ON-TIME FINANCIAL AID DEADLINE APPEAL Academic Year* Submit the completed appeal (all sections 1-4 must be filled in) and attach a written summary with dates, outlining the special or unusual circumstance(s) that contributed to filing for financial aid after the on-time financial aid deadline. Please note, the appeal cannot be submitted without the attached summary. Examples of circumstances that are not considered special or unusual include, but are not limited to; family or student waiting for actual income figures; non-UConn publications with incorrect deadlines; initiating the FAFSA web application process late pending a FSA ID. The On-Time Financial Aid Deadline: February 15: for all students University of Connecticut Student Financial Aid Services 233 Glenbrook Road Unit 4116 Storrs, CT 06269-4116 Phone: (860) 486-2819 E-mail: email@example.com Website: https://financialaid.uconn.eduSECTION 1: Student (Borrower) InformationLast Name* First Name* MI Student ID* Net ID* TelephoneSECTION 2: Classification / Class StandingSelect Class/Classification* First Year Sophomore Junior Senior Post-Undergrad Graduate Transfer SECTION 3: Select the type(s) of special or unusual circumstance on which your appeal is basedMedical-Student MEDICAL-STUDENT: Medical condition or circumstance* Date of onset:* Month Day Year MEDICAL-FAMILY MEMBER: MEDICAL-FAMILY MEMBER: Name of family member:* Relationship to student:* Medical condition or circumstance:* Date of onset:* Month Day Year DEATH OF FAMILY MEMBER: DEATH OF FAMILY MEMBER: Name of family member:* Relationship to student:* Date of death:* Month Day Year DIVORCE/SEPARATION-PARENT: DIVORCE/SEPARATION-PARENT: Name-Parent 1:* Relationship to student:* Name-Parent 2:* Relationship to student:* Date of divorce/separation:* Month Day Year OTHER SPECIAL OR UNUSUAL CIRCUMSTANCE(S): OTHER SPECIAL OR UNUSUAL CIRCUMSTANCE(S): Date of onset:* Month Day Year SECTION 4: Provide a written summary including dates, describing how your special or unusual circumstance(s) contributed to not meeting the on-time financial aid deadline.Provide a brief summary to explain the special or unusual circumstances that contributed to the late filing of your FAFSA or Institutional Aid Application.*Student AcknowledgementStudent Signature* Date* MM slash DD slash YYYY Borrower Certification* I hereby attest that the circumstances described in my appeal are true and accurate. EmailThis field is for validation purposes and should be left unchanged.