FAO - Unusual Enrollment History (UEH)

FAO - Unusual Enrollment History (UEH)

Based upon data provided by the federal government through the National Student Loan Data System (NSLDS), your financial aid file has been flagged for potential Unusual Enrollment History. Per Federal Guidelines, SUNY Orange is required to review your enrollment history since you attended multiple institutions within a four-year period.

Your financial aid at SUNY Orange is now placed on HOLD. You will not receive any federal financial aid – grants or loans- until we are able to complete our review. In order for SUNY Orange to complete this review, you must:
• complete the SUNY Orange UEH form
• write a letter of explanation with supporting documents if you did not receive passing grades during the time periods in question.
• provide the Office of Admissions at SUNY Orange with an official transcript for each of the colleges you have attended for the years listed to resolve this matter.

Once we receive and review this information we will be able to determine your eligibility for federal aid for the appropriate award year.

Academic Year *

2024-2025 (2425)
Academic Year
June/July 2024 (SUMMER),
August 2024 (FALL) or
January 2025 (SPRING) Semesters ONLY

2023-2024 (2324)
Academic Year
June/July 2023 (SUMMER),
August 2023 (FALL) or
January 2024 (SPRING) Semesters ONLY
Form Name *
ID Number *
Must be 9 characters. Currently Entered: 0 characters.
Must start with A
Student Name Student Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Section #1 – Schools Attended

• You must provide the following information for each school you attended during the time frame listed.
• You MUST attach or forward an academic transcript from each school you have attended.
• Your file will not be reviewed until all transcripts are received.
• If you fail to report a school that you attended during the indicated time frame or fail to provide a transcript, you may be denied financial aid at SUNY Orange.
1516 Academic Year attended ......Did you earn academic credit? ....Name of School(s)

1516 Academic Year attended ......Did you earn academic credit? ....Name of School(s) 2015-2016...................... Yes No.......................
1617 Academic Year attended ......Did you earn academic credit? ....Name of School(s)

1617 Academic Year attended ......Did you earn academic credit? ....Name of School(s) 2016-2017...................... Yes No.......................
1718 Academic Year attended ......Did you earn academic credit? ....Name of School(s)

1718 Academic Year attended ......Did you earn academic credit? ....Name of School(s) 2017-2018...................... Yes No.......................
1819 Academic Year attended ......Did you earn academic credit? ....Name of School(s)

1819 Academic Year attended ......Did you earn academic credit? ....Name of School(s) 2018-2019...................... Yes No.......................
1920 Academic Year attended ......Did you earn academic credit? ....Name of School(s)

1920 Academic Year attended ......Did you earn academic credit? ....Name of School(s) 2019-2020...................... Yes No.......................
2021 Academic Year attended ......Did you earn academic credit? ....Name of School(s)

2021 Academic Year attended ......Did you earn academic credit? ....Name of School(s) 2020-2021...................... Yes No.......................
2122 Academic Year attended ......Did you earn academic credit? ....Name of School(s)

2122 Academic Year attended ......Did you earn academic credit? ....Name of School(s) 2021-2022...................... Yes No.......................
2223 Academic Year attended ......Did you earn academic credit? ....Name of School(s)

2223 Academic Year attended ......Did you earn academic credit? ....Name of School(s) 2022-2023...................... Yes No.......................
Section #2 - Extenuating Circumstances

Below, indicate your circumstances that prohibited you from earning academic credit. If you have extenuating circumstances you MUST provide third party documentation to substantiate your claim.
Checkboxes

Checkboxes Death of an immediate family member (must include the relationship of family member to the student, copy of death certificate) Documented hospitalization or illness of self, child or parent (must include dates and a health care provider's decision, written on official letterhead, as to the student's readiness to return to school) Military Obligations (must include documentation from commanding officer) Victim of a crime or unexpected disaster (must include copy of police report, third party letters, etc.) Other (please explain and provide appropriate documentaion)
Upload a File
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Attach Files
If requested, I agree to provide additional documentation to the Financial Aid Office. *

If requested, I agree to provide additional documentation to the Financial Aid Office. I agree
Electronic Certification Agreement

By providing your “electronic” student signature, student ID # and by selecting the “Accept" button, you consent that all of the information reported is complete and correct.
Student Accept:

Student Accept: I, the student, consent that all of the information reported is complete and correct.
Electrontic Signature Electrontic Signature First Last
Student ID #
Must be 9 characters. Currently Entered: 0 characters.
Must start with A
Date Date / MM / DD YYYY
WARNING:

If you purposely give false or misleading information on the worksheet, you may be fined, be sentenced to jail, or both.
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country