1. Enter Your Information
2. Review
3. Thank You
Enter Your Information
Fields
Name
*
Student ID (if you are a student)
Offense(s)
*
Citation #
*
Date Issued
*
Street Address
*
City
*
State
*
Zip
*
Cell Phone
*
(
)
-
Email
*
Classification
*
Student
Faculty
Staff
My Choice
*
This appeal form will represent me at the committee meeting
I would like to appear before the committee to speak on my behalf
Reason for Appeal
*