Puget Sound ID Number Name First Last Puget Sound Email Address Which type of aid are you appealing to keep for the upcoming term? Washington State Aid (including Washington College Grant, College Bound Scholarship, Passport to College Scholarship, and/or state work-study) Federal Aid (including grants, loans, and/or work-study) / Puget Sound scholarships and/or grants Unsure Do you also have an academic sanction from the university? Yes No Are you returning from a medical withdrawal? Yes No Describe the circumstances that influenced your inability to successfully complete the required number of units and/or maintain the minimum grade point average required for financial aid eligibility for the previous academic term. Please provide a response that shows personal reflection, thoughtful effort, and is at least 2 paragraphs. Describe the plan of action you will have in place for the upcoming term for academic improvement. Explain what steps you’ve taken to resolve the circumstances listed above and include what resources you plan to utilize to demonstrate your commitment for success. Some examples include working with faculty advisors, academic and career advising, the center for writing and learning, tutors, attending study groups, a specific study routine, lessening extracurricular activities, or meeting with CHWS for medical/mental support. Please provide a plan of action that is specific and achievable.