2024-2025 SPECIAL CIRCUMSTANCE APPEAL REQUEST

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Contact Information

First Name

Last Name

Nicolet College Email

Date of Birth

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Home or Cellphone

For this special circumstance form, we will be looking at a family's 2023 total income to help determine eligibility for a student's financial aid in the 2024 - 2025 academic year. However, there may be circumstances that could drastically alter a family's financial picture and hinder the ability to assist with paying educational expenses wherein we may look at the 2024 estimated income. Results from the 2024 - 2025 Free Application for Federal Student Aid (FAFSA) must be on file with the Nicolet College Financial Aid Office before a Special Circumstances Appeal is considered.

Please note that Nicolet Financial Aid will not make adjustments for the following:

Car payments or car insurance
Consumer debt (credit cards)
Chapter 7 personal bankruptcy
Medical insurance premiums
Mortgages, rent, and utility bills
Home equity, IRA, 403B, and 401K loans
Parents will not help pay college costs

The Financial Aid Manager or designee will review your Special Circumstances Appeal form and all of the requested documentation. Before your appeal is processed, you may receive an initial award notification based on the results of your original FAFSA data. We will begin processing Special Circumstances Appeal Forms July 1, 2024.

You should allow 3-4 weeks for the process to be completed.

When you completed the FAFSA,

You were considered a dependent student.You were considered an independent student.

Independent Student

Are you married?

YesNo

Spouse Name

Dependent Student

Father/Stepfather

YesNo

Name

Mother/Stepmother

YesNo

Name

Parent's Phone Number

Email checker

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Income changes resulting in a special circumstance appeal occurred in:

20232024

Please provide signed 2022 tax return and W2s for student (and parent(s), if applicable)

Income/Benefits for January 1, 2024 to December 31, 2024

Expected 2024 Income from Wages, Salaries, Tips, Net Business/Farm Income

	Actual Income Received Jan. 1, 2024 to today	Anticipated Income Today to Dec. 31, 2024	Total Estimated Income for 2024
Father's Income
Mother's Income
Student's Income
Spouse's Income
Unemployment Compensation Received
Other taxable income (dividends, interest, pensions, annuities, alimony, capital gains, gambling earnings, etc.)
Child support received
Housing or other allowances (clergy, military, etc.)
Other untaxed income (earned income credit, worker's compensation, and payments to IRA/Keogh, etc.)
TOTALS

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Please provide a detailed statement regarding your special circumstance.

The Financial Aid Manager is expected and required to make reasonable decisions that support the intent of the provision. The school is held accountable for all professional judgment decisions made and for fully documenting each decision. The decision of the Financial Aid Manager is final; there is no appeal process to the U.S. Department of Education.

Please note this form does not guarantee that your request will be approved, or that you will be eligible for additional aid. In many cases professional judgment adjustments made to the FAFSA do not result in significant changes to the Expected Family Contribution (EFC) and, therefore, do not change a student’s financial aid package

PLEASE NOTE: THIS FORM IS NOT COMPLETE UNTIL YOU PRESS THE SUBMIT BUTTON, SIGN THE FORM, AND RESPOND TO THE SIGNATURE VERIFICATON EMAIL.

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