Fillable Printable Complete Things To Do List
Fillable Printable Complete Things To Do List
 
                        Complete Things To Do List

DE ANZA COLLEGE 
Financial Aid Office 
21250 Stevens Creek Blvd. 
Cupertino, CA 95014 
Name: __________________ ID ____________  Date: __/__/___ 
REQUEST FOR EXTENSION of FINANCIAL AID (TO-DO LIST) 
BEFORE YOU FILL OUT A FINANCIAL AID REQUES T FOR EXTENSION: 
Take your placement Exams http://www.deanza.edu/admissions/placement/ 
Declare your Educational Goal https://myportal.fhda.edu 
Maintain Satisfactory Academic Progress http://www.deanza.edu/financialaid/min_stand.htm 
INFORMATION TO GATHER: 
Total Pell Grant used to date (%) http://www.nslds.ed.gov 
Total Student Loan debt $ http://www.nslds.ed.gov 
How many years of financial aid eligibility would you like to use after you transfer? 
Print out CSU/ UC Articulation Agreements http://www.assist.org 
Create and Save an educational plan in Degree Works https://myportal.fhda.edu 
Or write it down on paper 
Obtain a Counseling Referral Form from the Financial Aid Office 
WHAT TO BRING TO THE COUNSELOR: 
Counseling Referral Form signed off by 
Completed Financial Aid Request for Extension Form 
CSU/ UC Articulation Agreements http://www.assist.org 
Draft Educational Plan hand written or from Degree Works https://myportal.fhda.edu 
WHAT TO TAKE BACK TO FINANCIAL AID (AFTER COUNSELING MEETING): 
Completed Financial Aid Request for Extension Form including Personal Statement  
Locked Educational Plan from Degree Works that has been approved/signed by Counselor 
https://myportal.fhda.edu 
WHAT HAPPENS  NEXT? 
Wait 6-8 weeks for response from Financial Aid Office via your My Portal E Mail address 
? 

DE ANZA COLLEGE 
Financial Aid Office 
21250 Stevens Creek Blvd. 
Cupertino, CA 95014 
REQUEST FOR EXTENSION for FINANCIAL AID 
Name: __________________________________ SID#: ___________________      Date: _________________________  
Email Address: _______________________________________Phone #’s:  ____________________________________ 
What is your major? _________________________________________________________________________________ 
What is your Educational Goal at De Anza College?   
 Certificate   Associate Degree   Transfer   Other: ____________________________________________ 
If you plan to transfer, what school will you be attending? ___________________________________________________ 
Note:  You MUST COMPLETE each step below BEFORE scheduling an appointment in Counseling! 
(Check box  when you complete each step) 
Step 1:      Pell Grant/Loan Maximums: Go to http://www.nslds.ed.gov/nslds_SA/. What is your total percentage of Pell 
Grant used to date? _________ (Max is 600%) What is your total student loan debt? _____________. (Sub Max is $23K). 
TRANSFER STUDENTS: how many years of Financial Aid eligibility would you like to have left after you transfer to earn 
your Bachelor’s degree? ________ (FYI - After 3 years, only about 53% of transfer students have earned their BA/BS). 
Step 2:   Testing:  If you need to take placement tests, you will need the results of these tests BEFORE scheduling an 
appointment in Counseling.  It can take up to three weeks to get the results. 
Step 3:     Make an educational plan:  either in Degree Works or hand written that shows specifically, which courses, by 
quarter, you need to take to complete your educational goal.   
Step 4:   Personal Statement:  Please, list specifically and completely all the reasons WHY you have not completed your 
educational goal and WHY you need this extension (attach additional pages as needed).  
CERTIFICATION:  I certify that all information on this application is true, complete and accurate to the best of my 
knowledge.  I understand that I must adhere to the Education Plan and make satisfactory academic progress in order to 
continue to receive financial aid if the extension is approved. 
Students signature: ______________________________________ Date: _______________________ 

