FINANCIAL AID SUSPENSION APPEAL FORM

Please provide the following contact information:

Student ID
First Name
Last Name
Middle Initial
Address
City
State
Zip
Local Phone
Alternate Phone
E-mail

Select any of the following options that apply:

Illness of student or immediate family member (child, spouse, wage earner, parent or legal guardian).
Disasters - fire, flood, earthquake, earth tremors, etc.
Severe emotional difficulties. 
Death in immediate family causing financial hardship.
Accidental injuries which incapacitate.
Loss of employment or change in employment.

If you do not fall into one of the above categories, please give reason(s) here.

Students on financial aid suspension should not depend on financial aid to pay for costs of registration, but should be prepared to pay from their own resources pending the outcome of their financial aid appeal.

**Appeals submitted without proper supporting documentation will be DENIED.

**SUPPORTING DOCUMENTATION:

Third Party Documents

1)      Illness of student or immediate family member = medical documentation confirming the onset and duration of the illness

2)      Disasters affecting the student’s attendance = documentation of insurance claims or other third party information verifying the date of the disaster

3)      Severe emotional difficulties = documentation from a qualified counselor documenting the onset and duration of the problems

4)      Death in the family = copy of death certificate

5)      Accidents which incapacitate = medical and/or other documentation verifying the date and duration of the occurrence

6)      Loss of employment (change of employment) = letter from employer verifying the circumstances and dates of loss or change in employment