GNTC ID
Last Name
First Name
M.I.
Please PRINT Clearly. *Incomplete Appeals will NOT be processed.*
2015/2016 Financial Aid
Max-Timeframe appeal
Form
Floyd County
One Maurice Culberson Dr.
Rome, Ga. 30161
Fax: (706) 802-5041
Gordon County
1151 Hwy. 53 Spur, SW
Calhoun, Ga. 30701
Fax: (706) 624-1157
Polk County
466 Brock Road
Rockmart, Ga. 30153
Fax: (706) 802-5041
Walker
265 Bicentennial Trail
Rock Spring, Ga. 30739
Fax: (706) 764-3527
Whitfield Murray
2310 Maddox Chapel Rd.
Dalton, Ga. 30721
Fax: (706) 272-2900
If you need help, you may contact us at any of our office locations, by phone at 1-866-983-GNTC (4682),
or via email at finaid@gntc.edu.
Term you are applying for reinstatement of aid:
FALL
SPRING
SUMMER
In order for you to be eligible to appeal the denial of aid due to meeting or exceeding the Maximum Timeframe
allotted for your current program of study, you must complete the following and have an academic advisor sign off on
the classes needed to graduate or the change of program:
1. What is the major code of the program you are currently enrolled in? ______________________
2. If changing programs, what is the major code you will be enrolling in? ____________________________
3. If you are not changing programs, have your Academic Advisor provide a list of classes needed to graduate. This list needs to be
completed in its entirety, the form will be sent back to you if there is any missing information.
CRN
Subject
Course Number
Credit Hours
Advisor Printed Name: _____________________________________________________________________
Advisor Signature: ________________________________________ Date: __________________________
Your student email is the official form of communication for Georgia Northwestern Technical College. We will send you
notification of the Committee’s decision to your student email account. It is your responsibility to check your email
account frequently for any information the Financial Aid department may send you. In the event your appeal is denied you
will not be eligible to appeal again until the following award year.
*Please allow a minimum of 2 weeks for the appeals to be reviewed.
MY SIGNATURE BELOW CERTIFIES THAT I UNDERSTAND THE FINANCIAL AID APPEAL PROCESS AND WHAT IS
REQUIRED BY ME:
Student’s Signature
Date
FOR FINANCIAL AID OFFICE USE ONLY:
Determination:
 150% Appeal Approved  Denied
Comments: _______________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
FAA COMMITTEE INITIAL: (1) _________________________ (2 ) _________________________ (3 )_________________________DATE: _____________________
Please take a moment to complete our customer service survey, https://www.surveymonkey.com/s/GNTC_Financial_Aid