Appeal Hearing Request Form

Contact Information

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Your Full Name:

Your Student ID Number:

Your Phone Number:

Your Email Address:

Email address must be of a valid format.

Grounds for Appeal

Grounds for Appeal (select all that apply)

1. The original hearing was inconsistent with the established student conduct procedures. 2. The sanction imposed was not in keeping with the gravity of the violation. 3. New information is available now that was not available at the time of the hearing which may substantially change the outcome.

You must make at least one selection.

If you selected #1 - The original hearing was inconsistent with the established student conduct procedures, please use the space below to indicate what was inconsistent in the process: This field is required.

If you selected #2 - The sanction imposed was not in keeping with the gravity of the violation, in the space below please indicate why you believe the sanction does not match a finding of responsibility in this situation. Please also include any prior findings for responsibility and the associated sanctions: This field is required.

If you selected #3 - New information is available now that was not available at the time of the hearing which may substantially change the outcome, please use the space below to indicate what the new information is, why it was not available during your original hearing and how you believe that it impacts the decision made at the original hearing: This field is required.

If you selected #3 and the information which is now available includes first-hand knowledge by a witness(es), you must provide the name, email and phone number of your witness(es) here: This field is required.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report

Contact Information

Grounds for Appeal

Supporting Documentation

Submission