Academic Suspension Appeal Form

Student Name(Required)

First Last

Student ID(Required)

KWC Email(Required)

Phone Number(Required)

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reason for Appeal Request:(Required)

Describe in detail the circumstances of your difficulty as to why you were unable to meet satisfactory academic performance. State why you believe it is possible for you to improve upon your past academic performance and what corrective action you have taken or will take.

Documentation:

Max. file size: 50 MB.

Attach any documents (e.g. doctor’s/hospital statements, letter from counselor, minister/pastors/priest, letter from work supervisor, etc.) that will support your appeal. You must meet with your Advisor regarding your failure to meet satisfactory academic performance and outline a plan for achieving this goal. Be aware the quickest way to raise your GPA and regain satisfactory academic performance will be to repeat classes you have failed. You must contact your Academic Advisor to have an Academic Plan submitted to the Dean of the College before your appeal can be submitted. I understand that, in addition to this written request, I may be required to meet with the Provst and/or the Associate Dean.

Advisor Name(Required)

Advisor Email(Required)

Please confirm that you have the correct KWC email for your advisor. You can double-check by selecting the advisor list below.

KWC Advisor List