VIRGINIA WESTERN COMMUNITY COLLEGE
APPEAL OF FIRST INCIDENT OF
ACADEMIC MISCONDUCT FORM
To appeal an Academic Misconduct charge, complete the form below. Submit the form electronically
from your VCCS student email account to studentconduct@virginiawestern.edu
or print, sign and
submit directly to the Dean of Student Services Office in Chapman Hall Room C102.
Course:
Semester and Year:
Student Name:
Student EmplID:
VWCC Student Email Address: @ email.vccs.edu
Describe the incident and indicate your reason for appeal:
P
enalty Imposed by Faculty Member: __ 0 on the assignment
__
F in the course
__ Require work to be accomplished again
By appealing this charge, a Student Conduct Hearing will be scheduled. You will be notified of the
hearing date and time by the Student Conduct Committee Chair through your VCCS student email
account.
S
ubmitted By:
________________________________________________ ___________________________
Student Date
Received by the Dean of Student Services on: