3—ATTACHED DOCUMENTATION *****This secon is required if you had no earned credit during any term of
I have aached documentaon to this form pertaining to my unusual or extenuang circumstances.
Student name printed COCC ID number
Student signature Date
Financial Aid Oﬃce
541.383.7260 • fax: 541.383.7506
2600 NW College Way, Bend, Oregon 97703
www.cocc.edu/ﬁnancial‐aid • e‐mail: coccﬁnaid@cocc.edu
Based on your previous enrollment history at other instuons, the Department of Educaon requires COCC to review your
academic history over the past four (4) academic years.
ACADEMIC YEAR NAME OF SCHOOLS ATTENDED TRANSCRIPTS ATTACHED
2016‐17 YES NO
2017‐18 YES NO
2018‐19 YES NO
2015‐16 YES NO
If you are unable to provide the acceptable documentaon for review, we will not be able to provide ﬁnancial aid at COCC
unl you have completed at least one term at COCC and maintained the Sasfactory Academic Progress standards of a 2.0
GPA and 66.67% compleon rate. By signing this form, I cerfy the informaon reported is true and accurate. Adobe signa‐
ture type fonts will not be accepted.
For oﬃce use only Approved Denied
Inial: __________ Date: ___________