91影视

Request for Appeal Form

The Request for Appeal Form must be completed by the student and submitted within five (5) business days of the date on the intervention. Please respond to all questions on the form.

As stated in the Student Conduct Code聽and the ECP Bulletin, appeals are only considered when there is a preponderance of evidence that a procedural or substantive error occurred at the original intervention that denied the student a fair and reasonable hearing. This means that for an appeal to be considered, at least one of the four criteria has been met: (1) the disciplinary action appears to be grossly disproportionate to the policy infraction (2) the procedures provided for in the Student Handbook and/or ECP Bulletin were not followed in the hearing (3) new relevant information is available that was not available at the time of the hearing, and/or (4) the decision is not supported by substantial information.

For more information regarding the Appeal Process, please refer to the Student Conduct Code聽and the ECP Bulletin. If you have questions regarding the Appeal Process, please contact the Assistant Dean of Student Services via email.

Student Information

Please complete the following information to assist in properly identifying you and for the appeal officer to respond to you. Remember, your @聽email is considered official communication between the University and you, a 91影视 student. Please keep an eye on your email for updates regarding your appeal request.

Full name:聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽_______________________________

Phone number:聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽_______________________________

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Student ID #:聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽_______________________________

Date of Incident:聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽_______________________________

Location of Incident:聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽_______________________________

Grounds for Appeal

Name of Original Department Personnel: _______________________________

Check the reason(s) for your appeal:

• The disciplinary action appears to be grossly disproportionate to the conduct infraction.
• The procedures provided for in the ECP Bulletin were not followed in the formal meeting.
• New relevant information is available that was not available at the time of the formal meeting.
• The decision is not supported by substantial information.

Describe Policy Violation(s) from the four outlined above:

_____________________________________________________________________________________________

Describe Action(s) Assigned:

_____________________________________________________________________________________________

Briefly elaborate on your reason for making your appeal, using the reason(s) checked above as the basis for this statement:

_____________________________________________________________________________________________

Supporting Documentation

Photos, videos, email, and other supporting documents may be included with this form. 5 GB maximum total size.