SAP Appeal Form

Title IV Request for Appeal

 

By completing and submitting the form below, you are stating that you wish to appeal for reinstatement of Title IV financial aid at LCCC.

  • You are highly encouraged to provide documentation with this appeal. 
  • Only one Appeal will be accepted per semester.
  • If you need more space than this form provides, please complete your explanation in a Word document and attach using the Documentation section below. 

 

Watch your MyCampus and LCCC email accounts for results of your appeal and any additional action that you may need to take.
    

Please complete and submit the form below:

   

SAP Appeal form

 
 
 
Please select the situation from the options below that best describes you:


 
In the box below, please describe the unusual or extenuating circumstances that explain the situation you indicated above:
 
Explain what you have done or will do to correct the problem indicated above and ensure your success during your next semester at LCCC:
 
You are highly encouraged to provide documentation of your situation. Please use the Browse button below to attach any documentation:
 
 
 
Are you enrolled in or working towards a degree with the University Partnership?
 
 
 
If you have changed curriculums at LCCC, what was your previous curriculum and why did you change?
 
 
How many additional credit hours of instruction are you requesting for Title IV funding?
 
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