Petition for Transcript Notation Removal

Background Information

Please include your current name and accurate contact information, including an email if you are no longer using your assigned NCSU email account.

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Your full name:

Your Case Number (if known):

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Please contact the Office of Student Conduct at (919) 515-2963 to obtain this information.

Your phone number:

Your email address (required):

Email address must be of a valid format.

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Your physical address:

Type of Violation(Required):

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Date of incident(Required):

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Current student status(Required):

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Please include your name/SID as they would appear in NCSU student records.

Name or Organization

ID Number

DOB (YYYY-MM-DD)

Attach petition and any supporting documents you would like reviewed as PDFs

As a reminder, at minimum, the petition should include:

A description of activities/involvement since the suspension was imposed (education, employment, service hours, etc.)
A review of the sanctions that have been completed as a result of the suspension
A reflection about the impact of the suspension
A description of why the notation is being sought at this time

5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

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