Financial Aid Dependent Appeal 2425

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Student Financial Services

3690 East Avenue

Rochester, NY 14618

Phone: 585-385-8042

E-mail: sfs@sjf.edu

2024-2025 Dependent Student Appeal For Consideration
for Additional Financial Assistance

The Office of Student Financial Services at St. John Fisher University realizes that students and their families experience unforeseen circumstances and/or expenses during an academic year. This form is designed to address your possible need for additional funding as a result of these expenses or unusual circumstances. Please be sure to sign this form (Section C) before submitting.

Once all appeal documentation is submitted please allow 7-10 business days for the appeal to be reviewed and processed.

Parent First Name:

Telephone Number:

Parent Last Name:

Email Address:

Student Name:

ID Number:

In the space below, please explain your change in circumstances.

Please provide the date in which these changes in circumstance occured:

Family Information

How many people are in your family size?
Include:

Yourself
Your parents (stepparent)
Your parents other children if your parents will provide more than half of their support from 7/1/24 to 6/30/25
Other people if they now live with your parents and your parents will provide more than half of their support from 7/1/24 to 6/30/25

How many people are attending college (not including parents) ?

Section A

What are the circumstances for your appeal? (Check more then one box if multiple circumstances exist)

Parent Income Reduction or Loss/Reduction of Benefit (For example: Unemployment Compensation)

SSI/Social Security Loss or Reduction (taxable social security benefits only)

Parent widowed, divorced or separated since applying for federal aid for 2024-2025

Child Support Loss or Reduction

Unusually high out of pocket medical expenses that exceed 7.5% of parent federal adjusted gross income

Required Documentation

Copies of last 2024 pay stub and/or any other income statements as of today for all income received in 2024

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Copy of 2023 Parent Federal Tax Return including Schedule 1 (if applicable)

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**Also please complete the Expected Income Work Sheet on Page 3**

Documentation Required

Send notice of reduction/loss or court order and indicate totals received for calendar years 2022 and 2024. ~Documentation should list all applicable parties involved~

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Documentation showing loss of benefits

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Documentation Required

Documentation showing loss of child support

Documentation Required

Copies of last 2024 pay stub and/or any other income statements as of today for all income received in 2024

File Upload

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