Professional Judgment Request
Bahja jones
SU20025687
Student Name: ______________________________________ Diamond ID: ___________________________
Thousand oaks campus
Campus: __________________________________________________________________________________
Please check the appropriate box:

CHECK



REASON FOR APPEAL
Satisfactory Academic Progress
 Please submit this form to your Campus Business Office

Winter
Term of Submission: ________ Submission #: ________
Selective Service
 Please submit this form to your Campus Business Office
Dependency Override
 Please submit this form to your Campus Business Office
Professional Judgment
 Please submit this form to your Campus Business Office
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Data element used to calculate Cost of Attendance
Data element used to calculated Estimated Family Contribution (EFC)
Unsubsidized Stafford to a dependent student
Declining to certify Direct Loan (i.e. partially or entirely)
Parent enrolled in college
Other

FOR OFFICE USE ONLY
The decision to exercise professional judgment is based on the following unusual circumstances:
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
The following documents to support the unusual circumstances are attached:
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
I certify that I have reviewed all of the documents attached to this form.
SFS Name _________________________________________

Signature ________________________ Date ________________

SFS Reviewer Name __ _____________________________________

Signature ________________________ Date ________________

Please select
Approved/Denied ____ _____________________________
Reason for Denial ________________________________________________________________________________________________
________________________________________________________________________________________________________________

Revised

2015

Financial Aid and Academic
Satisfactory Academic Progress Appeal
Student Name: Katrievia Traywick

Diamond ID: SU200216034

Campus: Thousand oaks campus

Submission Number:

If you do NOT desire to receive federal financial aid assistance, please proceed directly to page 4 to appeal your academic satisfactory academic progress status. If you would like to receive federal financial aid assistance, please complete all pages in this document.
Per the Federal Student Aid Handbook, when a student loses financial aid eligibility because he failed to make satisfactory progress, he may appeal that result on the basis of: his injury or illness, the death of a relative, or other special circumstances. His appeal must explain why he failed to make satisfactory progress and what has changed in his situation that will allow him to make satisfactory progress at the next evaluation.1
The student will complete all sections of this form, supplying any additional required documentation indicated within the form. This form and the additional documentation will then be uploaded to the FA SAP Appeal document requirement in Diamond.
Step 1: Read the complete Reason for SAP Appeal chart below. Check the type of special circumstance you are claiming in your FA SAP appeal, as well as the type of supporting documents you will be supplying to document the special circumstances. Then, in the spaces provided, give a brief explanation of the specific special circumstance, how it has affected your ability to maintain satisfactory academic progress, and how it has been/will be remedied to enable you to achieve satisfactory academic progress moving forward.
Step 2: A Business Office / Campus Dean must complete the Academic Recovery Plan spreadsheet. All documents must be uploaded into the Diamond Financial Aid Management System for review and processing.
For a student that has failed with no immediate repeats, or withdrew after the census date in sufficient courses to result in either a qualitative and/or quantitative SAP suspension status, the student’s SAP Appeal must include:
 An explanation of why the student failed or withdrew from the course(s)
 A plan for when the student will retake the course(s)
 What has changed to allow the student to improve his/her grade or rate of progression
The campus must also submit an approved academic plan, indicating when the course(s) will be retaken, and any other academic recommendation.

Reason for FA SAP Appeal
Special Circumstance:

Supporting Documentation Required:
You must submit one or more of the following documents pertaining to the SAP warning/ suspension time period:

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Student’s Injury or Illness

Note: This may include pregnancy complications

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Medical Bill(s)
Medical Record(s)
Doctor’s Note(s) (with contact information)
Other third-party proof of debilitating injury or illness

You must submit one of the following:

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Death of a Relative

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Death certificate (preferred)
Obituary (preferred) with proof of relationship 

Other third party proof of relative’s passing You must submit one or more of the following documents pertaining to the SAP warning/ suspension time period:

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Caring for a sick or injured individual
(family or non-family)

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Medical Bill(s)
Medical Record(s)
Doctor’s Note(s)
Other third-party proof of debilitating injury or illness
Notarized statement from person being cared for

FSA Handbook, Chapter 1, pg. 1-10

2015

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Financial Aid and Academic
Satisfactory Academic Progress Appeal
Reason for FA SAP Appeal (cont’d)
Special Circumstance:

