2021 IKIC Grant Appeal Form

I Know I Can Grant Appeal Form
Students who do not meet established I Know I Can grant criteria have the opportunity to appeal on the basis of relevant, significant, and documentable extenuating circumstances for which they could not plan, influence, or prevent. The appeal committee will review your completed appeal and notify you of the results via email. Please note the IKIC Appeal committee will NOT make appeal decisions before July 1st. Incomplete appeal applications will not be considered.

APPEAL APPLICATION DEADLINE: July 1st
Have you already submitted your 2021-22 IKIC Grant application ? *

Yes No
*You must already have a current 2021-22 completed application on file in order to be considered for an appeal. Please revisit this form once you have submitted a complete application.

Student Information
Name *

First Name Last Name
Email *

Confirmation Email example@example.com
Phone Number *
ex. (555) 555-5555
High School You Graduated From: *
HS Graduation Year *
College Information
Name of the institution you plan to attend *
If Other, please specify:
If you are unsure of where you will be attending - type UNDECIDED.
College ID#: *
If Unknown- enter N/A
Anticipated College Graduation Date: *

Year Month Day
Date
Major: *
Begin typing your major to select option. If you are unsure-enter Undecided

Appeal Reason & Supporting Document Uploads
Select the reason(s) for your appeal: *

Application declined- Incomplete Application Submitted Late Did Not Meet GPA minimum Exceeded 4Yr Maximum Not a Full-time Student Not Eligible for Pell Grant Did Not Apply Within 1yr of HS Grad year
The following items may be submitted to support your specific special circumstance. Please make sure to upload all required items in addition to any other documents you feel should be taken into consideration.
1. Personal statement- typed, no more than one page and should address:
  - Specific circumstances that have caused you to become ineligible for the grant.
  - Specific steps you are now taking to address these circumstances or what changes have occurred which will allow you to meet the grant criteria in the future.
  - Your academic plan, career aspirations, and how you plan to achieve these goals.
2. Unofficial college transcript, online advising report, or grade report- including fall and spring semester grades
3. Letter of Support- typed or neatly printed on letterhead that verifies your special circumstances, discusses your character and qualities, and describes why the letter writer would recommend you. Your letter cannot be from a family member or peer (roommate, classmate, friend). Examples of suitable support letter writers include but are not limited to: academic advisor, athletic coach, school counselor, IKIC advisor, member of the clergy, mentor, principal, resident advisor, or teacher/professor.
4. Other Supporting documents (if applicable)- should speak directly to the extenuating circumstances upon which the appeal is based. Examples of suitable supporting documents include but are not limited to: s igned letter from physician on letterhead (medical, psychiatrist, and/or psychologist), hospital records or bills with dates of stay, copy of police report or legal/court documents, or obituary notice or death certificate.
Document Upload(s)
Please upload a Personal Statement *

Cancel of
Please upload your MOST RECENT Unofficial College Transcript, Online Advising Report, or Grade Report *

Cancel of
Please upload a Letter of Support *

Cancel of
Please upload any additional supporting documents

Cancel of
*I certify that all information and documentation that I have submitted pertaining to this appeal is true. Signature: *

Clear
Date *

Month Day Year
Date
Should be Empty:

I Know I Can Grant Appeal Form

Student Information

College Information

Appeal Reason & Supporting Document Uploads

Document Upload(s)