Fillable Committees on Academic Standing- Application for Academic Appeal (City University of New York)

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Committees on Academic Standing- Application for Academic Appeal (City University of New York)

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1
BARUCH COLLEGE
Committees on Academic Standing- Application for Academic Appeal
IMPORTANT – PLEASE READ ALL INSTRUCTIONS BEFORE SUBMITTING AN APPEAL
Once you have completed the appeal form and typed letter, it is strongly recommended that you meet with an Academic
Advisor or your SEEK Counselor before you submit your appeal to the Committee.
A. F1 or J1 Visa students must meet with international Student Services before submitting the appeal.
B. Financial Aid recipients should discuss their individual circumstances with the Office of Financial Aid services
as appeal decisions may result in loss of aid, tuition liability or the return of a refund check.
C. If you are registered with Student Disability Services and you feel this Academic Appeal is directly related to
your disability, you may choose to request a letter of support from that office. Please contact them at
disability.services@baruch.cuny.edu
The following information must be included in your appeal submission:
1. This appeal form fully completed.
2. A typed appeal letter explaining in detail the reason for your appeal. Handwritten appeals will not be
considered. The following information should be included in your appeal letter:
a) What is your appeal request?
b) Explanation of the circumstances which lead to your appeal request.
c) The steps you have taken to ensure your success if your appeal is approved.
REINSTATEMENT Appeal letter must include the following information:
a) Have you participated in any of the Center for Academic Advisement and New Student Orientation
sponsored programs (ex: Students Towards Success, In Gear, Probation Workshops) If yes, it is
strongly recommended that you seek a letter from your instructor.
b) Have the issues/factors that hindered you from succeeding at Baruch been resolved? Explain.
c) What steps/measures have you implemented or will implement that will help you succeed
academically at Baruch College? Ex: reduced course load, fewer work hours, tutoring, etc.
3. Supporting Documents: Supporting documentation is required (medical, employment, legal, etc.) and any
letters from Faculty, Academic Advisors, Counselors, etc. The Committee will not consider appeals that are
submitted without supporting documentation.
_______________________________________________________________________________________________
DEADLINE DATES FOR REINSTATEMENT WILL BE STRICTLY ENFORCED.
• For Fall reinstatement - all appeals must be submitted by April 1.
• For Spring reinstatement - all appeals must be submitted by November 1.
2
SECTION THREE:
Appeal Submission Check-List
For any appeal to be considered the following must be submitted:
Fully Completed Appeal Form
Typed Appeal Letter
Supporting Documentation
Be sure to include your name on each document submitted to the committee.
It is strongly recommended that you meet with an Academic Advisor in The Center for Academic
Advisement and New Student Orientation or your SEEK Counselor in the SEEK Office before you submit
your appeal to the Committee.
Important information for Reinstatement:
DEADLINE DATES FOR REINSTATEMENT WILL BE STRICTLY ENFORCED.
• For Fall reinstatement - all appeals must be submitted by April 1.
• For Spring reinstatement - all appeals must be submitted by November 1.
• If you have taken courses at another institution after your dismissal from Baruch College, you must
include a copy of your transcript containing those courses.
Please submit your appeal to the school in which you have officially declared your major:
Zicklin School of Business:
One Baruch Way, 13
th
floor, Room B13-264
Tel: 646-312-3135 Fax: 646-312-3136
Weissman School of Arts & Sciences:
One Baruch Way, 8
th
floor, Room B8-265
Tel: 646-312-3890 Fax: 646-312-3891
Marxe School of Public and International Affairs
135 East 22
nd
Street, Room 901
Tel: 646-660-6700 Fax: 646-660-6701
If not officially in any of the schools listed:
Office of Undergraduate Advisement
& Orientation:
One Baruch Way, 5
th
floor, Room B5-215
Tel: 646-312-4260
THE COLLEGE DOES NOT GUARANTEE APPROVAL OF DOCUMENTED APPEALS.
3
SECTION ONE:
PERSONAL DATA
Please type or print the following information.
Date: ____________________
Name: _______________________________________________________________ EMPLID: _____________________
First Name Middle Initial Last Name
Mailing Address: ____________________________________________________________________________________
Address City State Zip Code
Tel: _________________ _______________________ __________________ Day/Business
Evening Cell Phone
Baruch E-Mail: ____________________________________@baruchmail.cuny.edu (This is how you will be contacted)
*Appeals regarding Pathways must be submitted online: baruch.cuny.edu/genedreqs/pathwaysatbaruch/PathwaysAppeals.htm
PLEASE CHECK THE APPROPRIATE BOX. I AM APPEALING TO:
o Zicklin School of Business
o Weissman School of Arts and Sciences
o Marxe School of Public and International Affairs
o College –Undecided/Not Officially in a Major
ARE YOU A CANDIDATE FOR GRADUATION? _____YES ______NO
Declared and/or Intended Major: ________________________
TYPE OF APPEAL: Please check
o RETROACTIVE WITHDRAWAL
o PERMISSION TO DROP A COURSE AFTER THE DEADLINE DATE (current semester)
o EXTENSION TO COMPLETE COURSE WORK
o TOTAL RESIGNATION
o REINSTATEMENT (must be submitted by April 1
st
for Fall reinstatement and by November 1
st
for Spring reinstatement)
o 3-TIME REPEAT OF A COURSE
o CURRICULAR ADJUSTMENT (substitution or waiver: include course description, syllabus, explain how the courses are similar in a
typed letter)
o OTHER _______________________________________________________________
See additional information needed based on the type of appeal in Sections Two and Three
4
SECTION TWO:
RETROACTIVE WITHDRAWAL: COMPLETE THE FOLLOWING FOR EACH WITHDRAWAL REQUESTED.
1. Complete Attachment A and submit with your typed appeal.
Course number: ____________________ Semester / year course completed: ___________
Course number: ____________________ Semester / year course completed: ___________
Course number: ____________________ Semester / year course completed: ___________
_______________________________________________________________________________________________________
PERMISSION TO DROP A COURSE(S) AFTER THE DEADLINE DATE: COMPLETE THE FOLLOWING FOR EACH COURSE.
1. Complete Attachment A and submit with your typed appeal.
Course number: ____________________ Semester / year course completed: ___________
Course number: ____________________ Semester / year course completed: ___________
Course number: ____________________ Semester / year course completed: ___________
EXTENSION TO COMPLETE COURSE WORK.
1. Complete Attachment B and submit with your typed appeal.
2. Indicate the course(s) for which you are requesting an extension
Course number: _______________________Semester / year: _____________
Course number: _______________________Semester / year: _____________
__________________________________________________________________________________________________________________
TOTAL RESIGNATION (DROPPING ALL COURSES) AFTER THE DEADLINE DATE:
Please indicate the Semester/Year requesting to receive “W” grades: ________________________
Semester / year completed: ___________
Semester / year completed: ___________
Semester / year completed: ___________
Semester / year completed: ___________
You are required to submit copies of all your supporting documentation (medical, employment, etc.) for each semester you are
requesting grade changes to ‘W” Total Resignations.
REINSTATEMENT
REINSTATEMENT APPLICATIONS TO BEGIN CLASSES IN THE FALL SEMESTER ARE DUE: April 1
REINSTATEMENT APPLICATIONS TO BEGIN CLASSES IN THE SPRING SEMESTER ARE DUE:
November 1
1. If you are reinstated, which school (major) will you pursue? (Circle one) Business /Arts and Sciences/ Public Affairs
2. Have you taken any courses at another institution after your dismissal from Baruch College?
θ
YES
θ
NO
If yes, include a copy of your transcript containing those courses.
OTHER – INDICATE YOUR REQUEST (APPEAL).
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
________________________________________________________________________________________________________
5
ATTACHMENT A
RECOMMENDATIONS FOR THE COMMITTEES ON ACADEMIC STANDING
(For Student Initiated Change of Grade and Withdrawal after Deadline)
Student: This form must be completed by FACULTY and submitted along with your appeal.
Student's Name: _______________________________ EMPLID: _____________________
Semester: ___________________ Course: _______________ Section: _______________
Faculty: The above-named student has an appeal pending before a Committee on Academic Standing and is
requesting the following grade change From: _______ To: _______
INSTRUCTOR: ____________________________ DEPARTMENT: ___________________
Please complete the following information:
1. Has the student spoken with you about his/her problem? _______________________________
2. Was (is) the student’s attendance satisfactory? _______________________________________
3. Last date of attendance(must be completed by a faculty member): ______________________
4. Were (are) assignments up to date: ____________________________________________
5. Please indicate Dates & Grades for ALL: exams, mid-terms, quizzes or papers given?
Date: _______________ Grade: _________________
Date: _______________ Grade: _________________
Date: _______________ Grade: _________________
Date: _______________ Grade: _________________
Date: _______________ Grade: _________________
Date: _______________ Grade: _________________
6. When was the “WU” grade Submitted: ____________________________________________
7. Please provide a detailed explanation for the assigned “WU” grade: ________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
8. Please add any comments you have that might be helpful in supporting your recommendation:
_________________________________________________________________________________________
Do you recommend the approval of this grade change?
Yes ___ No ___ Instructor’s Signature __________________________ Date ___________
Yes ___ No ___ Chairperson’s Signature ________________________ Date ____________
*Please be aware that the Committee on Academic Standing may not comply with faculty recommendation.
Note: Turn Over for Attachment B
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6
ATTACHMENT B
RECOMMENDATIONS FOR THE COMMITTEE ON ACADEMIC STANDING
EXTENSION TO RESOLVE AN INC GRADE
Date: ____________________
Name: _______________________________________________________________ EMPLID: _____________________
First Name Middle Initial Last Name
Address: ______________________________________________________________________________________
Tel: _________________ _______________________ _________________ Day/Business
Evening Cell Phone
Baruch E-Mail: ____________________________________@baruchmail.cuny.edu
I am applying to have an extension to resolve my INC grade for:
___________________ ________________ _____________________
Course Section Semester/Year
I would like an extension until __________________________________
Month/Day/Year
INSTRUCTOR'S SECTION
I will permit the above named student to have an extension to resolve an INC Grade
Deadline Date for submission of work: _____________________________________
Month/Day/Year
Instructor's Signature: ____________________________ Date: ___________________
Revised 1/10/2019 SH&EC
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Committees on Academic Standing- Application for Academic Appeal (City University of New York)

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Completed 22 December 2020

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