Academic Suspension Appeal Form

Your Name*

Please enter your name exactly as it is shown on your Student ID.

First Last

Your Student ID Number*

Enter all the digits listed on your Student ID

Email Address:*

Enter Email Confirm Email

Phone Number*

Mailing Address*

Appeal results will be sent to the address you provide.

Street Address Address Line 2 City State ZIP Code

Reason for Appeal Request*

Describe in detail the circumstances or name of your difficulty as to why you were unable to meet satisfactory academic performance. State why you believe it is possible for you to improve upon your past academic performance and what corrective action you have taken or will take.

Documentation

Attach any documents(e.g. doctor's/hospital statements, letter from counselor, minister/pastors/priest, letter from work supervisor, etc.) that will support your appeal.

Drop files here or

Max. file size: 50 MB.

Hidden

Academic Plan

You must meet with your Advisor regarding your failure to meet satisfactory academic performance and outline a plan for achieving this goal. Be aware the quickest way to raise your GPA and regain satisfactory academic performance will be to repeat classes you have failed. You must contact your Academic Advisor to have an Academic Plan submitted to the Dean of the College before your appeal can be submitted

Max. file size: 50 MB.

Academic Plan

You must meet with your Advisor regarding your failure to meet satisfactory academic performance and outline a plan for achieving this goal. Be aware the quickest way to raise your GPA and regain satisfactory academic performance will be to repeat classes you have failed. You must contact your Academic Advisor to have an Academic Plan submitted to the Dean of the College before your appeal can be submitted.

I understand that, in addition to this written request, I may be required to meet with the Provost/Vice President of Academic Affairs and Associate Dean.*

I understand that the decision of the Provost/Vice President of Academic Affairs is final and cannot be overturned.*