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Academic & Financial Aid Appeals

FINANCIAL AID appeals require third party documentation of an extenuating circumstance. (ie: physician’s statement, accident paperwork, death certificates/notices of family members etc.) Whatever you are basing your appeal on MUST BE DOCUMENTED BY SOMEONE OTHER THAN YOURSELF. SEND TO: Financial Aid Office 136 Clinton Point Drive Plattsburgh, NY 12901 Fax 518-562-4373 Email:

Re-admission requested for the following semester: *

Which Appeal Are You Filing? *

Re-admission requested to attend: *

Name First/MI/Last *

Address *

City, State, Zip *

Last four digits of Social Security Number *

Home Telephone Number *

Email: *

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. *

I will follow up this appeal with documentation that supports my claim. *