Scholarship Suspension Appeal Form

Name*

First Last

Student ID#*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Students who have been placed on suspension from their institutional scholarships have the opportunity to appeal that decision to the Scholarship Committee. Such appeals must be submitted in writing and must be supported by any available documentation. The Scholarship Committee reserves the right to determine what documentation is acceptable and sufficient. Any appeal of a scholarship suspension must be based on one or more of the following:

Serious illness or accident involving the student;
Death, serious illness, or accident in the student’s immediate family;
Other unusual, extenuating circumstances that prevented the student from maintaining satisfactory academic progress.

Any appeal should address all terms of enrollment in which grades and completion rate were below standard, not just the most recent term. You may appeal your suspension by stating your reasons below. Attach any supporting documents, sign and return this form to the Financial Aid Office. The Financial Aid Office will inform you of the results of your appeal.

I am requesting to appeal the suspension of the following scholarships that had been awarded to me:*

I would like to appeal my scholarship suspension for the reasons stated below:*

Signature*

I agree that the above information is accurate, and that I am the Student whose name appears on this form

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Introduction

Scholarship Suspension Appeal Form