Student Name
Student ID #

Attention UEH Appeal Applicant:

Your appeal will not be sent to the appeal committee if all requested documents have not been submitted to complete your financial aid application (FAFSA) to the Financial Aid Office.

Please do not turn in your JCC UEH Appeal without the following information

  1. An accurate JCC email address
  2. Your Student ID number
  3. Documentation for all circumstances mentioned in the appeal why no academic credit was earned.

NOTE:

Appeals will be reviewed only once. Appeals require documentation (illness, accident, financial issues, family emergency, military obligations, etc.) and will be considered with only what is turned in prior to the committee meeting for review. Appropriate documentation may include medical documentation, legal documents, or other third party official documents.

** You will be notified of the SAP Appeal Committee's decision by school email. **

Financial Aid Office use only:

I have reviewed the above student's file. All requested documents have been received.
FAA Printed Name


FAA Signature


Date Received


Name of Student
Student ID #
Date of Birth
Email Address
Street Address
City
State
Zip
Telephone Number:
Program of Study
Anticipated Graduation Date
  • New regulations from the Department of Education requires institutions to check unusual enrollment history in an effort to prevent fraud and abuse in the Federal Pell Grant Program.

  • Federal regulations allow the Financial Aid Office to determine whether a student should continue receiving Title IV aid to students that failed to earn credit at previously attended institutions if they can document that there were mitigating circumstances beyond their control.

  • Documentation must support the reasons given by the student for the student’s failure to earn academic credit and that the student did not enroll only to receive credit balance funds.

Suggestions on Writing Your Appeal

  • Submit your appeal as soon as possible.

  • A reason for appealing would be an extenuating circumstance under which you had no control and which you can document why academic credit was not earned.
    The appeal should explain in detail the reason(s) for not earning academic credit at any previously attended institutions. Your statement for your appeal should consist of three parts:
  1. In Part I, Complete School History Chart (list institutions previously attended during the four year award period (2013-2014, 2014-2015, 2015-2016, 2016-2017) where you received Pell Grant funding).

  2. In Part II, explain how the circumstances prevented you from earning academic credit at each of the previously attended institutions.

  3. In Part III, explain how you will be able to meet the academic plan and earn credit at JCC.
Name of School Attended
Location of School
Dates of Attendance
(To – From) (MM-DD-YYYY)
Enrollment Status
(Full-time, Part-time)
Credit Hours Earned
Degree Type Sought
(Associates, Bachelors, Masters)
Name of School Attended
Location of School
Dates of Attendance
(To – From) (MM-DD-YYYY)
Enrollment Status
(Full-time, Part-time)
Credit Hours Earned
Degree Type Sought
(Associates, Bachelors, Masters)
Name of School Attended
Location of School
Dates of Attendance
(To – From) (MM-DD-YYYY)
Enrollment Status
(Full-time, Part-time)
Credit Hours Earned
Degree Type Sought
(Associates, Bachelors, Masters)
Name of School Attended
Location of School
Dates of Attendance
(To – From) (MM-DD-YYYY)
Enrollment Status
(Full-time, Part-time)
Credit Hours Earned
Degree Type Sought
(Associates, Bachelors, Masters)
Name of School Attended
Location of School
Dates of Attendance
(To – From) (MM-DD-YYYY)
Enrollment Status
(Full-time, Part-time)
Credit Hours Earned
Degree Type Sought
(Associates, Bachelors, Masters)
Name of School Attended
Location of School
Dates of Attendance
(To – From) (MM-DD-YYYY)
Enrollment Status
(Full-time, Part-time)
Credit Hours Earned
Degree Type Sought
(Associates, Bachelors, Masters)
Name of School Attended
Location of School
Dates of Attendance
(To – From) (MM-DD-YYYY)
Enrollment Status
(Full-time, Part-time)
Credit Hours Earned
Degree Type Sought
(Associates, Bachelors, Masters)

Academic Plan

I must achieve a semester Grade Point Average (GPA) of 2.5.

I must complete at least 75% of the credit hours attempted each semester.

I understand if the above conditions are NOT met, I will NOT be awarded financial aid again until I regain satisfactory academic progress unless another appeal is approved based on mitigating circumstances.

In addition, maximum time frame appeals must graduate within the current academic year (2017-2018) unless another appeal is approved.
My signature certifies and confirms that I have read and I understand all instructions and that I have provided accurate, complete, and current information.
Furthermore, I understand if approved, I must meet the conditions of the appeal for each semester. If you meet the conditions of the appeal, we will automatically award your aid for the next semester.


You must print, sign, and date this document and return it to the Financial Aid office along with supporting documentation
.
Student Signature


Student ID Number
Date
©