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## SATISFACTORY ACADEMIC PROGRESS (SAP) APPEAL FORM
A student determined ineligible for financial aid for failure to meet Kentucky State University's Satisfactory Academic Progress standards has the right to make a written appeal to the Student Financial Aid Office if the following can demonstrated:
- the issue(s) that caused the deficit have been resolved and/or managed, and; the issue(s) will not affect future academic performance.
If an appeal is approved, the student will be placed on a term-based contract. SAP will be evaluated each semester that the student is enrolled to ensure the conditions of the contract are being met. If at that time the SAP contract terms and conditions are not met, the student will be placed back on SAP and will not be eligible for any federal aid and need-based state grant aid in future semesters. The SAP Committee's decision is final and cannot be appealed.
| ☐ Personal Illness or Injury - Supporting documents must include physician or attending professional citing illness and its probable effect upon student's academic performance. Include date of onset and length of time |
| ☐ Death of Immediate Family Member - Supporting documents must include obituary, death certificate, or letter from a professional lawyer, doctor, or minister, that states the date of the death and the individual's relationship to the student. |
| ☐ Other Unusual Circumstances - Supporting documents must include academic advisor, counselor, tutor, professor and/or professional who is familiar with the student's extenuating circumstances. Documentation must state the date/s during which these circumstances occurred and their probable effect on academic performance. |
## SECTION III: CERTIFICATION STATEMENT
By my signature below, I certify that I have read and understand Kentucky State University's (KSU) SAP Policy. I understand that it is my responsibility to monitor my academic progress and to be aware of the requirement of my program, so that I can complete my degree within the time allotted, the quantitative (GPA) and qualitative (completion rate) requirements in accordance with Federal regulations.
If my appeal is denied, I understand that I must reestablish my aid eligibility by attending at my own expense and raising my cumulative academic record to the minimums listed in the KSU student Financial Aid Satisfactory Academic Progress standards, and that I am responsible for any and all university charges incurred.
I further certify that the information in this appeal is accurate and complete. I understand that any false information will be cause for denial, reduction, and/or immediate repayment of any aid.
Student Signature
Date
| Extenuating Circumstance | Documentation Examples |
| Student's illness (mental or physical), hospitalization, injury, or disability. Provide only the information that clearly and easily support the information you discussed in your appeal. The best documentation is simply a summary of a diagnosis and its successful treatment or accommodation. DO NOT SUBMIT ENTIRE COPIES OF YOUR MEDICAL HISTORY. | Written documentation from the health care provider detailing: 1. Approximate date that the illness, or disability started and how long it continued 2. The date that you are able to resume your education without the illness interfering with your academic success |
| Illness, accident, or injury of a significant person in the student's life | Provide documentation (e.g., physician's statement, police report, or documentation from a third-party professional) related to the condition of the person you were assisting, and a statement from that person attesting to your assistance |
| Death of a family member or significant person in the student's life | Provide a copy of an obituary or death certificate and proof of the student's relation to that person |
| Divorce or Separation | Provide a copy of divorce decree, petition of dissolution, or letter from an Attorney |
| Personal problems with partner, family member, friend, roommate, etc. | Provide court documentation, police reports, written statements from an attorney, a professional, or a counselor |
| Victimization of a violent crime | Provide police reports, court documents, legal statements |
| Exceeding the timeframe of your degree as a result of multiple changes/addition in declared majors, excessive transfer credits, poor grades, an/or excessive withdrawals | Provide documentation from a career counselor, personal counselor, tutor, advisor, or other academic professional supporting your plan for academic success and completion |
| Exceeding the timeframe while in a successive program plan | Provide documentation relating to the academic advantage, financial advantage, or professional necessity of the successive degree |
## The decision of the SAP Appeal Committee is final
To review the SAP Appeal due dates please visit our website at: https://www.kysu.edu/finance-and-administration/financial-aid/sap.php
Kentucky State University Office of Financial Aid
400 East Main Street
Julian M. Carroll
Academic Services Building – Suite 349
Frankfort, KY 40601
Phone: (502)597-5960
Fax: (502)597-5950
Email: SAPfinaid@kysu.edu