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 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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: ________________________________________