DBU Scholarship Appeal Form

The Office of Financial Aid understands that students experience special circumstances that may cause them to fail to meet certain requirements for receipt of their DBU scholarship awards. Students who do not meet established scholarship renewal criteria can appeal before or during the semester that the student is requesting the reinstatement of their scholarships. Students will receive a decision via email on their Scholarship Appeal approximately two weeks after the committee review takes place, however, during the start of the semester, processing time may be delayed. For questions concerning the appeal criteria and requirements, email the Office of Financial Aid at finaidscholarships@dbu.edu or call 214-333-5363.

Date

Name*

First Name

Last Name

Email*

Student ID*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Scholarship(s)*

Appeal Term*

Hours Remaining*

Please select the circumstance that applies.*

I am registered with Disabilities and Accommodation Services and have approved accommodations that permit me to take fewer credit hours than required per semester. I am requesting to take less than 12 credit hours or do not meet the minimum cumulative GPA standard. I am requesting to be transferred to the transfer commuter scholarship because I am unable to live on campus. I am requesting to receive my scholarships although I am over the 120 credit hours allotted (timeframe). I am requesting to take less than 12 credit hours or do not meet the minimum cumulative GPA standard and I am over the 120 credit hours allotted (timeframe).

Do you currently live in on campus housing?*

Yes No

Are you on the waitlist for looking for a roommate?*

Yes No

Please check the grounds for your appeal*

This is my final semester before graduation Death of a family member Serious injury or illness Unforeseen circumstances Other

Note: Enrollment less than Full Time Status is subject to proration of award.

Please check the grounds for your appeal*

Financial Hardship Medical Hardship Married and/or has dependent children Internship Requirement Other

Please check the grounds for your appeal*

My declared program requires more than 120 credits My declared program requires more than the maximum allowed semesters (6 or 8) Other

REQUIRED DOCUMENT: Official documents from Disabilities and Accommodation Services with specific, approved accommodations.

REQUIRED DOCUMENT: Proof of submission of your graduation application.

REQUIRED DOCUMENT: Provide materially relevant documentation to verify your claim.

REQUIRED DOCUMENT: Please provide materially relevant documentation to verify your claim.

REQUIRED DOCUMENT: Personal statement and a signed degree plan from your academic advisor showing your remaining credits.

REQUIRED DOCUMENT: Proof of submission of your graduation application, personal statement, and a signed degree plan from your academic advisor showing your remaining credits.

REQUIRED DOCUMENT: Materially relevant documentation to verify your claim, personal statement, and a signed degree plan from your academic advisor showing your remaining credits.

*

No File Chosen

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Write a statement to explain why you are appealing the scholarship decision. Scholarship decisions are to be appealed only if the student determines that they have had extenuating circumstances which caused them to not meet requirements.

You, the student, must provide a personal statement explaining how things have changed and what you will be doing to make sure you will be successful in your classes.

Personal Statement*