Supporting Documentation Required:
You must submit one of the following:

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New Child / Major Change in Family
Situation
Note: Occurrence must be within 3 months of the
SAP warning/suspension time period

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Birth certificate
Adoption papers
Court ordered documentation

Your written statement must include:

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Relocation: a recent relocation created circumstances that affected your ability to meet SAP standards

Return to school after an extended academic interruption (“Tough Start”)

Note: The term(s) in which you have been in FA
SAP warning and suspension must be within your first two terms upon returning to school

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Unemployment or Temporary WorkRelated Complication affecting:
You, the student
Member of the student’s family

Basis of Admission NOT obtained AND subsequent “F”s or post-census withdrawals Note: The student was withdrawn due to insufficient basis and subsequently earned an “F” or “WF” in a future term. The FA SAP status is due to lack of basis (W or WF) and to a failed course.

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You must submit one of the following:

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Bill(s) from the moving company or moving equipment rental company
Forwarded mail from old to new address
Utility bill from the old and new addresses
Other third-party proof of relocation

Your written statement must include:

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The temporary re-acclimation issues the student experienced in returning to school
The steps the student has taken or will take to be better prepared to succeed academically from this term forward

The campus must submit:

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NSLDS/ COD data corroborating your extended absence from school

You must submit one of the following:

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Explanation as to why this relocation has affected your ability to meet SAP standards

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Proof of termination

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Letter from State Unemployment Office confirming unemployment status

Signed statement by employer (with contact information), on company letterhead
(preferred), outlining the time and resource constraints of the work-related complication Your written statement must include:

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An explanation as to what special circumstance has contributed to your failing the course 

An explanation of what you have changed or will change going forward to prevent future failure to meet standard academic progress

Other Extreme Hardship or Circumstance

Please note that this is not a complete list of possible reasons for a student to appeal a FA SAP suspension status. If you have questions regarding a specific situation, please contact your regional SFS Team for further guidance. The SFS Operations team may need to request additional documentation or information pertaining to a submitted SAP Appeal.
Please also note that the submission of an accurate and complete SAP Appeal is not a guarantee of FA SAP Appeal approval.

2015

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Financial Aid and Academic
Satisfactory Academic Progress Appeal
In the spaces provided, give a brief, type-written explanation of the specific special circumstance pertaining to the SAP warning/suspension time period, how it has affected your ability to maintain satisfactory academic progress, and how it has been/will be remedied to enable you to achieve satisfactory academic progress moving forward.
In the space provided below, please state in what way the special circumstances indicated above caused your current
SAP Suspension status. Please specify dates pertaining to the SAP warning/suspension time period.
Attach additional pages if necessary.

Hello my name is bahja jones and I have been a student at strayer since 10/2015
Throughout this time I have faced a number of challenges in meeting my own goals of being a successful student.I began to get off onto a rough start in the beginning of the
Fall/2015 term.With trying to adapt to going back to school after such a long time from being in a classroom and/or doing school work I found myself having a bit of a struggle academic wise.In result of that I started to fall behind barely passing a class. This passed
Winter/2016 has been very hectic! And I say this because I've had some unexpected situations to transpire that caused me to fall behind once more. My mother is Diagnosed with dementia and has to be cared for 24/7. the issue with her not having a caregiver occurred during the winter/2016 term and in result of this I was forced to step in more and assist sometimes during school hours,off days and/or right after work. this caused me to miss days of class,fall behind on course work and not being able to study as I should.
However over the last couple of weeks things in my life have improved significantly! Now that my mother has the professional care (Nurses Assistance) and help she needs I have more time to study and focus on school,Also I can get the tutoring i need to better my
In the space provided below, please state how the special circumstance success these circumstancesacademically and improve my hasmoving forward.and/or how you will in my courses in order to achieve Satisfactory SAP status been removed attendance tremendously.These overcome changes will allow me to be a successful student here at strayer university.
Attach additional pages if necessary.

Be sure to include all supporting documentation, as well as the Academic Recovery Plan worksheet, when submitting this SAP Appeal.
Student Signature:
Please indicate your course location preference (circle one):
Online or
Thousand oaks campus
If onsite, list your preferred campus: _________________________________

Date:

05/1=03/2016

Onsite

*Note: If there is no availability for onsite course(s), you will be scheduled to take your course(s) online.

December 2015

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