REQUEST FOR TUITION CREDIT - APPEAL INSTRUCTIONS:

A Request for Tuition Credit is available to students who feel they warrant an exception to the 
College�s Refund Policies.  Exceptions to the college�s established policies are not made 
lightly and will generally be considered only for extenuating and difficult circumstances.  
The Tuition Credit Review Committee decides each case on its own merit.
Use the instructions below as your guidelines for completing the Tuition Credit Appeal Form.
1. All requests must either be mailed to the address below or placed in the Drop Box outside 
   the Bursar�s Office. No in-person request can be submitted to the Committee.
2. A Request for Tuition Credit must be submitted no later than 30 days after the start of the 
   semester following the semester for which you are requesting credit.  Example: A student 
   requesting a tuition credit for the Spring semester or for the Summer session, must submit 
   their request no later than 30 days into the following Fall semester.  Appeals received after 
   the deadline will not be reviewed.
3. You must officially drop the course(s) that you are appealing.  The College does not allow a 
   student to remain in a course and file an appeal.  No requests will be reviewed unless the 
   student has �officially� dropped the course(s) in question.  Drop slips are available in the 
   Records & Registration Office.
4. The Committee will only review your request once; multiple submissions for the same request 
   will not be reviewed.
5. You must provide copies of documentation to substantiate your request.  Materials will not be 
   returned.  Decisions are made based on the material submitted at the time of the review.  
   Please include all supporting documentation at the time of the initial submission.
6. Drop/Add refund dates are widely publicized.  Therefore, appeals based on lack of awareness of
   the dates will not be reviewed.
7. The Committee will communicate its decision in writing.  The Committee�s decisions are final.
   The Committee does NOT, under any circumstances, take phone calls or schedule appointments.
8. If your appeal is approved, you will receive a pro-rated refund of tuition based on your date 
   of withdrawal.  Fees are non-refundable.  Tuition credit may be used for future SUNY Orange 
   courses.
9. Criteria for Appeals: ONLY the following extenuating circumstances will be reviewed for a 
   tuition credit:
	o Student�s Medical Situation
	o An Academic Course Error
	o Student�s Military Activation
	o Involuntary Changes in Employment
Completed Forms (including supporting documentation) can be placed into the Bursar�s Office Drop 
Box or mailed to the following address:

SUNY Orange County Community College
c/o Tuition Credit Review Committee
Shepard Student Center
115 South Street, Middletown, NY 10940

PLEASE READ APPEAL INSTRUCTIONS BEFORE COMPLETING THIS FORM.
Student Information:

Name :


Student ID / A# :


Mailing Address :


Phone :


Email :


List all courses you are requesting a credit for: (use additional forms as needed)

Course #       Course Name         # Credits / Non-Credit           Semester/Year






Reason and Rationale:  Check One and Attach a Typed Statement of Justification explaining the 
grounds of your appeal and provide supporting documentation as necessary.

  
* Student�s Medical Situation - For severe medical illness or serious injury involving 
     yourself or an immediate family member, submit a signed doctor�s statement on letterhead 
     that specifies dates, medical condition, length of treatment, and how illness/injury 
     prevented you from attending classes. Billing statements cannot be accepted as required 
     documentation.  Death of student or immediate family member - Submit a copy of death 
     certificate or published obituary.
  
* An Academic Course Error - Submit all documentation possible to support your statement.
  
* Student�s Military Activation - Submit a copy of military activation orders signed by 
     commanding officer.
  
* Involuntary Changes in Employment - Submit a signed letter from your employer on company 
     letterhead that specifically states the dates and times of the employment changes.  
     Accepting a position with a different employer is not a valid reason to appeal.

Student Accountability Statement:  To the best of my knowledge, all of the information on this form and attachment(s) is 
complete and accurate.  I understand the appeal instructions and that the Committee�s 
decision is final.
														
Student Signature							Today�s Date

The committee meets on the third Thursday each month.  Materials are confidential and only shared 
with committee members.  The submission of an appeal does not guarantee approval.  Students are 
notified in writing of the Committee�s decision within 7 working days of the appeal meeting.  It 
is recommended that you keep a copy of your appeal for your records.
Last Updated  8/13/2009