Suspension Appeal

Name: Mitchell Tech
Address: 1800 East Spruce Street, Mitchell, SD, 57301, US
Telephone: 1.800.684.1969

Today's Date:

Type of Suspension?

Academic

Financial Aid

Both

Semester/Year Suspended:

First Name:

Last Name:

Student ID:

Street Address:

City, State & Zip:

Email:

Phone:

Program:

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:

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.

	

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?
	

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