STUDENT REQUEST FOR SUSPENSION APPEAL

  1. Student Information

Last Name First Name M.I.Student ID # (not your SSN)

Address (include apt. no.)Home Telephone Number (include area code)

City State Zip CodeCellular Phone Number (include area code)

Student’s Email Address Academic Advisor

Please write the term and year you are requesting an appeal:

A student is placed on Financial Aid Suspension when his/her term GPA falls below a 2.0 or when the student does not complete a course satisfactorily (W, NC, I, F).

Financial aid probation is a serious situation that warrants careful examination of the causes and plan of action to promote future success.

Students who have been placed on Financial Aid Suspensionmust complete the NBC appeal process and receive approval from the Director of Financial Aid to continue to receive financial aid funding.

Appeals, when reviewed, take into consideration academic progress at NBC, the reason for lack of progress, the plan of action, and all supporting documentation submitted with this appeal form.

An incomplete appeal willbe dismissed without consideration.

A student whose appeal has been accepted must follow the directions specified in their approval letter.

Once completed, the appeal form should be emailed to the Financial Aid Director,Jan Edwards,.

The decision of the Financial Aid Director is final.

Per Federal regulations the student’s appeal will be considered if the student has experienced one of the circumstances listed below and submit appropriate documentation for review:

Death in the family  Medical Illness/Injury (resulting in excessive absences)

Unforeseen Emergency* Family Issues will be determined on a case-by-casebasis

 Undue hardship Military Activation

Student documentation should include one of the following (applicable to the circumstance):

Copy of death certificate or statement from medical professional.

If illness or injury, submit signed statement from a medical professional stating the circumstancesand

date of occurrence.

 Submit signed statement on letterhead from the employer verifying job loss or adverse conditions.

Copy of military orders.

  1. Student Circumstances

Clearly and specifically explain the circumstances leading to the failure of satisfactory academic progress. The student statement should include the following information: (If leftblank, this appeal will be denied)

  • What specifically happened that caused you not to maintain satisfactory academic progress?
  • When did the above occurrence happen (month and year)?
  • How did the above occurrence affect your academic performance?
  • If this situation involves more than one trimester having a term GPA below 2.0 and/or earned a W, NC, I, or F; briefly explain why earlier action was not taken to avoid this situation.
  1. Plan of Action (required to contact Academic Advisor for assistance)

Briefly explain what has now changed, and the steps which have been taken or will be taken to maintainsatisfactory academic progress in the future. (If left blank, thisappeal will be denied):

CERTIFICATION STATEMENT: I certify that the information submitted is true and correct to the best of myknowledge. I have read each section and provided the required documentation explaining why and what has changed that will allow me to meet satisfactory academic progress at the next evaluation. I understand that I will be notified of the final decision and the decision of the Director of Financial Aid is final.

Student’s Signature Date

Office Use Only: ( ) Approved ( ) Denied

Comments______

______

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FAO Signature: ______Date: ______

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