Transfer Admissions Suspension Appeal

This form is for new applicants to NHCC that have been notified they have a current transfer suspension impacting admissions to NHCC or financial aid eligibility. Students must be admitted to NHCC and have paid the $20 application fee before the appeal can be reviewed.

Use this form only if you planning to enroll for the first time as an undergraduate student at NHCC (this includes students who previously attended NHCC as a PSEO or visiting student and have not yet been admitted to the college for undergraduate admission). Do NOT complete this form if you are a current or former student at NHCC that was recently suspended. Instead, complete the Appeal for Academic/Financial Aid Suspension form found on our Advising Center or NHCC forms website (under Financial Aid).

Name and Date of Birth

First Name

Last Name

Birthdate

Contact Information

Email

Cell Phone

Home Phone

Student IDs

Tech ID

StarID

Semester and Program Information

Most recent term (semester) you attended a Minnesota State institution (list of Minn State institutions can be found here).

Please list semester and year (example: Fall 2022).

If it has been more than a year since your last suspension, you may be eligible for readmission but should still complete this form for review of financial aid eligibility.

Which term (semester) are you interested in starting at NHCC?

I am seeking a degree or certificate through NHCC:

Yes

No

Degree or Certificate interested in at NHCC:

Suspension Information

Have you previously attended NHCC?

Yes

No

I previously attend NHCC as a:

Undergraduate Student

PSEO Student

Visiting Student

This form is for new applicants to NHCC that have been notified they have a current transfer suspension impacting admissions to NHCC or financial aid eligibility. Use this form only if you planning to enroll for the first time as an undergraduate student at NHCC (this includes students who previously attended NHCC as a PSEO or visiting student and have not yet been admitted to the college for undergraduate admission). Do NOT complete this form if you are a current or former student at NHCC that was recently suspended. Instead, complete the Appeal for Academic/Financial Aid Suspension form found on our Advising Center or NHCC forms website (under Financial Aid).

I am appealing my suspension for:

Both Academic and Financial Aid Suspension

Only Academic Suspension

Only Financial Aid Suspension

Please indicate what contributed to your previous suspension and include supporting documentation (required for proof of extenuating circumstances - contact Admissions & Outreach office for details if needed).

What reason(s) contributed to you being suspended at your previous institution?

Serious illness or injury to yourself or immediate family member that required extended recovery time.

Death of immediate family member.

Significant trauma that impaired your emotional or physical health.

Other unexpected circumstances beyond your control.

I did not have any of these.

Provide an explanation of the extenuating circumstances that led to your previous suspension.

Indicate how your circumstances have changed and what changes you have made to be successful in college in the future. Include how your situation may have improved to provide opportunity for academic success, your future educational goals, and resources you plan to utilize at NHCC or externally to help you with school.

I have documentation to submit with my appeal:

Yes

No

Supporting Documentation

Additional Supporting Documentation

Please indicate you understand the following regarding your appeal:

Appeals may take up to two weeks to review.
NHCC Admissions will contact me through the email listed above and/or my application for admission with results of my appeal (approved or denied).
Documentation should be submitted with this appeal to support extenuating circumstances.
My appeal will not be reviewed if I have an outstanding application fee or unpaid balance due at another Minn State institution.
If approved, I must meet the conditions of Satisfactory Academic Progress while I am a student at NHCC.

Please indicate you understand the following regarding your appeal:

Appeals may take up to two weeks to review.
NHCC Admissions will contact me through the email listed above and/or my application for admission with results of my appeal (approved or denied).
Documentation should be submitted with this appeal to support extenuating circumstances.
My appeal will not be reviewed if I have an outstanding application fee or unpaid balance due at another Minn State institution.
If approved, I must meet the conditions of Satisfactory Academic Progress while I am a student at NHCC.

I understand all of the items above.

Electronic Signature

By signing this form (typing name as signature), I certify that all the information reported on this form is complete and accurate and that I agree to all electronic signature terms and conditions set forth by Minnesota State College and Universities.

Please type your name in the box below to sign this application form.