Academic/Progress Dismissal Appeal Petition

Student Information

Student ID(Required)

Student ID

Phone Number(Required)

Last Semester GPA(Required)

Cumulative GPA(Required)

Total Units Attempted(Required)

Total Units Completed(Required)

Petition Information

I would like to petition for the following year:(Required)

Example: 2025

Identify your past academic challenges.(Required)

Identify the changes you have made to ensure your success.(Required)

Provide a detailed description of the extenuating circumstances you experienced that impacted your coursework.(Required)

Required Documentation for Extenuating Circumstances(Required)

Max. file size: 80 MB.

You are required to submit documentation that supports the extenuating circumstances you experienced. (Example: medical documentation, police report, loss of job letter, etc.) Upload scanned documents as either PDF, DOC, DOCX, JPEG, GIT, or PNG.

Required Comprehensive Education Plan(Required)

Max. file size: 80 MB.

You are required to submit a comprehensive education plan that has been created/updated within the last 6 months. Upload scanned documents as either PDF, DOC, DOCX, JPEG, GIT, or PNG.

Student Acknowledgement

Student Signature(Required)

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Academic/Progress Dismissal Appeal Petition

Academic/Progress Dismissal Petition

Student Information

Petition Information

Student Acknowledgement

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