Appeal of Graduation
Anoka Technical College is an affirmative action, equal opportunity employer and educator, and a member of the Minnesota State Colleges and Universities system.
This document is available in alternative formats to individuals with disabilities by calling -763-576-4700, TTY: 7-1-1 or 800-627-3529.
P:\Registration\Forms\Current Forms\Graduation Appeal updated 9.2019.docx Rev. 9.2019
Dean of Student Affairs
1355 West Highway 10
Anoka, MN 55303
Fax: 763-576-7801
AnokaTech.edu
Purpose of form: Used when students have been denied graduation or denied participation in the
commencement ceremony.
Name: _________________________________________ Student/Star ID: ___________________
Program & Emphasis: ________________________________________ Graduation Year: ________
Term of Graduation (circle one): Fall semester Spring semester Summer semester
Degree award (circle one): AAS Degree Diploma Certificate
Reason for Appeal (please select from the list below):
Missing more than 7 credits to complete award
Less than 2.0 cumulative GPA
Other ___________________________________________________________________________
___________________________________________________________________________
Reason(s) for appeal:
_____________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Student’s signature: ________________________________________ Date: __________________
Program Director’s signature: ________________________________ Date: __________________
Program Director’s Recommendation: ________________Approve _______________Deny
Outcome:
Approved
Denied
Signature of Dean of Student Affairs _________________________ Date ________________
(check one)
(check one)
:
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