College Judicial Appeal Request Form

Indicates required field

All requests for an appeal must be made in writing, describing the specific reason(s) for the appeal. Appeals must be submitted within 5 days of receiving the original decision. While a request for an appeal is being considered, the sanctions imposed will remain in effect. The decision made after an appeal shall be final. Please refer to the online Student Handbook for a detailed description of College policies, procedures, violations, and sanctions.

Student Name
College Address
I am appealing because:
Please be specific.
Checking this box signifies that I have written and reviewed this statement and the facts contained herein are true and correct. I understand that this form may be used in College Judicial proceedings and shared with others in a redacted form.

This submission is part of your educational record and is on file with the Residence Life Office.