Panola Promise Program—Request for Reconsideration for Extraordinary Circumstances

YOU MAY ONLY SUBMIT A REQUEST FOR RECONSIDERATION ONCE DURING YOUR ENTIRE TIME IN THE PANOLA COLLEGE PROMISE PROGRAM
Request for Reconsideration for Extraordinary Circumstances

PANOLA COLLEGE PROMISE PROGRAM
The Panola Promise Program offers students the opportunity to request reconsideration of eligibility determinations in the event of extraordinary circumstances. An extraordinary circumstance is defined as a significant, unforeseen event that is completely beyond the family’s control. Examples may include, but are not limited to, a death in the family, an accident, or a sudden extended illness.

This process is limited to GPA and volunteer service hour requirements only. Failure to meet senior year requirements, including scholarship applications and FAFSA submission, will not be considered for reevaluation, as these are time-sensitive requirements and cannot be granted retroactively.

Required Documentation
- This completed form.
- Verifiable supporting documentation (where applicable For example: For example, a request for failing to meet GPA requirements might include a current transcript and a detailed plan on how you intend to bring your GPA back up to the required 2.0 GPA.
Forms will only be accepted using this online form

Deadline to submit forms is as follows:

High School Students: August 1st each school year

College Students: August 1st to attend the Fall Semester

January 1st to attend the Spring Semester

May 20th to attend a summer session

Incomplete or late forms WILL NOT be reviewed.
Name

First NameMiddle NameLast Name
Phone Number
Format: (000) 000-0000.
Email Address of Student:
example@example.com
School Year/ Semester
Please check which type of student you are:
Name of High School
High School Student ID:
Panola College Student ID:
The eligibility requirement(s) you are requesting reconsideration for:

Ex: I failed to maintain a GPA of 2.0 or better or I failed to complete my 25 hours of volunteer service work by May 15th. 0/40
Written Statement: Please use the space below to provide your written statement. This is your opportunity to explain your particular situation and detail why you need a reconsideration. Include any relevant details that would help the committee understand the circumstances surrounding your request.

Maximum 250-word response.0/250
Please read the statements below and acknowledge understanding:
- I verify that all information and documents provided are true and accurate.
- I understand that this is a written process; no in-person requests will be permitted.
- I understand if this request is approved, the Panola Promise Program eligibility will be reinstated during the fall semester.
- I understand that Panola Promise Program requirements must continue to be met during the request for reconsideration process in order to have eligibility reinstated.
Please upload all required supporting documentation here.

Cancelof
Student Signature
Date

MonthDayYear
Date
Should be Empty: