Concord University Request for Reinstatement of Institutional Scholarship(s)
Current Concord University students interested in requesting reinstatement of institutional scholarship(s) must complete all the
following steps and return all necessary documentation to the Admissions Office.
1. Complete this form.
2. Provide written documentation for the reason(s) for requesting reinstatement and include information on why your
institutional scholarship(s) should be reinstated.
3. A committee of three members of the Concord University administration, faculty and/or staff will review the request for
reinstatement. The committee will be chaired by the Director of Enrollment who will not be part of the review. The
committee will recommend a decision to the Director who will inform the student. The decision of the committee can be
appealed to the Vice President of Student Affairs.
Please complete the following information:
City: State: Zip Code:
Have you filed the most current Free Application for Federal Student Aid (FAFSA)? Yes No
(If No, the FAFSA must be completed and processed by the Financial Aid office before this application can be reviewed.)
Have you accepted all loans including the Stafford, Perkins, etc.? Yes No
Do you have over a 2.5 cumulative Concord University GPA? Yes No
Do you have federal and/or state work-study? Yes No
Do you have part or full-time employment (off-campus)? Yes No
How many hours do you have towards graduation? _____________________
How many hours are you taking during the semester you are applying for reinstatement? _____________________
Estimated Family Contribution (EFC) for 2008-2009? _____________________
Are you being called to active military service? Yes No
Are you applying because of a medical reason? Yes No
(If Yes, please provide medical documentation.)
Are you currently on the Concord University monthly payment plan (Fall/Spring semesters)? Yes No
The Student will be notified within 15 working days from the date of this application regarding the review by the Admissions
Student Signature Date
Admissions Office • Marsh Hall Room 206
Toll-Free 1-888-384-5249 • FAX 304-384-3218
Campus Box D-127 • PO Box 1000 • Athens, WV 24712-1000