Request for Review of Title IV Aid Eligibility Suspension

Please fill out all fields.

- indicates required field

Student ID(SSN or SID)

First Name

Middle Name

Last Name

Address

City

State

Zip

Phone

I have not met the following standard(s) of academic progress

I am on academic probation.

I have completed less than 67% of hours attempted.

I am not meeting the GPA requirement for my classification.

I am an undergraduate in an associate degree program, and I have attempted more than 97 undergraduate hours.

I am an undergraduate in a bachelor degree program, and I have attempted more than 180 undergraduate hours.

I am a graduate student, and I have attempted more than 53 graduate hours.

I am a graduate student in a doctoral program, and I have attempted more than 81 graduate hours.

During my academic career at UNA I have experienced the following mitigating circumstance(s)

serious illness or accident

serious illness or accident in your immediate family

serious family issues

death in immediate family

other hardship

Brief Description and Date(s)

If you have pertinent supporting documents that you wish to send to the committee, you may email them to this address: financialaid@una.edu:

If you prefer to bring the documents to the Student Financial Aid office, please indicate so here *

I will bring documents to the Student Financial Aid Office, in The Commons Building, Second Floor.

Please make sure all required fields have been filled out correctly.

University of North Alabama