International Initiatives, Meade Hall 103
Southeastern Louisiana University
900 N. Pine St., Hammond, LA 70402
Phone: (985) 549-2135, Fax: (985) 549-3478, Email: studyabroad@southeastern.edu
Student Appeal Form Instructions: Study Abroad 2016
This form is to be used if the circumstances of the appeal are extenuating and compelling.
Negligence, workload issues, financial constraints, routine illness, unsatisfactory academic progress, lack of preparation or failure to
meet course prerequisites, and vacation plans are not considered compelling reasons for exceptions to policies and procedures.
Instructions:
1. Provide a written statement of your appeal using the attached form; use a separate sheet if necessary.
2. Include documentation of your circumstances with your appeal.
3. If your case requires, include relevant registration or course change forms with your appeal.
4. Submit all documents together to the International Initiatives Office.
As part of the appeals process, the International Initiatives Office may contact instructors, school officials, and/or other institutions
and organizations as appropriate for additional information. Materials are confidential and shared only with University officials
who review your appeal.
The submission of an appeal does not guarantee approval. After considering the appeal, the Director of International Initiatives
may approve or deny the request. Students are notified in writing of the Director's decision.
Please keep a copy of this form for your records.
Student w#:
Last:
Legal Name (as appears on your passport or picture ID):
First: Middle:
Address:
City: State: Zip Code:
Country:
Email: Phone Number:
Program/Country:
Subject Class Number Course Title
Study Abroad Courses registered:
Deadline: Completed appeals must be submitted to the International Initiatives Office no later than one calendar week after your
program's original trip return date.
Print Form
Student Appeal Form: Study Abroad 2016 (continued)
Describe the reason for your appeal. Explain why the International Initiatives Office should approve an exception in your case. Include all
relevant facts and dates in your statement. Sign and date the statement. Attach additional sheets if necessary.
I certify that all of the above information is true and complete to the best of my knowledge.
Signature
Date:
click to sign
signature
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