Queens College - Academic Review for NYS Aid - FALL 2006

Academic Department Form

 

 

 

 

Student Name ______________________________________ (4-digit) ID# ________________

(Please print)       (Last Name)                       (First Name)  

 

 

 

Evaluator signature:  _____________________________    Date: __________________

 

        Evaluator  Name:  _____________________________   Phone ________________

 

        Title: _____________________________   Department:  ___________________

 

 

 

 

The evaluator identified above has evaluated the courses flagged as “not needed” on the letter-of (date)__________________ received by the student and, based on the information provided, has determined that the courses flagged as "not needed" ARE in fact needed for the major / minor because:

 

______________________________________________________________________________

 

 

______________________________________________________________________________

 

 

______________________________________________________________________________

 

 

______________________________________________________________________________

 

 

______________________________________________________________________________

 

 

Please attach supporting documentation when necessary and retain a copy for your records.

 

 

NOTE TO STUDENT: Please take this form to the Financial Aid Office in Jefferson Hall, Room 202, for financial aid determination