SAP/Unusual Enrollment History Appeal Form - Yuba College

Yuba Community College DistrictFinancial Aid OfficesYuba College2088 North Beale RoadMarysville, CA. 95901530-741-6781Woodland Community College2300 East Gibson RoadWoodland, CA 95776530-661-5725Clear Lake Campus15880 Dam Road ExtensionClearlake, CA 95422707-995-7923SATISFACTORY ACADEMIC PROGRESS/ UNUSUAL ENROLLMENT HISTORYEXTENUATING CIRCUMSTANCES APPEAL INSTRUCTIONSIn order to comply with federal regulations, Yuba Community College District is required to monitor whether ornot students are maintaining Satisfactory Academic Progress (SAP) in their course of study, regardless of whetherthey have ever applied for or received financial aid.Based on the above regulation, it has been determined that you are ineligible to receive financial aid due to thefact that you did not meet the requirements for SAP or you have been determined to have an Unusual EnrollmentHistory by the Department of Education. Students who are ineligible may continue to attend classes at their ownexpense. This does not affect your eligibility to receive a BOG Fee Waiver as long as you meet the BOG Fee Waivereligibility criteria.Students who have not met all SAP requirements and had extenuating circumstances (i.e., illness, death of animmediate family member, medical/emotional disability) may submit an appeal to the Financial Aid Office.Appeals not meeting the “extenuating circumstances” category will not be accepted. Furthermore, submission ofan appeal does NOT GUARANTEE the reinstatement of students’ financial aid. Therefore, students should beprepared to pay for their books, and other school related expenses pending the outcome of their “extenuatingcircumstances” financial aid appeal.IMPORTANT: To be considered, extenuating circumstances appeals must be submitted by the followingdeadlines:Appeal Filing DeadlinesFall 2013 November 22, 2013 Spring 2014 May 7, 2014Summer 2014 July 2, 2014If you qualify to file an appeal for reinstatement of your financial aid, please follow the instructions below:1. Complete the attached Financial Aid Appeal form. Complete all questions in a legible and completemanner. Describe the extenuating circumstance that led to your not meeting the SAP requirements orcontributed to your Unusual Enrollment History. Attach required supporting documentation that supportsyour request. An appeal may be denied without question if it is incomplete or lacks documentation.Supporting Documentation:• Illness of student or immediate family member. Attach medical documentation confirming theonset and duration of illness.• Severe emotional difficulties. Attach documentation from a qualified counselor documenting theonset and duration of the problem(s).• Death in family. Attach copy of death certificate or obituary.• Accident or injury to student or immediate family member. Attach medical and/or otherdocumentation verifying the date and duration of the occurrence.• Loss or change of employment. Attach a letter from the employer verifying the circumstancesand dates of loss or change in employment.• Disasters affecting the student’s attendance. Attach documentation of insurance claims or otherthird party information verifying the date of the disaster.

Yuba Community College District (YCCD)Financial Aid OfficeTerm Appealing:Fall 2013Spring 2014Summer 2014SATISFACTORY ACADEMIC PROGRESS/UNUSUAL ENROLLMENT HISTORYEXTENUATING CIRCUMSTANCES APPEAL___________________________________________________ _________________________________NameSocial Security Number___________________________________________________ _______ _________________________Mailing AddressDate of Birth___________________________________________________ _______ _________________________City State Zip Code Phone NumberCampus Attending: Marysville Beale Clear Lake WCC Colusa SutterHave you met with an Academic counselor? Yes No Counselor name ________________________________What is your degree objective? Certificate Associate Degree TransferWhat is your Program of Study? ___________________________________________________________________________Pell Lifetime Eligibility Used? __________________% (Log in at www.nslds.ed.gov to find your %, then click Financial Aid Review)Reason for Appeal:GPA below 2.0 R2T4 (Stopped attending, withdrew or failed all classes) Amt owed: Yuba _____ DOE ________Pace of Progression below 70% Exceed maximum units 30 Plus Remedial Direct LoanUnusual Enrollment HistoryIndicate the circumstances beyond your control that caused your academic progress to be unsatisfactory:Extenuating CircumstancePersonal illness or injuryPersonal crisisIllness of a family memberDeath in the familyOther ________________Required DocumentationAttach a TYPED one-page explanation about what happened and what has changed.Include your name and student ID at the top of the page. Your explanation MUST be for theterms you did not make satisfactory progress and MUST include the following:A. Explain what happened – in detail explain the circumstances contributing to whyyou did not make satisfactory progress. Include date of onset and duration ofextenuating circumstances.B. Explain what has changed – why you believe it is possible for you to now achieveand maintain satisfactory academic progress. Describe the positive steps you aretaking to ensure future success in attaining your academic goal.C. If this is not your first appeal – explain what has changed since your last appeal.Lack of awareness of withdrawal policies, requirements for satisfactory academic progress,or unpreparedness for college coursework will not be accepted as reasons for the appeal.Attach any relevant supporting documentation which may include: Doctor’s statement,copy of hospital/urgent care/physician’s bill, obituary/funeral notice/death certificate, policereport, statement from counselor. Supporting documentation must show date and duration.If you are exceeding themaximum time frame/unitsIf you already have a Degreeor CertificateContinue on next pageMaximum: Certificate – 45 units AA/AS/Transfer – 90 units Remedial – 30 unitsExplain why you have not been able to attain your educational goal within the specifiedtime frame.How many units are required to complete your goal?_______What is your anticipated graduation date?________________Explain why you are not currently using the degree or certificate you have completed andwhy you are returning to complete another degree or certificate.Page 1 (SAP/UEH Appeal)

Student Certification (Read and initial the following statements)InitialsStatementI understand it is my responsibility that I meet with an academic counselor and submit an official educationalplan within 30 days of submitting my appeal.I understand the submission of an appeal does NOT GUARANTEE the reinstatement of my financial aid. I amresponsible for and should be prepared to pay for my tuition, books, and other school related expensespending the outcome of my financial aid appeal.I am enrolled in an eligible program of study and attend classes at one (or more) of the campuses/centersthroughout the YCCD (Marysville, Woodland, Clear Lake, Beale, Colusa, Sutter).I understand if this appeal is approved, I will be expected to make academic progress in the semester forwhich my appeal was approved by having at least a 2.0 cumulative GPA and completing the required unitsfor which I am enrolled in. Failure to make SAP can affect my future financial aid eligibility.I understand it is unlikely that I will have multiple appeals approved during my academic career at YCCDregardless of extenuating circumstances. I understand it is my responsibility to meet all the SAP standardseach semester.Student Certification and Signature:I am requesting to have my financial aid eligibility reinstated. I understand that my application may be denied withoutquestion if it is incomplete or lacks documentation.By signing this form, I certify that I have read and understand the Satisfactory Academic Progress (SAP) Policy.I further certify that I have read and understand all statements made above and that the information contained in thesupporting documentation are true and correct to the best of my knowledge.______________________________________________________ _________________________________Student Signature Date Student ID#Counselor Comments/Recommendation:__________________________________________________________________________________________________________________________________________________Counselor Signature_________________________________DateFinancial Aid Use Only:Pell: Approved Denied Pending: Progress Reports Pending: See DeanFWS: Approved Denied Pending: Progress Reports Pending: See DeanLoan: Approved Denied Pending: Progress Reports Pending: See Dean Referred to FA Committee : ___________________________________________________________________________ FA Committee Decision: Approved Denied Pending: _____________________________________________ Other: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Financial Aid Dean or Director Signature_________________________________DatePage 2 (SAP/UEH Appeal)