Appeals Information Form
Date _________________
Name: __________________________________ Hope ID# _______________
Advisor: _______________________________
Major: ___________________________ Minor: _________________________
Email: ______________________________ Phone:_____________________
Currently: Freshman Sophomore Junior Senior
Overall GPA: ________ Major GPA: ________ Education GPA: _________
Basic Skills Information
A. Why are you appealing?
B. List the Education courses you have taken, or are currently in, including the grades and
professors:
C. Identify the Education courses you wish to take next semester:
D. Have you previously filed an appeal to the Education Department? Yes/No
If yes, when and what was the decision?
E. Attach this form to your letter. If you are appealing ACT/SAT scores, submit scores, letter
and this form together.
Updated 09/2019