A Satisfactory Academic Progress Appeal form must be submitted to The Office of Financial Aid when requesting reconsideration of a decision by the Financial Aid Appeals Committee. The outcome of the review will depend upon the nature of the circumstances causing the deficiency, how well it is documented, and how well the student has demonstrated that he or she is making progress toward earning a degree. To complete the appeal process, please provide all required information below.

Last Name: *

First Name: *

Last four digits of Social Security Number: *

Date of Birth: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year1950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010

Preferred Email Address: *

All future correspondence for this appeal will be sent to you via the email address you provide. Please be sure to provide an address you are actively using. (It is official college policy that all email correspondence take place using your @uvawise.edu address)

Preferred Phone Number: *

Mailing Address: *

Please include address, city, state and zip in this area.

Expected College Graduation Date:

Please indicate the session for which you are appealing: *

Summer

Fall

Spring

This should be the next session for which you want to receive financial aid. (not a session you have already completed)

Please indicate the scenario that best describes your situation: *

This is my first appeal

I have appealed before and been reinstated conditionally

I have appealed before and been denied

Provide a brief synopsis of what circumstances have prevented you from meeting satisfactory academic progress: *

Provide an explanation of your plan for improvement for the upcoming academic year: *

Provide any additional information the committee might find useful in processing your appeal:

Certification: *

I agree

By checking this box you certify that the information you have provided is true and accurate. You also understand that knowingly providing false information on this form can revoke any decision made by the appeals committee and the revocation of your financial aid.