Appeal Request Form
Last Name
First Name
Student ID Number
Phone Number
Email Address
Date of Request
Date of Hearing
University Sanctions
Expulsion
Suspension
Disciplinary Probation
Deferred Disciplinary Probation
Disciplinary Reprimand
Disciplinary Warning
Additional Sanctions
Did the original process have a procedural error or omission that significantly impacted the outcome?
Yes
No
If yes, please explain
Do you have new information or evidence that could not have been previously discovered that would have changed the original decision?
Yes
No
If yes, please explain
Please explain why this information was not available at the original conduct meeting
Do you believe the severity of the sanctions were inappropriate
Yes
No
Please explain which sanctions you believe were inappropriate and why:
Were you found responsible for an alcohol or drug violation, are under the age of 21, and wish for a parental notification not to be sent?
Yes
No
If yes, please explain:
Photos, video, email, and other supporting documents may be attached below.
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