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Please print sign and return all copies to appropriate campus HINDS COMMUNITY COLLEGE FINANCIAL AID LETTER OF APPEAL dean. FAX 601. 857. 3605 or mail Financial Aid Appeals to Box 1100 Raymond MS 39154 Name College ID or SS Mailing Address City State and Zip CodeTelephone Numbers Work or CellHome CAMPUS LOCATION Check one Raymond Campus Jackson-Academic/Technical Center Rankin Campus Utica Campus Jackson-Nursing/Allied Health Center Vicksburg-Warren Campus PROGRAM OF STUDY/MAJOR ANTICIPATED DATE OF GRADUATION Release statement / grant permission to the members of the Appeals Committee to review my College records. Signature Documentation must include a written plan for success listing required courses to take to graduate and an explanation of what has changed in the student s circumstances that will allow him/her to succeed* Appeal must include explanation and documentation for every D F I and/or W* Appeal Statement ALL documents must be provided by the student before the appeal will be processed* Date Appeal Approved Date Appeal Denied NO F s W s D s or I s to receive future semester of financial aid* You must ONLY take required classes as listed in your Plan for Success to graduate. You are welcome to attend and pay your own fees. The College provides a payment plan for Fall and Spring. Contact the Business Office. District Director of Financial Aid APPEAL INSTRUCTIONS PLEASE READ CAREFULLY AS ALL INFORMATION MUST BE INCLUDED IN ORDER FOR YOUR APPEAL TO BE CONSIDERED. To file a financial aid appeal you must 1 Complete the Letter of Appeal form by explaining the extenuating circumstance s that caused you to have low grades or withdrawals examples death in the immediate family serious illness etc* 2 Explain in the appeal what has changed in your circumstances that will allow you to succeed* 3 Provide documentation examples copy of death certificate letter from Doctor with specific dates and illness etc* Please note the importance of including 4 Submit a Plan for Success listing required courses to take to graduate. To meet this requirement you may go to www. hindscc*edu access the Online Catalog click on Programs of Study and choose your degree type academic career or technical. Print an articulation/transfer guide or list of courses needed for your major and indicate on the guide which classes you have taken and the grade received and the hours remaining in your degree. 5 Complete the attached form* Print sign the document and bring it to any campus dean s office or fax it to the Financial Aid Appeals Office. 857. 3605 or mail Financial Aid Appeals to Box 1100 Raymond MS 39154 Name College ID or SS Mailing Address City State and Zip CodeTelephone Numbers Work or CellHome CAMPUS LOCATION Check one Raymond Campus Jackson-Academic/Technical Center Rankin Campus Utica Campus Jackson-Nursing/Allied Health Center Vicksburg-Warren Campus PROGRAM OF STUDY/MAJOR ANTICIPATED DATE OF GRADUATION Release statement / grant permission to the members of the Appeals Committee to review my College records. Signature Documentation must include a written plan for success listing required courses to take to graduate and an explanation of what has changed in the student s circumstances that will allow him/her to succeed* Appeal must include explanation and documentation for every D F I and/or W* Appeal Statement ALL documents must be provided by the student before the appeal will be processed* Date Appeal Approved Date Appeal Denied NO F s W s D s or I s to receive future semester of financial aid* You must ONLY take required classes as listed in your Plan for Success to graduate. .

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