Appeal Form

Case Information

Please provide the information relevant to your case in the sections below. This form must be submitted within five (5) business days of the date of your conduct decision/citation letter.

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Person submitting appeal:

Date of original incident(Required):

This field is required.

Your Contact Information

Your Name or Organization

Student ID Number

DOB (YYYY-MM-DD)

Phone

Gustavus Email address

Residence Hall / Address

Basis and Rationale for Appeal

In the area below, please select the basis of your appeal and also provide narrative information for the item(s) relevant to your reason(s) for appeal. The grounds for Appeal must state with specificity the facts upon which such claims of error are made. The individual must demonstrate to the Conduct Coordinator via this application that reasonable grounds for the Appeal exist. The more thorough and specific you can be in your explanation, the more carefully your appeal can be considered.

Please indicate the basis of your appeal. Check all that apply.(Required)

Denial or irregularities of due process that had a material impact on the fairness of the complaint resolution process

Previously unavailable relevant information that could significantly alter the original outcome

You must make at least one selection.

If your reason for appeal is denial or irregularities of due process, please present your rationale here. This field is required.

If your reason for appeal is previously unavailable relevant information, please present your rationale here. Note that this is NEW information, not information that was available but you chose not to share it earlier. This field is required.

Please include what you hope will happen as a result of your appeal (change a specific sanction, a meeting/proceeding, etc.).(Required) This field is required.

Who was your conduct officer (signor of your letter)?(Required)

Kurt Schliep

Ben Lepak

Sara Van Regenmorter

Jason Langston

Conduct Board Chair

Don't know/remember

You must make at least one selection.

Supporting Documentation

Please submit any additional information which could be helpful in considering your appeal. Documents should be converted to .pdf form before uploading if at all possible. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Case Information

Your Contact Information

Basis and Rationale for Appeal

Supporting Documentation

Submission