Fillable central oregon community college unusual Enrollment Explanation

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central oregon community college unusual Enrollment Explanation

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Enrollment Explanaon
2019‐2020
SECTION 1—TRANSCRIPTS *****This secon 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 aended.
 I have aached copies of ALL my transcripts or submied official transcript to COCC’s Admissions Department.
SECTION 2—PROVIDE AN EXPLANATION FOR ANY TERM OF ENROLLMENT WITH NO EARNED ACADEMIC CREDIT
If you aended but did not earn credit at one or more of these schools, please provide a transcript or enrollment verifica‐
on and an explanaon of any unusual or extenuang circumstances which prevented you from earning academic credit at
the school. Aach documentaon to support your explanaon of unusual or extenuang circumstances.
SECTION 3—ATTACHED DOCUMENTATION *****This secon is required if you had no earned credit during any term of
enrollment *****
 I have aached documentaon to this form pertaining to my unusual or extenuang 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 instuons, the Department of Educaon 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 documentaon for review, we will not be able to provide financial aid at COCC
unl you have completed at least one term at COCC and maintained the Sasfactory Academic Progress standards of a 2.0
GPA and 66.67% compleon rate. By signing this form, I cerfy the informaon reported is true and accurate. Adobe signa‐
ture type fonts will not be accepted.
For office use only Approved Denied
Notes:__________________________________________
_______________________________________________
Inial: __________ Date: ___________
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Completed 9 December 2019

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