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THE GRADUATE SCHOOL
E-106 Martin Hall Clemson, SC 29634-5713
864.656.5202
Form GS-APPEAL
Rev. 02/2019
GS-APPEAL — APPEAL OF DISMISSAL OR DENIED ADMISSION
INSTRUCTIONS: This form is to be used for transmitting to the Graduate School a request by a student to appeal either:
a) denied admission into one of the Clemson’s graduate programs, or
b) dismissal from one of Clemson’s graduate programs.
Student name: Date submitted:
Email address: XID#:
Local address:
For appeal of denied admission
This form must be submitted to the Graduate School within 30 days of the date of letter indicating rejection, or at
least two weeks prior to the beginning of the term in which the student wishes to enroll, whichever is earlier.
Date of letter denying admission:
Beginning date of term in which enrollment is sought:
Please attach your written statement providing evidence that the admission decision was unfairly or improperly
rendered.
For appeal of dismissal
This form must be submitted to the Graduate School within 30 days of the date of the official letter from the
Graduate School indicating dismissal.
Date of notification of dismissal:
Please attach your written statement providing evidence that the dismissal decision was unfairly or improperly
rendered.
Committee decision:
Denied admission upheld Denied admission reversed
Dismissal upheld Dismissal reversed
Chair of committee:
Type or print name
Chair’s signature: Date of decision:
click to sign
signature
click to edit
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