DE ANZA COLLEGE 
Financial Aid Office 
21250 Stevens Creek Blvd. 
Cupertino, CA 95014 
Comprehensive Education Plan – Check List 
Student Name _____________________________  ID# _______________________ Date ______________________  
← Check if this is a Financial Aid Extension.  Signed:____________________________________________________ 
     Financial Aid Staff 
A comprehensive Education Plan lists all courses needed (and when you plan to take them) for your certificate, degree or transfer.  Comprehensive 
Educations plans are finalized and approved by appointment only. 
You must know your college major and your preferred college/university in order to complete a comprehensive education plan and have it approved 
by a counselor.  If you have not decided these two things, please enroll in one of our Career Life Planning courses: CLP 70 or CLP 75.  Additionally, 
you need to list accurate courses (G.E., Major, Pre-requisites and Electives) on your plan.  If you do not know this information, please enroll in 
COUN 200 as soon as possible.  COUN 200 is a course that provides you with these details. If you only need technical instruction on how to create 
an education plan in DegreeWorks, take one of our DegreeWorks Education Planning workshops.  
The following items must be completed (√) before your Ed Plan appointment can be made: 
□My College major is: _____________________________________________________________
□My preferred college/university is: __________________________________________________
□Advanced Placement test results (if any) and official transcripts from other colleges (if any) have been evaluated
      by Admissions & Records and appear on my De Anza transcript. 
□All applicable placement tests (Math, English, ESL, Chemistry or Biology) are completed and the results are posted in
      MyPortal. 
□ I have completed a Comprehensive Ed Plan in DegreeWorks which lists all the courses I think I need in order to
 reach my goal.  A printed copy of my DegreeWorks Ed Plan is attached. (If having trouble with DegreeWorks, you may 
       write the quarter-by-quarter plan on paper.  See reverse side).   
My plan includes: 
□Pre-requisites/Co-requisites (if needed).  The course description gives this information.
□General Education Courses (IGETC, CSU, Minimum qualifications, campus specific)
□Major Courses (UC/CSU transfer students use ASSIST.org)
□Electives (if needed)
□90 or more units for Associate degrees or UC/CSU transfer (certificates will have fewer units)
♦ Make an appointment in the Counseling Center (SCS 2
nd
. floor) to have your Education Plan approved.
Screened by COUN/ADV: ______________________________________  Date ____________________________ 

Write out your complete Ed Plan starting with courses currently In-Progress (IP).  Make copies if you need more than 8 quarters. 
                Example                                                                Quarter 1                                                                               Quarter 2 
Quarter:  Fall 14 
Units 
        ► 
Quarter:   
Units 
        ► 
Quarter:   
Units 
MATH 114 
5 
EWRT 211 
5 
READ 200 
5 
                    Subtotal: 
15 
                    Subtotal: 
                    Subtotal: 
Quarter 3                                                                              Quarter 4                                                                                Quarter 5 
Quarter:   
Units 
        ► 
Quarter:   
Units 
        ► 
Quarter:   
Units 
                    Subtotal: 
                    Subtotal: 
                    Subtotal: 
Quarter 6                                                                              Quarter 7                                                                                Quarter 8 
Quarter:  
Units 
        ► 
Quarter:   
Units 
        ► 
Quarter:   
Units 
                    Subtotal: 
                    Subtotal: 
                    Subtotal: 
                                                                                                                                                                                           Calculate your total units here 
◊ Course Numbering: 
Courses numbered 1-199 are applicable to the Associate Degree 
Courses numbered 1- 99 are transferable to CSU 
Courses numbered 1-49 are transferable to UC 
Degree applicable or CSU or UC units completed:  _______ 
Degree applicable or CSU or UC units in progress: _______ 
Degree applicable or CSU or UC units planned:      _______ 
               ☺Total should be 90 or more units:      _______ 
◊ Course numbering exceptions may apply.                                                   
☺
Under some circumstances UC campuses have maximum unit limits.  Google: UC Maximum Transfer Credit Limitation Policy for details. 

DE ANZA COLLEGE 
Financial Aid Office 
21250 Stevens Creek Blvd. 
Cupertino, CA 95014 
Financial Aid Counseling Referral Form 
Date: _________________________________________________________________ 
Student Name: _________________________________________________________ 
Student Email: _________________________________________________________ 
Student ID#: ___________________________________________________________ 
Special Program: _______________________________________________________ 
Reason for referral to counseling: 
  Appeal for One Additional Quarter of Financial Aid Probation 
  Financial Aid Request for Extension 
Required action:  
  New Educational Plan 
Reason: _________________________________________________________ 
  Updated Educational Plan 
Reason: _________________________________________________________ 
  Discussion about Unit Load 
Reason: _________________________________________________________ 
  Discussion about Educational Goal 
Reason: _________________________________________________________ 
  Other 
Reason: _________________________________________________________ 
Comments: 
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________ 
______________________________________________________________________ 
Request to see the counselor is being made by:  
  Lisa Mandy, Financial Aid Director, x8403.                 Signature: ________________________ 
  Name: _________________Title_______________ Signature: ________________________ 
 
             
    
