237 SAP Appeal Form Rev Fall 14 1

Baton Rouge Community College Satisfactory Academic Progress Academic/Financial Aid Appeal Form SAP APPEAL PRIORITY DATES: Fall August 1 Spring December 1 ATTENTION STUDENTS: Submitting this form does not guarantee reinstatement of financial aid or academic standing. The student is responsible for any charges incurred during periods of ineligibility even if the appeal is not approved. INSTRUCTIONS: Complete steps 1-4 below, and submit this completed form with all supporting documentation to the Office of Enrollment Services.

Appeals should be delivered to the Office of Enrollment Services located in the Bienvenue Student Center or emailed to [email protected] edu. If you prefer to mail your appeal, please send to: Baton Rouge Community College Office of Enrollment Services 201 Community College Drive Baton Rouge, LA 70802 Read each step carefully. Incomplete appeals, including those submitted without completing steps 1-4 or without supporting documentation, WILL BE DENIED. You will be notified of the outcome of your appeal within 10 - 15 business days.

EXTENUATING CIRCUMSTANCES: Extenuating circumstances are considered to be significant life experiences that impacted your emotional and/or physical health so much that you were unable to make good academic progress while meeting SAP. Examples of significant extenuating circumstances included: 1? MEDICAL ILLNESS AND/OR INJURY (SUPPORTED BY MEDICAL DOCUMENTATION) 2? DEATH IN IMMEDIATE FAMILY: PARENT, SPOUSE, CHILD, GRANDPARENTS, SIBLINGS, AUNTS OR UNCLES (SUPPORTED BY COPY OF DEATH CERTIFICATE AND/OR OBITUARY) 3? CALL TO ACTIVE MILITARY DUTY (SUPPORTED BY COPY OF MILITARY ORDERS).

4? LEGAL PROBLEMS OR POLICE MATTERS 5? FORECLOSURE OR EVICTION All of the above examples must pertain to the semester(s) in which you did not meet Satisfactory Academic Progress. You may not base your appeal on: 1? YOUR NEED FOR FINANCIAL AID 2? YOU DID NOT KNOW WHAT CLASSES TO REGISTER FOR 3? YOUR LACK OF KNOWLEDGE THAT YOUR FINANCIAL AID WAS IN jeopardy 4? YOU DID NOT KNOW WHAT TO MAJOR IN 1? THE CLASSES THAT you took were many years ago 2? YOU DID NOT attend class, or stopped going to class 3? YOU WERE NOT focused or committed to your education.

Name: ___________________________________ Address: _________________________________ Street _________________________________________ _________________________________________ City State Zip Code STEP 1: Please Indicate Type of Appeal: (select all that apply) 1? FINANCIAL AID 2? READMIT from Academic Suspensio n ? Retroactive Withdrawal -Course & Section for each class: 1? Explain in deta il the reas on(s ) for this r e q u e s t ( s t e p 2 ) 2 ?V e r ify claim with appropriate supporting documents, including letters from faculty verifying your last date of attendance for each class. 2? MAX HOURS (LIST EACH REMAINING CLASS required for your current or second degree and identify which classes you plan to enroll in during the upcoming semester) ?

Change in major ?Double major IF YOU HAVE FINANICAL AID, ACTION TAKEN VIA THIS APPEAL COULD RESULT IN YOUR HAVING TO REPAY A PORTION OF THOSE FUNDS TO THE COLLEGE. FOR CLARIFICATION CONTACT THE OFFICE OF FINANCIAL AID. STEP 2: APPEAL STATEMENT: Please describe the circumstance that kept you from meeting the established academic standards during your most recent semester.

Also explain how that situation has changed so that you can now meet the standards. You will need to document this situation. _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________ STEP 3: Each appeal reason can only be approved once. Please describe how you plan to keep this situation from affecting your academic progress in future semesters. _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ STEP 4: (Financial Aid Only) ACADEMIC PLAN: (Please initial) ___I must make at least a 2. 0 semester GPA in the courses that I am taking this semester. ___I must complete all of my courses with (no D’s, F’s, W’s or I’s).

I must complete all of my courses with a ‘C’ or better. ___I may be limited to hours of classes this semester and I am expected to satisfactorily complete all courses that I am taking with a ‘C’ or better. ___I understand that I may be recommended to participate in at least 2 hours of tutoring per week in the Academic Learning Center (ALC) this semester as a condition of my appeal. STEP 5: CERTIFICATION: I certify all the above information submitted is accurate. I further understand that incomplete appeals, including those with missing or insufficient documentation, will be denied.

I fully understand that approved appeals will have conditions established in the approval of the appeal, and that those conditions must be met to be considered for future aid. Student Signature: _____________________________________________________________________ Date: _________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________ For Office Use Only.

Previous Appeals: ___Yes ____ No Reason for Appeal ? GPA ? Pace of Progression ? Maximum Timeframe Approval Conditions: ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Denial Reasons: ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________

Committee: Approved: ___ Denied: ___ Signature: _______________________________________ Date: __/__/__ Approved: ___ Denied: ___ Signature: _______________________________________ Date: __/__/__ Approved: ___ Denied: ___ Signature: _______________________________________ Date: __/__/__ Approved: ___ Denied: ___ Signature: _______________________________________ Date: __/__/__ Approved: ___ Denied: ___ Signature: _______________________________________ Date: __/__/__ Hours Attempted Hours Completed GPA Last Date Attended.