VIRGINIA WESTERN COMMUNITY COLLEGE
APPEAL OF STUDENT CONDUCT COMMITTEE
DECISION FORM
Course: Student Name:
Student EmplID:
VWCC Student Email Address:
Semester and Year:
@email.vccs.edu
Describe the incident and indicate your reason for appeal:
Sanc
tion Imposed by Student Conduct Committee:
__ 0 on the assignment __ Expulsion
__ F in the course
__
Require work to be accomplished again
__ Warning
__ Disciplinary Probation
__ Suspension
Submit your appeal electronically to the Vice President of Academic and Student Affairs from your
student email address to pcox@virginiawestern.edu or print, sign and submit directly to the office
located in Fishburn Room 125. The decision of the Vice President is final.
Submi
tted By:
________________________________________________ ___________________________
Student Date
Received by the Vice President of Academic and Student Affairs Office on: