Enrollment Services, July 15, 2015. Page 1 of 2
Academic Suspension Appeal
Submission Instructions
This form allows students to appeal Academic Suspension at Black Hawk College. In order to review your appeal request,
you must provide all of the requested information below and write the minimum number of words required, using
complete sentences. Please return this completed form to Registrar@bhc.edu, or in person at the Enrollment Services
Office, by the appeal due date indicated in your suspension letter. The Registrar will convene a committee including
representatives from the Advising Department, faculty, and Student Affairs, to review your appeal. The Registrar will
notify you of the outcome of your appeal within 10 business days.
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First Name Last Name
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Student ID Number
Explanation for My Academic Performance (minimum 250 words)