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Students

Suspension Appeal

"*" indicates required fields

Today's Date*

Type of Suspension?*

Academic

Financial Aid

Both

What program are you in?

First Name*

Last Name*

Email*

Phone*

Student ID*

Program*

Address*

Advisor*

Check One:

First Suspension

Second Suspension

More Than Two Suspensions

Explanation Of Academic Performance

Please answer the following questions as thoroughly as possible and attach any supporting documentation to this form.

Attach any supporting documentation to this form, if needed:

Drop files here or

Max. file size: 2 GB, Max. files: 10.

1. Provide a clear and concise explanation of the events/circumstances that impacted your academic progress and ability to meet the 2.0 GPA requirements for continuing at Mitchell Tech. Include any extenuating circumstances (such as medical illnesses, domestic disputes, financial troubles, etc.). Please provide information or documentation (ex. memo from a doctor, disability test results, medical or psychological evaluation, etc.) which might assist the Committee in making a decision regarding your appeal.*

2. What has changed related to the above issues and what adjustments will you make to ensure a more successful academic performance on your part?*

3. What is your proposed plan of action and what individuals or resources will you utilize to support your academic success, if you are allowed to return to Mitchell Tech? (Please be very specific.)*

4. Why should the Committee grant your appeal and allow you to return to Mitchell Tech next semester?*

Summer Semester Ends

New Student Orientation

Nursing Pinning Ceremony

Students

Suspension Appeal

Explanation Of Academic Performance

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