To From _______________________________________

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Satisfactory Academic Progress Appeal
To: Financial Aid Office, 3835 Green Pond Road, Bethlehem, PA 18020
From: __________________________________
Name
_______________________________________
Street Address
___________________________________
Student ID No.
_______________________________________
City & State
Zip Code
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Note: Before completing this request, you are advised to review the Satisfactory Academic Progress Policy for
federal financial aid. An appeal is reviewed based on extenuating circumstances beyond the student’s
control. Please provide supporting documentation.
I am writing to request a review of my status for eligibility for financial aid for the ____________ semester. The following is
an explanation of the extenuating circumstances that resulted in my inability to meet the minimum federal requirements:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
What will be different or what will you do differently the next semester to ensure your academic success?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
If you need to provide any additional information that will assist the Committee in reviewing your file, please write on the
reverse side of this form.
Signature: _______________________________________
AcadProgAppeal.doc
Date: ________________________________________
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