Fillable College of Health and Human Services Professional Behavior (Salisbury University)

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College of Health and Human Services Professional Behavior (Salisbury University)

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File type: PDF

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College of Health and Human Services
Professional Behavior Violation Appeal Request
Date:
Name:
Student ID #:
Program:
Disciplinary Action appealed:
Grounds for appeal (check one and give rationale below):
☐Procedural errors related to the Program’s established policies have substantially affected the
dismissal determination
☐New and significant information has become available that could not have been discovered or
provided by a properly diligent student during the review at the School and/or Program level
Rationale:
By signing this form, I give permission for all materials from the Program and/or School appeals
process to be forwarded to the Professional Behavior Committee panel for review.
__
_______________________________________
Student Signature Date
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College of Health and Human Services Professional Behavior (Salisbury University)

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Completed 24 July 2020

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