2015-2016 Graduate Student Statement of Academic Intent and Financial Aid Appeal
Student’s ID Number:
____________________________
Student’s Name: ___________________________________
Email: ________________________________
Application Term: ________________________
Due to limited space, please submit your answers to the questions below, and any additional information, in
an attached letter.
1. What circumstances led to your poor academic performance at Western Carolina University? Be specific. All
Statements of Academic Intent and Financial Aid Appeal must include supporting documentation pertaining
to the circumstances that are being cited by the student as contributing to the academic problems experienced and
evidence that the circumstances have been resolved.
2. If applicable, how have you spent your time since you previously enrolled at Western Carolina University? Include
supporting documentation.
3. Discuss why you believe you will be successful now. What are your academic goals? What specific steps will you take
to raise your GPA and successfully complete at least 67% of all attempted semester hours?
4. List the courses required for your program of student that you will be enrolled in for the 2015/2016 academic year.
Courses for Fall Semester 20___
Course
#
Course Name
Courses for Spring Semester 20___it Hrs
Credit
Hrs
Course
#
Course Name
Credit
Hrs
Return to the Office of Financial Aid
By signing this information request, I certify that all information is complete and correct.
Student Signature:
_____________________________________
Date:
_________________________
Advisor Signature:
_____________________________________
Date:
_________________________
Form 504
Office of Financial Aid
118 Killian Annex │ Cullowhee, NC 28723 │ 828.227.7290 tel │ 828.227.7042 fax │ finaid.wcu.edu