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Case Review Request of Permanent Dismissal


Please complete the information found on this form to submit your request for a case review. Please know that your conduct file will be forwarded to the Office of the President of the University.

TODAY'S DATE

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YOUR NAME AND ND ID #

Involved party 1

EXPLANATION OF REQUEST FOR CASE REVIEW

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SUPPORTING DOCUMENTATION (optional)

Please attach any additional documentation you wish to include with your request. Please know that your complete student conduct file [including your notification letter, reflection (if applicable), and decision letter] will be included in the case review materials that will be forwarded for consideration. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

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