Clinton Community College



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Academic and/or Financial Aid Appeal

INSTRUCTIONS: How to Complete an Academic and/or Financial Aid Appeal Step 1: Determine what you are appealing. a) Academic Reinstatement – is for students that have been academically dismissed from the College and want to return at their own expense (no financial aid, including federally funded student loans) b) Reinstatement of Financial Aid – is for students who have been denied financial aid through Clinton Community College (dismissal, probation, no aid status). This appeal requires third party documentation of an extenuating circumstance which may include, but not limited to, physician’s statement, accident paperwork, death certificates/notices of family members etc. APPEALS FOR REINSTATEMENT OF FINANCIAL AID WITHOUT DOCUMENTATION WILL NOT BE PROCESSED. c) Academic & Financial Aid Reinstatement – is for students dismissed who also want to be considered for reinstatement of financial aid. This appeal requires third party documentation of an extenuating circumstance which may include, but not limited to, physician’s statement, accident paperwork, death certificates/notices of family members etc. APPEALS FOR REINSTATEMENT OF FINANCIAL AID WITHOUT DOCUMENTATION WILL NOT BE PROCESSED. Step 2: On a separate sheet of paper describe your circumstances that prevented you from maintaining the required level of satisfactory academic progress. Attach third party documentation if applicable. Step 3: Return completed statement, appeal, and required documentation (if applicable) to: Vice President for Student Services Clinton Community College 136 Clinton Point Drive Plattsburgh, NY 2901 FAX 518-562-4141



Please select the type of appeal you are requesting:

 Academic Reinstatement

 Reinstatement of Financial Aid

 Academic & Financial Aid Reinstatement

Re-admission requested for the following semester: *


Re-admission requested to attend: *


Name First/MI/Last *


Address *


City, State, Zip *


Last four digits of Social Security Number *


Home Telephone Number *


E-Mail:


Former Name:


Date of Birth *


Have you been convicted of a felony? *


Have you been dismissed from any college, including Clinton, for academic misconduct? (e.g. Cheating, Plagiarism) *


If Yes what College and when:


Describe the circumstances that prevented you from maintaining the required level of satisfactory academic progress. *