Notice of Appeal Form

This Notice of Appeal Form, along with supporting documents, must be submitted within two school days of dismissal from a course. Failure to provide an adequate, detailed explanation and evidence to support your appeal may result in denial of the appeal. Appeal decisions will be communicated to all parties via email.

First Name

Last Name

Student ID

Phone Number

Major

Below, indicate the reason for this appeal. (Attendance, Readmission, Discipline)

Enter the course code(s) for the class you are appealing below.

What action are you requesting of the Board? Why should the Board grant this appeal?

Enter all tardies and absences below:

Explain the evidence provided to support this appeal.

What have you done to correct the situation, which caused your dismissal?

Are you requesting a personal appearance before the Board?

YesNo

Please upload any documentation you have related to your appeal.

If you have any additional documentation, please upload here.

By clicking submit, I agree with the following:

The information contained in this Notice of Appeal Form is true and correct to the best of my knowledge.
Furnished false information in the Notice of Appeal shall subject me to immediate interruption from the school.
This Notice of Appeal Form and all attached documents or statements, represent the total of all evidence I wish to present to the Board.
I agree to be bound by the Policies and Procedures of the Academic and Disciplinary Board.