Financial Aid Office ● 197 Franklin Street ●Auburn, NY  13021

Auburn 315-255-1743● Fulton 315-592-4143● Fax 315-252-2185

FEDERAL AND STATE SATISFACTORY ACADEMIC PROGRESS:                    WAIVER REQUEST INSTRUCTIONS

 

Waivers that are turned in less than two weeks before the upcoming semester start date will not be processed in time to be used as a deferral towards tuition and fees.  You will be responsible for payment after this date.    Additional information may be requested.  Please follow the instructions below:

 

Instructions:

 

Ø  Complete Page 1: Lost Eligibility Worksheet.  Choose the appropriate explanation.  If none of these reasons applies to your situation, a waiver probably WILL NOT be granted.  Please note: Leaving school or dropping classes in order to work is NOT grounds for a waiver. 

 

Ø  Complete Page 2:  Waiver Request Form.  Provide a written explanation that describe the circumstances that affected your academic performance and what steps you plan to take to improve your academic performance.  Attach any documentation from a third party person that supports your unusual circumstances.

 

Ø  Complete Page 3:  Authorization for Release of Health Records only if there was a medical reason.  Give this page to your medical provider to complete and return to our office.

 

Ø  Once you have completed all necessary information, you will need to schedule an appointment with the Student Engagement Office before returning the form to the CCC Financial Aid Office.  If you are unable to meet with them in person, please call to schedule a phone conference with their office.

 

Ø  If the Student Engagement Office approves your waiver request, return all pages to the Financial Aid Office for approval.  A waiver may be granted only once for any particular situation.  Students will be notified of the financial aid office’s decision through their MyCayuga e-mail address.

 

Ø  For more complete information on satisfactory academic progress requirements, please consult the CCC Catalogue.

 

Ø  If you are granted a waiver, you will need to accomplish one of the following: (1) use your waiver semester to meet the satisfactory academic progress outlined in the catalogue or (2) enroll in (6) credits and successfully pass 70% of your coursework with a GPA of 2.0 or greater for the semester you were granted a waiver.

 

 

 

 

 

Financial Aid Office ● 197 Franklin Street ●Auburn, NY  13021

Auburn 315-255-1743● Fulton 315-592-4143● Fax 315-252-2185

FEDERAL AND STATE SATISFACTORY ACADEMIC PROGRESS:                         LOST ELIGIBILITY WORKSHEET (to be returned to the Financial Aid Office)

Printed Name______________________________________My Cayuga ID # ________________________

 

Ø  Check the appropriate explanation. If none of these reasons applies to your situation, a waiver probably WILL NOT be granted.  You cannot use the same reason for more than one waiver.

Ø  If your academic record indicates that you will be unable to complete your degree by the time you have attempted 90 credits, you will generally not be eligible for a waiver.

Ø  All waivers must be accompanied with a completed page two.

Ø  Many factors must be considered when evaluating a waiver request.  NOT ALL WAIVER REQUESTS WILL BE APPROVED.  The decision of the financial aid office is final.

 

1.       _____I withdrew from a semester (or some classes) at Cayuga Community College due to my illness or accident.  I and my physician have completed the Confirmation of Illness/Accident Form on page 3.   

 

2.       _____I withdrew from a semester (or some classes) at Cayuga Community College within the last year due to a death in my immediate family (Parent, Spouse, Sibling, Child, or Legal Guardian).  I have attached a copy of the death certificate or a copy of the obituary.

 

3.       _____I did not meet the satisfactory academic progress requirements outlined in the CCC catalogue.  All students must complete page two where they can describe their individual circumstances.  For State Aid only:  you must have extenuating circumstances beyond your control.  You must provide official documentation from a source other than yourself that describes (1) the situation that occurred and (2) why the situation is unlikely to occur again.  Attach documentation from a source other than yourself to support this reason.

 

4.       _____I was a student at CCC over a year ago with a poor academic record and now realize the importance of a college education.  Two full semesters must have passed since I lost eligibility and since I last received financial aid.  For state aid only:   If you received financial aid at another institution since you left CCC, you need to submit an official transcript from that institution. Your transcript will be reviewed in determining if a waiver will be granted. 

 

To Be Completed by Student Engagement Counselor

I have reviewed this waiver request.  Based upon the documentation provided (if required) and my evaluation of this student’s potential for academic success, I recommend:

                Approval ______                     Disapproval______    of this request.                      

 

Counselor’s Signature:_____________________________________________________    Date:________________

To be completed by the Financial Aid Office

Based on the documentation provided and the counselor recommendation, this request is:

 

Federal:    Approved ________         Denied_______       State:    Approved______     Denied______

 

Comments:_________________________________________________________________________________________

 

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Financial Aid Office ● 197 Franklin Street ●Auburn, NY  13021

Auburn 315-255-1743● Fulton 315-592-4143● Fax 315-252-2185

FEDERAL AND STATE SATISFACTORY ACADEMIC PROGRESS:                    WAIVER REQUEST FORM (to be returned to the Financial Aid Office)

Name____________________________________________  My Cayuga ID # __________________________

Phone #_______________________________

 

I am requesting a waiver for ____State Aid    ____ Federal  Aid  for   ___Fall ___  Spring    ___Summer semester.

 

Please answer the following questions:

 

1.       Please describe the circumstance(s) that affected your ability to achieve good academic progress and caused you to lose financial aid eligibility.  Please attached a separate sheet of paper if needed.

 

_______________________________________________________________________________________________

 

_______________________________________________________________________________________________

 

_______________________________________________________________________________________________

 

2.       Are you able to provide documentation of the circumstance(s) described above?

 

                                ______YES     _____NO      If yes, attach your documentation to this form

 

3.       Please state what steps you plan on taking to improve your academic performance?

_______________________________________________________________________________________________

 

       ____________________________________________________________________________________________

 

       _______________________________________________________________________________________________

 

I understand that a waiver may be granted only once for New York State awards and only twice for Federal awards.  I understand that if my waiver is granted, I would achieve one of the below:

Ø  I used my waiver semester to attain good academic progress as outlined in the catalogue.

Ø  I enrolled in at least (6) credits during my waiver semester and I successfully passed at least 70% of my coursework earning a GPA of 2.0 or greater in my waiver semester.

 

 

__________________________________________________________________________       __________________   

                                                           Student Signature                                                                                         Date

 

 

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Financial Aid Office ● 197 Franklin Street ●Auburn, NY  13021

Auburn 315-255-1743● Fulton 315-592-4143● Fax 315-252-2185

 

 

 

                      AUTHORIZATION FOR RELEASE OF HEALTH RECORDS

(To be completed by the student)

 

Student Name:________________________________________________________________________

 

MyCayuga ID # ________________________________________________________________________

 

Student Signature: __________________________________________________Date:_______________

 

This form should not be used for chronic illnesses or for conditions which were present prior to the semester for which you are seeking a waiver.

 

 

Confirmation of Illness/Accident

(To be completed by your physician)

 

I certify that _______________________________________________________________________ was

 

treated by me from (date) _________________________________ to ___________________________

 

due to illness, accident or complications of pregnancy.

 

Please check both if they apply:

 

_____      During this period of time the student was unable to attend classes.

 

_______  The student is now able to return to classes.

 

Additional Comments:

 

 

__________________________________________________________________________________________

 

Physician Signature _________________________________________________________________________

 

Physician Printed Name ______________________________________________________________________

 

Physician Phone Number_____________________________________________________________________

 

Date: _____________________

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