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Loyola University Maryland
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Undergraduate Admission
Unusual Circumstance Appeal Form for Returning Students
Dependent students experiencing the extreme or unusual parental circumstances or conditions noted below may qualify for a professional judgement dependency override that would change their FAFSA status to an independent student. You must have completed a
2023-24 FAFSA
before submitting this form.
Please submit this form along with the requested documentation to allow the financial aid office to determine if you qualify for a dependency override.
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Appeal Information
*Denotes a required field.
Loyola Student ID*
Student First Name*
Student Last Name*
Student Phone Number*
Student Loyola Email Address*
Current Address*
Current Address*
Country
Street
City
Region
Postal Code
Additional Appeal Information
Have you submitted your 2023-24 FAFSA?*
Have you submitted your 2023-24 FAFSA?*
Yes
No
You will need to submit your
2023-24 FAFSA
before you can submit this form. Please refer to your
Self-Service Portal
to confirm receipt of your 2023-24 FAFSA.
Parent for which extreme or unusual circumstances apply*
(Select all that apply)
Parent for which extreme or unusual circumstances apply*
(Select all that apply)
Parent 1
Parent 2
Parent 1 Circumstances and Requested Documentation
Check appropriate circumstances for
Parent 1
and provide requested documentation as indicated below.
Your
financial aid counselor
will contact you with instructions on how to upload the requested documents via your Self Service Portal (
loyola.edu/selfservice
).
*
Check appropriate circumstances for
Parent 1
and provide requested documentation as indicated below.
Your
financial aid counselor
will contact you with instructions on how to upload the requested documents via your Self Service Portal (
loyola.edu/selfservice
).
*
Parent is deceased or incapacitated - Please provide a copy of parent’s death certificate or medical diagnosis
Parent is incarcerated - Please provide documentation that verifies incarceration and lists anticipated release date
Unusual parental circumstance (i.e. parental abandonment, abuse, whereabouts unknown) - Please provide a written statement from student and third party circumstance professional that knows the student’s current situation
Parent 2 Circumstances and Requested Documentation
Check appropriate circumstances for
Parent 2
and provide requested documentation as indicated below.
Your
financial aid counselor
will contact you with instructions on how to upload the requested documents via your Self Service Portal (
loyola.edu/selfservice
).
*
Check appropriate circumstances for
Parent 2
and provide requested documentation as indicated below.
Your
financial aid counselor
will contact you with instructions on how to upload the requested documents via your Self Service Portal (
loyola.edu/selfservice
).
*
Parent is deceased or incapacitated - Please provide a copy of parent’s death certificate or medical diagnosis
Parent is incarcerated - Please provide documentation that verifies incarceration and lists anticipated release date
Unusual parental circumstance (i.e. parental abandonment, abuse, whereabouts unknown) - Please provide a written statement from student and third party circumstance professional that knows the student’s current situation
Student Certification
I understand the Office of Financial Aid reserves the right to contact third-party professionals who provided supporting documentation. I agree to submit additional documentation should the Office of Financial Aid make such a request. I understand my appeal could be denied and I would be provided an explanation accordingly.
Electronic Student Signature*
Date*
Date*
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Submit