MACON STATE COLLEGE
APPEAL OF FINANCIAL AID SUSPENSION
For Graduates and/or Max Time Frame
Effective Fall 2010
Reinstatement is requested for: □ Fall, 2010 □ Spring, 2011 □ Summer, 2011
Name: _____________________________________________ ID# ___ / _____/______
Street Apt.# City, State, Zip
Home Phone #: ________________________ Work/Cell Phone #: ___________________
Type of Degree: ________________________________ Graduation Date: ________________
The committee will only review one appeal per academic year. Appeal forms with all
appropriate documentation must be received no later than the 21st day of classes of the
semester for which student financial aid is being requested. Appeals that are submitted after
the deadline will be held for the next semester. Appeals cannot be processed unless student
has a complete financial aid file for the requested semester of reinstatement.
MAX TIME FRAME Circumstances
Please check appropriate box below, complete back page, and submit along with a completed and
signed Certification of Remaining Program Hours form. (This form may be downloaded from our
website at www.maconstate.edu/finaid/faforms0910.aspx). The appeal committee assumes that each
student is dependent upon financial aid for the completion of his/her degree; however, this is not
extenuating circumstances and should not be discussed in your appeal.
o This appeal is a request to obtain a second degree or certificate. Please state reasons why
you are seeking a second degree. Your major must be updated in the Registrar’s Office to
reflect the new degree.
o This appeal is a request for additional time to complete your current certificate or degree.
Please specify specific reasons and extenuating circumstances that prevented you from
obtaining your certificate or degree within the 150% timeframe. When giving the reason for the
appeal explain what interfered with your enrollment/grades. Give important dates and state
how your enrollment/grades were affected. For maximum consideration, please furnish
supporting documents where applicable. Failure to provide adequate, time specific
information or documentation will result in petition being denied. Examples of
acceptable documentation includes but are not limited to:
1. A copy of a bill for services rendered or written statement signed by a medical or mental
health professional describing the dates and services provided.
2. A written statement from your academic advisor or a credible professional, such as a
medical or mental health professional or a member of the clergy or other college official,
detailing the impact that this illness/emergency had on your academic performance.
3. A statement or legal document of the occurrence such as a police report, divorce
documents, insurance damage reports for natural disasters, bills for services related to the
emergency, obituary, etc.
NOTE: Allow 4 – 6 weeks processing time. You will be responsible for your institutional charges (tuition,
fees, books, etc.) until your financial aid appeal is processed.
Please print. Attach an additional sheet if needed.
Certification: I certify that the information in the appeal is accurate and complete. I have attached all
appropriate documentation to verify what I have stated. I understand that my appeal will be evaluated based on
that documentation. Any false information may be cause for denial, reduction, and/or immediate repayment of
all aid. If I am required to repay financial aid as a result of the federal regulations regarding my discontinuation
of class attendance, I acknowledge I am liable for the repayment. The repayment cannot be waived even if the
appeal is approved for deficiencies in GPA or credit completion.
Student’s Signature Date
FOR OFFICE USE ONLY
Decision: ( ) Approved ( ) Denied ( ) Approved w/limitations ( ) Need add’l info
Appeals Committee Signature Date