Student Appeal Request Form

Please specify and explain why you are submitting this appeal. You may select multiple grounds for appeal
By signing this form, I hereby assert that the statement (and related documents) attached is true and may be shared with the Vice President for Student Affairs Office, Dean of Students Office, and complainant or accused student (if applicable). In the event that any individual knowingly offers false information, that individual may be subject to disciplinary action taken by the University, including but not limited to suspension or dismissal from the University.