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Academic Suspension Appeal Process

Saturday, July 05, 2025

Do not put in your full SSN. Only enter the last 4 digits.

Example of Types: AA, AAS, AS, CP, TC

Example of Types: Transfer, Nursing, Welding, Business (If you are not sure what your degree or major is please see Academic Advising before completing this form.)

*Explanation

Please provide a brief explanation for the following:

Attach documents that support typed statement.
Add another

PLEASE NOTE: There is no guarantee that your appeal will be approved. If your appeal is approved, you MUST comply with the following requirements:

  • I must pass all classes attempted each semester.
  • I must not Withdraw, Drop or “Fail” any classes.
  • I will meet with an academic advisor three times over the course of the semester.
  • I will contact the Office of Academic Advising if I have questions.
  • I understand that I have to take all classes on my degree plan and I'm not allowed to alter my degree plan.

I agree to the conditions listed above and I certify that all of the information provided on this form and any uploaded supporting documents are true, complete, and accurate to the best of my knowledge. I understand that typing my full name in this box constitutes a legal signature confirming that the Committee’s decision is final and cannot be appealed. I also understand that I will be placed on an Academic Plan.

PLEASE NOTE: A letter with the committee’s decision will be e-mailed to the student.

THIS FORM CAN ONLY BE SUBMITTED ONCE