2/20/20 KS
Admissions and Standards Committee Petition to Appeal Academic
Suspension
Deadline to submit an appeal for the
semester:
Last First MI
Address (Number & Street, Apt# or Box, City, State, Zip)
Phone Number
Student Statement
Please describe the circumstances (illness, accident, family situation, legal problems, etc.) that contributed to, or caused your
academic difficulties.
Signature
Date
Questions about the appeal process should be directed to the Admissions and Records office at (575) 769-4025 or
kari.smith@clovis.edu
Fall 2020
August 14, 2020
C
click to sign
signature
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