Student Conduct Appeal

*First name *Last name *Email address *Cell Number *Student ID

*Are you a commuter student??

Yes No

*Dorm Name / Apartment Name: (If commuter mark as N/A) *Room Number / Apartment Number: (If commuter mark as N/A)

*Please select how you received this sanction:

*List the sanction that is being appealed:

*Level of appeal:

Reason of appeal

Appeals will only be accepted for the following reasons. Please select the reason for your appeal and then below, give additional detail supporting the reason selected.

*Reason

*Please explain in further detail how the reason for your appeal applies to your particular situation:

Upload attachment (if necessary)